摘要
目的:观察“赤凤迎源”针法技术治疗脑卒中后偏瘫的效果及对患者肢体功能恢复、肌力水平的影响。方法:选取脑卒中后偏瘫患者80例作为研究对象,按数字编号信封法将所有患者随机均分为每组40例的观察组、对照组。对照组给予常规药物治疗、康复训练及常规针灸治疗,观察组在此基础上给予“赤凤迎源”针法技术,比较两组患者临床疗效差异,记录两组患者治疗前后的中医症候积分、神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]、肢体功能[Fugl-Meyer运动功能评分量表(FMA)]、肌力水平和血流动力学指标[肱静脉、股总静脉最大血流速度(PSV)]并比较。结果:观察组临床总有效率明显高于对照组(P<0.05);两组患者中医症候积分、NIHSS评分在治疗后明显下降(P<0.05),且观察组患者降幅更大(P<0.05);两组患者FMA上肢、FMA下肢评分,肱静脉、股总静脉PSV在治疗后明显升高(P<0.05),且观察组患者涨幅更大(P<0.05);两组患者肌力水平在治疗后明显改善(P<0.05),且观察组优于对照组(P<0.05)。结论:“赤凤迎源”针法技术治疗脑卒中后偏瘫患者可有效提高康复疗效,改善临床症状和神经功能,有助于提高患者肢体功能和肌力水平。
Objective:To observe the effect of“Chifeng Yingyuan”acupuncture technique in the treatment of post-stroke hemiplegia and its influence on limb function recovery and muscle strength level.Methods:80 patients with post-stroke hemiplegia in Affiliated Hospital of Changchun University of Chinese Medicine were selected as the research subjects.According to the digital number envelope method,all patients were randomized into observation group(40 cases)and control group(40 cases).The control group was given routine drug treatment,rehabilitation training and routine acupuncture and moxibustion treatment.On this basis,the observation group was given“Chifeng Yingyuan”acupuncture technique.The difference in clinical efficacy was compared.The scores of TCM symptoms,neurological deficit degree[National Institutes of Health Stroke Scale(NIHSS)],limb function[Fugl-Meyer Motor Assessment(FMA)],muscle strength level and hemodynamic indicators[peak systolic velocity(PSV)of brachial vein and common femoral vein]before and after treatment were recorded and compared.Results:The total clinical effective rate in observation group was obviously higher(P<0.05).The scores of TCM symptoms and NIHSS score in the two groups were significantly decreased after treatment(P<0.05),and the decreases in observation group were greater(P<0.05).The scores of FMA upper limb and FMA lower limb,and PSV of brachial vein and common femoral vein were significantly increased in the two groups after treatment(P<0.05),and the increases were greater in observation group(P<0.05).The muscle strength level in both groups was improved significantly after treatment(P<0.05),and the observation group had better muscle strength level than that in control group(P<0.05).Conclusion:“Chifeng Yingyuan”acupuncture technique can effectively enhance the rehabilitation effect,improve the clinical symptoms and neurological function,and help to improve the limb function and muscle strength level in patients with post-stroke hemiplegia.
作者
李紫莎
白伟
李铁
曹洋
沈凯
韩白杨
王富春
张敏
LI Zisha;BAI Wei;LI Tie;CAO Yang;SHEN Kai;HAN Baiyang;WANG Fuchun;ZHANG Min(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)
出处
《陕西中医》
CAS
2024年第9期1270-1273,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
国家中医药管理局王富春全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号]。
关键词
脑卒中
偏瘫
赤凤迎源
肢体功能
肌力水平
中医症候积分
Stroke
Hemiplegia
Chifeng Yingyuan
Limb function
Muscle strength level
TCM symptoms scores
