摘要
目的:观察针刺夹脊穴联合通督调神针刺治疗中风后平衡障碍的临床效果。方法:将中风后平衡功能障碍患者纳入本次研究,共67例,应用随机数字表法将上述患者分为对照组(34例,常规治疗加通督调神针刺)和试验组(33例,在对照组基础上针刺夹脊穴),两组均治疗4周。治疗后通过使用Berg平衡量表(BBS)、Fugl-Meyer平衡功能评定量表(FMB)、Barthel指数分级法(MBI)、Holden步行功能分级量表(FAC)分别评估患者平衡功能、肢体功能、日常活动能力及步行功能,同时观察生化指标D-二聚体(DD)、同型半胱氨酸(Hcy)、超敏C反应蛋白(hs-CRP)变化,并评价整体疗效。结果:治疗4周后,试验组BBS、FMB、MBI及FAC得分分别为(41.56±7.01)、(13.22±1.62)、(70.13±6.92)、(3.84±1.07)分,均显著高于对照组(P<0.05);试验组Hcy、DD、hs-CRP水平分别为(15.42±3.22)μmol/L、(372.46±39.58)μg/L、(5.61±1.03)mg/L,显著低于对照组(P<0.05);试验组总有效率为96.97%,显著优于对照组(P<0.05)。结论:针刺夹脊穴联合通督调神针刺能有效治疗中风后平衡障碍,提高患者肢体功能、日常活动能力及步行能力,改善凝血功能及炎症反应。
Objective:To observe the clinical effects of acupuncture at Jiaji point combined with Tongdu Tiaoshen acupuncture in the treatment of post-stroke balance disorders.Methods:A total of 67 patients with post-stroke balance disorders were included in this study.Using the random number table method,the subjects were assigned to the control group(34 cases,conventional treatment and Tongdu Tiaoshen acupuncture)and the experimental group(33 cases,acupuncture at Jiaji point on the basis of the treatment of control group).Both groups were treated for 4 weeks.After treatment,the patients’balance function,limb function,activities of daily living and walking function were evaluated using the Berg Balance Scale(BBS),Fugl-Meyer assessment scale-balance(FMB),Modified Barthel Index(MBI)and Holden Functional Walking Classification(FAC),respectively.The changes in biochemical indicators such as D-Dimer(DD),homocysteine(Hcy)and high-sensitivity C-reactive protein(hs-CRP)were observed.The overall efficacy was evaluated.Results:After 4 weeks of treatment,BBS score,FMB score,MBI score and FAC score of the experimental group[(41.56±7.01),(13.22±1.62),(70.13±6.92)and(3.84±1.07)]were significantly higher than those in the control group(P<0.05).The levels of Hcy,DD and hs-CRP in the experimental group[(15.42±3.22)μmol/L,(372.46±39.58)μg/L and(5.61±1.03)mg/L]were significantly lower than those in the control group(P<0.05).The total effective rate of the experimental group(96.97%)was significantly better than that of the control group(P<0.05).Conclusion:Acupuncture at Jiaji point combined with Tongdu Tiaoshen acupuncture is effective to treat post-stroke balance disorders,which can improve the patients’limb function,activities of daily living,walking ability and coagulation function,and reduce inflammatory response.
作者
罗春梅
李佩芳
刘霞
王涛
浦芳
刘睿
LUO Chunmei;LI Peifang;LIU Xia;WANG Tao;PU Fang;LIU Rui(Department of Encephalopathy,the Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)
出处
《陕西中医》
CAS
2024年第9期1262-1265,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
安徽省科技攻关计划项目(1604A0802086)
安徽省临床医学研究转化专项课题(202304295107020113)
安徽省中医药领军人才培养对象项目[中医药发展秘(2018)23号]
李佩芳安徽省名中医工作室建设项目[皖卫中药发(2019)8号]
安徽省第十三批“115”产业创新团队“针药结合防治脑病产业创新团队”项目[皖人才办(2020)4号]。
