[1]张斐雪,郑书林,张锡萍,等.针灸联合注射用鼠神经生长因子对脑卒中患者认知水平及神经功能的影响[J].陕西中医,2021,(10):1462-1465.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.037]
 ZHANG Feixue,ZHENG Shulin,ZHANG Xiping,et al.Effect of acupuncture combined with mouse nerve growth factor for injection on cognitive level and neurological function of stroke patients[J].,2021,(10):1462-1465.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.037]
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针灸联合注射用鼠神经生长因子对脑卒中患者认知水平及神经功能的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年10期
页码:
1462-1465
栏目:
针灸经络
出版日期:
2021-10-05

文章信息/Info

Title:
Effect of acupuncture combined with mouse nerve growth factor for injection on cognitive level and neurological function of stroke patients
作者:
张斐雪1郑书林2张锡萍1蹇 睿1杨 敏1段小东1陈利莎3
(1.西南医科大学附属医院,四川 泸州 646000; 2.成都市第一人民医院康复科,四川 成都 610000; 3.西南医科大学附属中医医院针灸康复科,四川 泸州 646000)
Author(s):
ZHANG FeixueZHENG ShulinZHANG XipingJIAN RuiYANG MinDUAN XiaodongCHEN Lisha
(Affiliated Hospital of Southwest Medical University,Luzhou 646000,China)
关键词:
脑卒中 针灸 认知水平 神经功能 生活质量 不良反应
Keywords:
Stroke Acupuncture Cognitive level Neurological function Quality of life Adverse reaction
分类号:
R 743.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.10.037
文献标志码:
A
摘要:
目的:探究针灸联合注射用鼠神经生长因子对脑卒中患者认知水平及神经功能的影响。方法:选取脑卒中患者132例为研究对象,随机分为对照组(n=66)和观察组(n=66),对照组给予常规治疗联合注射用鼠神经生长因子,观察组在对照组的基础上给予针灸,比较两组临床疗效、认知水平[简易精神状态检查量表(MMSE)和蒙特利尔认知评估量表(MoCA)]、中医症候积分、神经功能[美国国立卫生研究院卒中量表(NIHSS)]、生活质量[36条目简明健康量表(SF-36)]及不良反应。结果:观察组总有效率明显高于对照组(89.39% 与 75.76%,P<0.05); 与对照组比较,观察组治疗后MMSE评分和MoCA评分明显较高(P<0.05),中医症候积分和NIHSS评分明显较低(P<0.05),SF-36各维度评分明显较高(P<0.05); 观察组和对照组不良反应总发生率比较无统计学差异(7.58% 与 4.55%,P>0.05)。结论:针对脑卒中患者,在常规治疗基础上给予针灸联合注射用鼠神经生长因子具有较好的临床疗效,可减少中医症候积分,改善患者认知水平和神经功能,提升患者生活质量,安全性较好。
Abstract:
Objective:To explore the effect of acupuncture combined with mouse nerve growth factor for injection on cognitive level and neurological function of stroke patients.Methods:132 patients with stroke were randomly divided into control group(n=66)and observation group(n=66).Clinical efficacy,cognitive level(MMSE and MoCA),TCM symptom score,neurological function(NIHSS),quality of life(SF-36)and adverse reactions were compared between the two groups.Results:The total effective rate in the observation group was significantly higher than that in the control group(89.39% vs 75.76%,P<0.05).After treatment,MMSE score and MoCA score in observation group were significantly higher than those in control group(P<0.05),TCM symptom score and NIHSS score were significantly lower than those in control group(P<0.05),and SF-36 scores were significantly higher than those in control group(P<0.05).There was no difference in the total incidence of adverse reactions between the observation group and the control group(7.58% vs 4.55%,P>0.05).Conclusion:For stroke patients,acupuncture combined with injection of mouse nerve growth factor on the basis of routine treatment has good clinical efficacy,which can reduce TCM symptom scores,improve patients' cognitive level and neurological function,and improve patients' quality of life,with good safety.

参考文献/References:

[1] 秦晓峰,郑文权,李玉方,等.森田疗法联合舍曲林在脑卒中后抑郁患者的应用及对负性情绪,心理韧性,希望水平的影响[J].中国健康心理学杂志,2020,28(4):60-64.
[2] 刘鹏程,张 珺,邓 恒.中医药治疗脑卒中偏瘫研究进展[J].中医药临床杂志,2019,31(6):1191-1193.
[3] Fukuda T,Kusuhara H,Nakagoshi T,et al.A basic fibroblast growth factor slow-release system combined to a biodegradable nerve conduit improves endothelial cell and Schwann cell proliferation:A preliminary study in a rat model[J].Microsurg,2018,38(8):899-906.
[4] Naoshige N,Kenmoku NT.Nerve growth factor continuously elevates in a rat rotator cuff tear model[J].J Shoulder Elb Surg,2019,28(1):143-148.
[5] 董 巡,刘景峰,张 琦,等.益气活血辨治气虚中风(脑卒中)[J].实用中医内科杂志,2017,31(11):55-57,60.
[6] 邱 敏,孙 科,陶 劲,等.“中风”病之“内风”病机溯源[J].中国中医基础医学杂志,2016,22(2):163-164.
[7] 王嘉麟,邢 佳,贺立娟,等.针灸治疗脑卒中后认知障碍研究进展[J].环球中医药,2015,8(9):1140-1144.
[8] 陈文泽,贾 曼,陈东云.针灸治疗脑卒中患者肢体运动功能障碍的疗效观察[J].内蒙古中医药,2018,37(10):74-75.
[9] 郗 欧,焦富英,马 进.针灸联合鼠神经生长因子对脑卒中后失语患者的临床疗效分析[J].世界中西医结合杂志,2018,13(11):1568-1572.
[10] 中国脑血管病防治指南编委会.中国脑血管病防治指南:试行版[M].北京:人民卫生出版社,2007:139-142.
[11] 李 平,吴钟璇,张云如,等.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[12] 国家食品药品监督管理局.中药新药治疗中风的临床研究指导原则[M].北京:中国医药科技出版社,2002:99-101.
[13] 王征宇,张明园,瞿光亚,等.中文版简易智能状态检查(MMSE)的应用[J].上海精神医学,1989,7(3):108-111.
[14] 侯小兵,张允岭,高 芳,等.以蒙特利尔认知评估量表(MoCA)分析血管源性轻度认知障碍的神经心理学特征[J].世界中西医结合杂志,2010,5(8):681-684.
[15] 曹 妍,赵 现,王慧娟,等.血塞通注射液对老年缺血性脑卒中患者神经功能及血液流变学的影响[J].现代中西医结合杂志,2016,25(14):1523-1525.
[16] 李 浩,陈 绯,高 青,等.心理护理综合干预对脑卒中患者生命质量及主观幸福感的影响[J].中国卫生统计,2017,34(5):741-744.
[17] 关利利,刘爱贤,莫林宏,等.康复治疗在脑卒中后认知功能障碍中的应用效果[J].陕西医学杂志,2017,46(5):572-574.
[18] 吕红叶,付梦丽,赵 贺.协同干预模式改善急性缺血性脑卒中患者负性情绪、自我感受负担和生存质量的效果[J].中国健康心理学杂志,2020,28(4):515-520.
[19] 贾云哲,吕晓宇.针灸联合活血通络汤治疗脑卒中后认知功能障碍的临床研究[J].中国医药导报,2018,15(4):113-116.
[20] Jadhao CS,Bhatwadekar AD,Jiang Y,et al.Nerve growth factor promotes endothelial progenitor cell-mediated angiogenic responses[J].Invest ophth vis sci,2012,53(4):2030-2037.
[21] 冯 梅,王 东,袁 敏,等.针灸推拿联合康复疗法治疗对脑卒中四肢功能障碍患者神经运动功能康复及生活质量的影响[J].四川中医,2020,38(10):206-209.
[22] 刘 虹.针灸对脑卒中患者神经功能及生活质量的影响[J].陕西中医,2017,38(4):515-516.

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备注/Memo

备注/Memo:
基金项目:四川省卫生健康委员会科研课题(20PJ137)
更新日期/Last Update: 2021-10-09