[1]冯鹏超,赵汉清,冯鹏飞,等.益气活血通络方联合开窍通络针刺法对缺血性脑卒中恢复期患者运动能力的影响[J].陕西中医,2022,(3):376-379.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.026]
　FENG Pengchao,ZHAO Hanqing,FENG Pengfei,et al.Effect of Yiqi Huoxue Tongluo prescription combined with Kaiqiao Tongluo acupuncture on exercise ability of patients with recoverable stroke[J].,2022,(3):376-379.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.026]
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益气活血通络方联合开窍通络针刺法对缺血性脑卒中恢复期患者运动能力的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年3期
页码:
376-379
栏目:
针灸经络
出版日期:
2022-03-05

文章信息/Info

Title:
Effect of Yiqi Huoxue Tongluo prescription combined with Kaiqiao Tongluo acupuncture on exercise ability of patients with recoverable stroke
作者:
冯鹏超; 赵汉清; 冯鹏飞; 樊丽霞; 梁进凤; 周利飞
(河北北方学院附属第二医院,河北 张家口 075100)
Author(s):
FENG Pengchao; ZHAO Hanqing; FENG Pengfei; FAN Lixia; LIANG Jinfeng; ZHOU Lifei
(The Second Affiliated Hospital of Hebei North University,Zhangjiakou 075100,China)
关键词:
缺血性脑卒中恢复期;  益气活血通络方;  开窍通络针刺法;  神经功能;  运动能力;  平衡能力
Keywords:
Stroke recovery period;  Yiqi Huoxue Tongluo prescription;  Kaiqiao Tongluo acupuncture method;  Neurological function;  Exercise capacity;  Balancing capacity
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2022.03.026
文献标志码:
A
摘要:
目的:分析益气活血通络方联合开窍通络针刺法对缺血性脑卒中恢复期患者运动能力的影响。方法:选取158例缺血性脑卒中恢复期患者作为研究对象,按照随机数字表法分为益气活血通络方组(n=79)、联合组(n=79)。益气活血通络方组予益气活血通络方治疗,联合组在益气活血通络方组的基础上采用开窍通络针刺法干预。比较两组脑血流动力学指标、神经功能指标星形胶质源性蛋白(S100B)、神经胶质纤维酸性蛋白(GFAP)、神经元特异性烯醇化酶(NSE)水平、运动皮层兴奋性、肢体运动功能、神经功能、日常生活能力、平衡能力、中医证候积分及临床疗效。结果:治疗后,与益气活血通络方组比较,联合组Vs、Vm升高,RI降低(均P<0.05)。与益气活血通络方组比较,联合组S100B、GFAP、NSE水平降低(均P<0.05)。与益气活血通络方组比较,联合组MEP最大振幅升高,MEP潜伏期降低(均P<0.05)。与益气活血通络方组比较,联合组肢体运动功能评分升高(P<0.05)。与益气活血通络方组比较,联合组美国国立卫生院神经功能缺损评分(NIHSS)、中医证候积分降低,Barthel指数、Berg平衡量表评分升高(均P<0.05)。联合组治疗总有效率高于益气活血通络方组(P<0.05)。结论:益气活血通络方联合开窍通络针刺法可改善缺血性脑卒中恢复期患者脑血流,减轻神经功能缺损程度,改变运动皮层兴奋性,提高患者运动能力。
Abstract:
Objective:To analyze effect of Yiqi Huoxue Tongluo prescription combined with Kaiqiao Tongluo acupuncture on the exercise ability of patients with stroke recovery.Methods:158 patients with stroke recovery period were selected as the study subjects and divided into Yiqi Huoxue Tongluo prescription group(n=79)and combined group(n=79)by random number table method.Yiqi Huoxue Tongluo prescription group was treated with Yiqi Huoxue Tongluo prescription,and the combined group was treated with Kaiqiao Tongluo acupuncture method on the basis of Yiqi Huoxue Tongluo prescription group.The cerebral hemodynamic parameters,neurofunctional markers astrocyte derived protein(S100B),glial fibrillary acidic protein(GFAP),neuron specific enolase(NSE)levels,motor cortex excitability,limb motor function,neurological function,daily living ability,balance ability,TCM syndrome scores,clinical outcomes were compared between the two groups.Results:The Vs,Vm of the combined group increased and the RI decreased compared with the Yiqi Huoxue Tongluo prescription group(all P<0.05).Compared with Yiqi Huoxue Tongluo prescription group,the level of S100B,GFAP,NSE in the combined group decreased(all P<0.05).Compared with Yiqi Huoxue Tongluo prescription group,the maximum amplitude of MEP in the combined group increased and the latency of MEP decreased(P<0.05).Compared with the Yiqi Huoxue Tongluo prescription group,limb motor function score,NIHSS,TCM syndromes score decreased,Barthel index,Berg balance scale score in the combined group increased(all P<0.05).The total efficiency of the combination group was higher than that of the Yiqi Huoxue Tongluo prescription group(P<0.05).Conclusion:Yiqi Huoxue Tongluo prescription combined with Kaiqiao Tongluo acupuncture can improve cerebral blood flow,alleviate the degree of nerve function defect,change the excitability of motor cortex,improve the motor ability of patients in convalescent stage of stroke.

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备注/Memo

备注/Memo:
基金项目:河北省中医药管理局科研计划项目(2020239)
更新日期/Last Update: 2022-03-09