[1]李紫莎,白 伟,李 铁,等.“赤凤迎源”针法治疗脑卒中后偏瘫疗效研究[J].陕西中医,2024,(9):1270-1273.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.028]
　LI Zisha,BAI Wei,LI Tie,et al.Effect of “Chifeng Yingyuan” acupuncture technique in treating post-stroke hemiplegia[J].,2024,(9):1270-1273.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.028]
点击复制

“赤凤迎源”针法治疗脑卒中后偏瘫疗效研究
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年9期
页码:
1270-1273
栏目:
针灸经络
出版日期:
2024-09-05

文章信息/Info

Title:
Effect of “Chifeng Yingyuan” acupuncture technique in treating post-stroke hemiplegia
作者:
李紫莎; 白 伟; 李 铁; 曹 洋; 沈 凯; 韩白杨; 王富春; 张 敏
(长春中医药大学附属医院,吉林 长春 130021)
Author(s):
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)
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
Keywords:
Stroke;  Hemiplegia;  Chifeng Yingyuan;  Limb function;  Muscle strength level;  TCM symptoms scores
分类号:
R 743.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.09.028
文献标志码:
A
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。
Abstract:
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.

参考文献/References:

[1] 陈光,付淼.急性缺血性脑卒中患者脑血管储备功能与其急诊治疗结局相关性分析[J].陕西医学杂志,2023,52(1):53-56.
[2] 师媛,王晓娟.短暂性脑缺血发作患者颈动脉狭窄程度与颈动脉斑块易损性关系及对近期缺血性脑卒中的预测价值研究[J].陕西医学杂志,2022,51(4):454-457,496.
[3] 唐艺丹,姚智.针灸联合中医康复治疗脑卒中后躯干控制障碍研究进展[J].陕西中医,2023,44(7):987-989.
[4] 刘晨,张京兰,王非.针刺夹脊穴对脑卒中伴认知障碍及偏瘫患者认知与肢体运动功能的影响[J].陕西中医,2022,43(6):793-796.
[5] 赵娟妮,刘建成.化痰通络汤联合康复训练治疗脑卒中后偏瘫疗效研究[J].陕西中医,2022,43(12):1721-1724.
[6] 赵晋莹,蒋海琳,朱宇生,等.古今赤凤迎源针法撮要[J].中华中医药杂志,2021,36(1):142-144.
[7] 王欣,胡川,卢秀艳,等.功能性电刺激联合电针拮抗肌治疗脑卒中后痉挛型足下垂的疗效观察[J].中华物理医学与康复杂志,2021,43(5):396-400.
[8] 姚嘉永,邹伟.针刺治疗缺血性脑卒中机制的研究进展[J].针刺研究,2022,47(4):354-361,368.
[9] 重组组织型纤溶酶原激活剂治疗缺血性卒中共识专家组.重组组织型纤溶酶原激活剂静脉溶栓治疗缺血性卒中中国专家共识(2012版)[J].中华内科杂志,2012,51(12):1006-1010.
[10] 上海市康复医学会心脏康复专业委员会,脑卒中合并稳定性冠心病运动康复专家共识编写组.脑卒中合并稳定性冠心病运动康复专家共识[J].中国康复医学杂志,2018,33(4):379-384.
[11] 张通.中国脑卒中康复治疗指南(2011完全版)[J].中国医学前沿杂志,2012,4(6):55-76.
[12] 中华人民共和国卫生部.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:239-240.
[13] 蔡业峰,贾真,张新春,等.美国国立卫生院卒中量表(NIHSS)中文版多中心测评研究——附537例缺血中风多中心多时点临床测评研究[J].北京中医药大学学报,2008,31(7):494-498.
[14] 聂鹏坤,杨华,赵晓峰,等.中风患者Fugl-Meyer运动功能量表评价一致性检验[J].辽宁中医杂志,2009,36(11):1827-1829.
[15] 杨鹏,孙丽红,韩雪晶,等.基于灰色关联分析的老年人下肢肌力手持式肌力测试仪评估[J].中国康复理论与实践,2017,23(10):1203-1208.
[16] 胡婷,刘艳,姚瑶,等.自拟中药洗液联合经颅直流电刺激对中风偏瘫患者神经功能及步行功能恢复的影响[J].辽宁中医杂志,2023,50(8):107-110.
[17] 江六顺,汪瑛,陈少飞,等.通督调神针法联合补阳还五汤治疗卒中偏瘫的临床疗效观察[J].中华中医药学刊,2023,41(5):206-208.
[18] 周文奇,程肖蕊.针药结合治疗脑中风康复研究[J].中国药理学与毒理学杂志,2023,37(z1):56-59.
[19] 曹慧,黄志东,梁丽,等.手足十二穴捻转平补泻手法结合重复经颅磁刺激对缺血性卒中偏瘫患者肢体肌力的影响[J].中华中医药学刊,2023,41(4):205-209.
[20] 陈天竹,邹忆怀,杜钟名,等.手足十二针对缺血性脑卒中偏瘫患者大脑初级运动区与小脑功能连接的影响[J].中医杂志,2021,62(17):1514-1521.
[21] 李亚楠,张义情,温静,等.基于复杂网络分析针灸治疗踝关节扭伤的腧穴配伍规律及其刺灸法应用特点[J].针刺研究,2023,48(2):204-210.
[22] 王富春,王朝辉.“飞经走气”针法技术的应用研究[J].长春中医药大学学报,2012,28(3):416-417.
[23] 高会文,霍琰梅.血府逐瘀汤辅助治疗缺血性脑卒中偏瘫临床效果[J].辽宁中医杂志,2022,49(10):110-113.
[24] 宋剑英,李季,李德华,等.中风醒脑口服液联合醒脑开窍法针灸治疗中风偏瘫的临床分析[J].时珍国医国药,2021,32(6):1398-1400.
[25] 丁玉菊,刘照勇,肖荣,等.不同频率电针治疗脑卒中偏瘫肩痛的临床观察[J].中国针灸,2023,43(8):899-903.

相似文献/References:

[1]金硕果,尹海燕,孙鸿辉△,等.三七对轻型缺血性脑卒中患者“双抗”治疗后出血事件影响的研究*[J].陕西中医,2019,(3):287.
　JIN Shuoguo,YIN Haiyan,SUN Honghui,et al.Impact study of Panax notoginseng on hemorrhagic event after treatment of dual antiplatelet therapy in patients with acute minor stroke[J].,2019,(9):287.
[2]张子英,吴伯涛,翟清华.益气活血法与化痰通络疗法对脑卒中症状治疗的应用价值探讨[J].陕西中医,2019,(2):250.
[3]樊锐敏.肝胃百合汤对脑卒中肠内营养患者胃肠道反应的影响[J].陕西中医,2019,(1):52.
　FAN Ruimin..Effect of Ganwei Baihe decoction on gastrointestinal reaction in patients with cerebral apoplexy enteral nutrition[J].,2019,(9):52.
[4]常雪利.针灸治疗对脑卒中后偏瘫颈肩痛患者疼痛改善及预后的影响*[J].陕西中医,2019,(4):525.
　CHANG Xueli..Analysis of the effect of acupuncture on pain improvement and prognosis in patients with hemiplegia neck shoulder and pain[J].,2019,(9):525.
[5]许文杰,蒋瑞冲,周一心,等.王翘楚教授经验方治疗肝郁瘀阻型脑卒中后失眠临床研究*[J].陕西中医,2019,(7):867.
　XU Wenjie,Jiang Ruichong,Zhou Yixin,et al.Therapeutic observation of experience prescription in party of professor Wang Qiaochu for post-stroke insomnia due to liver depression and blood stasis bolck[J].,2019,(9):867.
[6]罗 玮,李 耘,刘 玲.加味涤痰汤治疗卒中后抑郁疗效及对患者外周血NF-κB、miR-146a表达的影响[J].陕西中医,2019,(8):1029.
　LUO Wei,LI Yun,LIU Ling..Clinical effect of Jiawei Ditan decoction on post-stroke depressionand the expression of NF-κB and miR-146a in peripheral blood[J].,2019,(9):1029.
[7]蒋 岚,田慧军△,黄 伟.针灸联合黛力新治疗脑卒中后抑郁疗效及对患者血清神经递质水平的影响[J].陕西中医,2019,(8):1134.
　JIANG Lan,TIAN Huijun,HUANG Wei..Effects of Acupuncture combined with Deanxit on Post-stroke depression and its influence on serum neurotransmitters level[J].,2019,(9):1134.
[8]萨仁,李长君,蔡海鑫.头穴丛刺对脑卒中后血管性痴呆患者认知功能及血清HIF1α的影响*[J].陕西中医,2019,(11):1622.
　SA Ren,LI Changjun,CAI Haixin..Effect of scalp acupuncture on cognitive function and serum HIF1α in patients with vascular dementia after stroke[J].,2019,(9):1622.
[9]王 佳 ,沈卫东△.头针、舌针联合康复训练治疗脑卒中后吞咽障碍疗效研究*[J].陕西中医,2019,(12):1774.
　WANG Jia,SHEN Weidong..Efficacy of scalp acupuncture and tongue acupuncture combined with rehabilitation training on dysphagia after cerebral stroke[J].,2019,(9):1774.
[10]刘兰兰,耿翊宁.经穴针刺对老年脑卒中患者脑灌注及血小板反应蛋白1水平影响研究[J].陕西中医,2019,(12):1778.
　LIU Lanlan,GENG Yining..Effect of acupoint acupuncture on cerebral perfusion and thrombospondin 1 in senile patients with stroke[J].,2019,(9):1778.
[11]刘 晨,张京兰,王 非.针刺夹脊穴对脑卒中伴认知障碍及偏瘫患者认知与肢体运动功能的影响[J].陕西中医,2022,(6):793.[doi:DOI:10.3969/j.issn.1000-7369.2022.06.029]
　LIU Chen,ZHANG Jinglan,WANG Fei.Effect of acupuncture at Jiaji point on cognition and limb motor function of stroke patients with cognitive impairment and hemiplegia[J].,2022,(9):793.[doi:DOI:10.3969/j.issn.1000-7369.2022.06.029]

备注/Memo

备注/Memo:
基金项目: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]
更新日期/Last Update: 2024-09-09