摘要
目的:观察针刺水沟穴、百会穴联合足运感区对脑卒中恢复期患者肢体功能、颅内血流动力学的影响。方法:选取163例脑卒中恢复期患者,按随机数字表法分为足运感区组81例及联合针刺组82例。足运感区组针刺足运感区治疗,联合针刺组给予针刺水沟穴、百会联合足运感区进行治疗。比较2组临床疗效,比较2组治疗前后神经营养素-3(NT-3)、神经生长因子(NGF)水平、中医证候评分、颅内血流动力学[收缩峰血流速度(Vs)、舒张末血流速度(Vd)、平均血流速度(Vm)]指标值、美国国立卫生研究院卒中量表(NIHSS)评分的变化。结果:治疗后,2组NT-3、NGF水平均较治疗前上升,联合针刺组NT-3、NGF水平高于足运感区组(P<0.05)。治疗后,2组中医证候主症评分、总分均较治疗前下降(P<0.05),联合针刺组主症评分、总分均低于足运感区组(P<0.05)。治疗后,2组Vs、Vd、Vm指标值均较治疗前上升(P<0.05),联合针刺组Vs、Vd、Vm指标值高于足运感区组(P<0.05)。治疗后,2组NIHSS上肢评分、NIHSS下肢评分均较治疗前下降,联合针刺组NIHSS上肢评分、NIHSS下肢评分均低于足运感区组(P<0.05)。联合针刺组临床疗效为97.56%,足运感区组为91.12%,2组比较,差异有统计学意义(P<0.05)。结论:针刺水沟穴、百会联合针刺足运感区治疗脑卒中恢复期,能恢复患者上下肢肢体功能,改善颅内血流动力学,临床疗效较好。
Objective:To observe the effect of acupuncture at Shuigou acupoint(DU 26)and Baihui acupoint(DU 20)combined with foot motor sensory area on limb function and intracranial hemodynamics in patients with stroke during convalescence.Methods:A total of 163 cases of patients with stroke during convalescence were selected and divided into the foot motor sensory area group and the combined acupuncture group according to the random number table method,with 81 and 82 cases in each group respectively.The foot motor sensory area group was treated with acupuncture in the foot motor sensory area group,and the combined acupuncture group was treated with acupuncture at Shuigou acupoint and Baihui acupoint combined with the foot motor sensory area.The changes in levels of neurotrophin-3(NT-3)and nerve growth factor(NGF),traditional Chinese medicine(TCM)syndrome scores,indexes of intracranial hemodynamics including peak systolic velocity(Vs),end-diastolic velocity(Vd)and mean blood velocity(Vm)and scores of National Institutes of Health Stroke Scale(NIHSS)before and after treatment as well as the clinical effects in the two groups were compared.Results:After treatment,the levels of NT-3 and NGF in the two groups were increased when compared with those before treatment,and the levels of NT-3 and NGF in the combined acupuncture group were higher than those in the foot motor sensory area group(P<0.05).After treatment,the main symptom scores and the total scores of TCM syndromes in the two groups were decreased when compared with those before treatment(P<0.05),and the main symptom scores and the total score in the combined acupuncture group were lower than those in the foot motor sensory area group(P<0.05).After treatment,the values of Vs,Vd and Vm in the two groups were increased when compared with those before treatment,and the values of Vs,Vd and Vm in the combined acupuncture group were higher than those in the foot motor sensory area group(P<0.05).After treatment,the scores of upper and lower limbs in NIHSS in the two groups were
作者
黄诗蔚
李桂英
杨亮
HUANG Shiwei;LI Guiying;YANG Liang
出处
《新中医》
CAS
2022年第21期178-182,共5页
New Chinese Medicine
关键词
脑卒中恢复期
针刺
足运感区
水沟穴
百会穴
肢体功能
Stroke during convalescence
Acupuncture
Foot motor sensory area
Shuigou acupoint(DU 26)
Baihui acupoint(DU 20)
Limb function
