| 曹云燕,俞红五,朱艳,等.朱氏头针联合颈部经筋刺法治疗缺血性卒中上肢运动功能障碍30 例[J].安徽医药,2022,26(8):1544-1547. |
| 朱氏头针联合颈部经筋刺法治疗缺血性卒中上肢运动功能障碍30 例 |
| Effect of Zhu's head needle combined with cervical tendon puncture in the treatment of upper limb motor dysfunction in patients with ischemic stroke:30 cases |
| |
| DOI：10.3969/j.issn.1009-6469.2022.08.014 |
| 中文关键词: 卒中 脑梗死 上肢运动功能障碍 朱氏头针 颈部经筋刺法 |
| 英文关键词: Stroke Brain infarction Upper limb motor dysfunction Zhu's head needle Neck tendon puncture method |
| 基金项目:安徽省科学技术厅项目(皖科社［2020］41号)；安徽省医疗卫生重点专科建设项目(皖卫函［2021］273号)；周氏梅花针灸流派工作室(皖中医药发展秘［2021］30号) |
|
| 摘要点击次数: 1597 |
| 全文下载次数: 553 |
| 中文摘要: |
| 目的观察朱氏头针联合颈部经筋刺法治疗缺血性卒中上肢运动功能障碍的临床疗效。方法选取2018年12月至2021年12月安徽中医药大学第二附属医院缺血性卒中上肢运动功能障碍病人60例，按随机数字表法分为对照组和治疗组。对照组30例采用常规针刺法，治疗组30例采用朱氏头针联合颈部经筋刺法。两组均每天治疗1次，1周6次，连续治疗10 d为1个疗程，共治疗2个疗程。观察治疗前后简式Fugl-Meyer运动功能(FMA-UE)评分、改良Barthel 指数(MBI)评分和改良Ash?worth分级法评分情况以及三酰甘油(TG)/高密度脂蛋白胆固醇(HDL-C)、载脂蛋白B(ApoB)、同型半胱氨酸(Hcy)水平变化。结果治疗后，治疗组FMA-UE评分、MBI评分［(48.73±6.09)比(28.10±7.95)分，(80.07±4.68)比(49.70±7.41)分］高于对照组；治疗组改良Ashworth分级法评分［(1.90±0.55)比(3.53±0.57)分］明显低于对照组(P<0.05)；治疗组TG/HDL-C、ApoB、Hcy水平［(0.87±0.26)比(1.44±0.63)，0.44(0.35，0.64)g/L比0.61(0.55，0.82)g/L，8.40(7.38，13.13)mmol/L比11.10(10.00，14.35)mmol/L］低于对照组(P<0.05)；治疗组总有效率高于对照组(86.67%比60.00%，P<0.05)。结论朱氏头针联合颈部经筋刺法治疗缺血性卒中病人上肢运动功能障碍效果明显，安全，方便，病人易于接受，疗效确切。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of Zhu's head needle combined with cervical tendon puncture in the treatment of upper limb dysfunction in patients with ischemic stroke.Methods Sixty ischemic stroke patients with upper limb dysfunction who were treated in the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine from December 2018 to December 2021 were selected. Patients were divided into two groups according to the random number table method. The control group(30 cases)received conventional acupuncture，and the treatment group(30 cases)received Zhu's head acupuncture combined with cervical ten?don acupuncture. Both groups were treated once a day，6 times a week，10 days as a course of treatment，continuous treatment for 2 courses. FMA-UE，MBI，modified Ashworth grading and changes in TG/HDL-C，ApoB and Hcy levels were evaluated before and after treatment.Results After treatment，the FMA-UE score and MBI score in the treatment group［(48.73±6.09)vs.(28.10±7.95)，(80.07±4.68)vs.(49.70±7.41)］were higher than those in the control group；the score of modified Ashworth grading method［(1.90±0.55)vs.(3.53±0.57)］was significantly lower than that of the control group(P <0.05)；Meanwhile，the levels of TG/HDL-C，ApoB and Hcy［(0.87±0.26)vs.(1.44±0.63)，0.44(0.35，0.64)g/L vs. 0.61(0.55，0.82)g/L，8.40(7.38，13.13)g/L vs. 11.10(10.00，14.35)mmol/L］is lower than those in the control group(P <0.05)；the total effective rate in the treatment group was higher than that in the control group(86.67% vs. 60.00%，P <0.05).Conclusion Zhu's head needle combined with cervical tendon puncture has an obvious effect on the treatment of upper limb dysfunction in patients with ischemic stroke，which is safe，convenient and easy to be accepted by patients. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
