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针刺对脑卒中后上肢功能障碍患者局部血供及生物力学状态的影响 被引量:4

Acupuncture Has Effect on Local Blood Supply and Biomechanical Status in Post-stroke Patients with Upper Limb Dysfunction
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摘要 目的:观察针刺对脑卒中后上肢功能障碍患者局部血供及生物力学状态的影响。方法:选取72例脑卒中后上肢功能障碍患者为研究对象,按随机数字表法分为对照组和观察组,每组36例。对照组给予本体感觉神经肌肉促进技术治疗,观察组在对照组基础上加用针刺治疗。治疗后,观察2组上肢功能、甲襞微循环指标(白微栓率、红细胞聚集率、输入枝及输出枝长度)及生物力学指标(肘屈曲及肘伸展总做功量、肘屈曲及肘伸展60。峰力矩)的改善情况。结果:治疗3个及6个疗程,观察组上肢功能、甲襞微循环指标及生物力学指标均优于对照组,差异均有统计学意义(P<0.05)。结论:针刺可以改善脑卒中后上肢功能障碍患者的局部血供及生物力学状态,促进功能恢复。 Objective:To observe the effect of acupuncture on local blood supply and biomechanical status in post-stroke patients with upper limb dysfunction.Methods:Selected 72 cases of post-stroke patients with upper limb dysfunction as study subjects,and divided them into the control group and the observation group randomly,36 cases in each group.The control group received proprioceptive neuromuscular facilitation,while the observation group additionally received acupuncture.After treatment,observed the improvements in upper limb function,indexes of nail fold microcirculation(white microthrombi rate,erythrocyte aggregation rate,length of afferent and efferent limbs)and biomechanical indexes(total work of elbow flexion and extension,peak torque of elbow flexion and extension at 60°)in both groups.Results:In treatment for three and six courses,the upper limb function,indexes of nail fold microcirculation and biomechanical indexes in the observation group were respectively better than those in the control group,differences being significant(P<0.05).Conclusion:Acupuncture can improve local blood supply and biomechanical status of post-stroke patients with upper limb dysfunction,which can promote functional recovery.
作者 吴单 莫晓枫 WU Dan;MO Xiaofeng
出处 《新中医》 CAS 2019年第12期219-221,共3页 New Chinese Medicine
关键词 脑卒中 上肢功能障碍 针刺 局部血供 生物力学状态 Stroke Upper limb dysfunction Acupuncture Local blood supply Biomechanical status
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