[1]符 昱,吴颢昕,罗 毅,等.早期开四关法治疗缺血性卒中后感觉障碍临床研究[J].陕西中医,2021,(12):1776-1778.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.033]
　FU Yu,WU Haoxin,LUO Yi,et al.Clinical study on treatment of sensory disturbance after ischemic stroke by early Kaisi Guan[J].,2021,(12):1776-1778.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.033]
点击复制

早期开四关法治疗缺血性卒中后感觉障碍临床研究
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年12期
页码:
1776-1778
栏目:
针灸经络
出版日期:
2021-12-05

文章信息/Info

Title:
Clinical study on treatment of sensory disturbance after ischemic stroke by early Kaisi Guan
作者:
符 昱1; 吴颢昕2; 罗 毅1; 惠 振1
(1.苏州市中西医结合医院,江苏 苏州 215101; 2.南京中医药大学,江苏 南京 210046)
Author(s):
FU Yu;  WU Haoxin; LUO Yi; HUI Zhen
(Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou 215101,China)
关键词:
缺血性卒中;  开四关法;  感觉障碍;  美国国立卫生研究院卒中量表、Fugl-Meyer评分
Keywords:
Ischemic stroke;  Kaisi Guan;  Sensory disorders;  National institutes of health stroke scale;  Fugl-Meyer score
分类号:
R 743.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.12.033
文献标志码:
A
摘要:
目的:观察早期应用开四关法对缺血性卒中后感觉障碍的临床疗效。方法:将62例急性缺血性卒中后感觉障碍患者随机分为对照组和治疗组。两组患者均给予西医常规治疗、普通针刺治疗,治疗组在此基础上加用开四关法。治疗后观察两组的临床疗效、神经功能缺损、感觉症状及日常生活能力的改变情况。结果:治疗组总有效率93.55%,高于对照组87.10%,差异有统计学意义(P<0.05)。治疗后,两组患者美国国立卫生研究院卒中量表(NIHSS)评分均有所下降,且治疗组较对照组各项分值均低,差异有统计学意义(均P<0.05)。两组患者Fugl-Meyer评分均较治疗前升高,且治疗组Fugl-Meyer评分高于对照组,差异有统计学意义(均P<0.05)。结论:急性缺血性卒中患者在接受早期开四关治疗后,临床症状、感觉障碍程度、神经功能缺损等均有所改善。
Abstract:
Objective:To observe the clinical effect of early application of Kaisi Guan on sensory disorders after ischemic stroke.Methods:62 patients with sensory disturbance after acute ischemic stroke were randomly divided into control group and treatment group.Two groups were given conventional treatment of western medicine,ordinary acupuncture treatment, the treatment group in addition to Kaisi Guan.After treatment,the clinical efficacy,neurological impairment,sensory symptoms and the changes of daily living ability of the two groups were observed.Results:The total effective rate in the treatment group was 93.55% higher than that in the control group 87.10%,difference statistically significant(P<0.05).After treatment,the scores of national institutes of health stroke scale(NIHSS)in the two groups were decreased, and the scores of treatment group were lower than those in the control group,difference statistically significant(all P<0.05).Fugl-Meyer score in the two groups were higher than before treatment,and Fugl-Meyer score in the treatment group was higher than that in the control group,difference statistically significant(all P<0.05).Conclusion:The clinical symptoms,degree of sensory impairment and neurological impairment were improved after early treatment in patients with acute ischemic stroke.

参考文献/References:

[1] 李 丹,杨吉睿.短暂性脑缺血发作早期卒中风险预测量表评分及血清学指标在脑卒中后眩晕评估中的价值研究[J].陕西医学杂志,2021,50(7):864-866.
[2] 方邦江,李志军,李银平,等.中国急性缺血性脑卒中中西医急诊诊治专家共识[J].中华危重病急救医学,2018,30(3):193-197.
[3] 王红斌,彭小平,徐 健,等.针灸联合康复训练对脑卒中偏瘫患者肢体运动功能及日常生活能力的影响[J].陕西中医,2015,36(7):914-916.
[4] 高 婷,潘 婕,刘婧斐,等.针刺治疗脑卒中后平衡功能障碍研究进展[J].陕西中医,2021,42(5):677-680.
[5] 朱 利,苏同生.针刺治疗中风后失语症研究进展[J].陕西中医,2019,40(6):814-816.
[6] 思 聪,李彦娇,安军明,等.近5年针刺治疗卒中后吞咽障碍研究进展[J].世界中医药,2021,16(6):1000-1003.
[7] 中华医学会神经病学分会,中华医学会神经病分会脑血管病学组.中国急性缺血性脑卒中诊治指南[J].中华神经科杂志,2018,51(9):666-682.
[8] 国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:34-35.
[9] 国家中医药管理局.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:100-104.
[10] 李南京,王 霞.丁苯酞注射液联合银杏二萜内酯葡胺注射液治疗进展性脑卒中病人的疗效及对NIHSS评分的影响[J].中西医结合心脑血管病杂志,2020,18(2):328-331.
[11] 严 莉,李 晶,卫义兰,等.轻点刺络法联合针刺对脑卒中偏身感觉障碍患者 感觉功能和生活质量的影响[J].现代中西医结合杂志,2019,28(17):1856-1860.
[12] 张锡萍,张斐雪,郑书林,等.血栓通联合吡拉西坦对缺血性脑卒中患者中医证候评分、神经功能及血清NPY、Hcy水平的影响[J].陕西中医,2021,42(3):326-329.
[13] Connell L,Lincoln N,Radford K.Somatosensory impairment after stroke:Frequency of different deficits and their recovery[J].Clinical Rehabilitation,2008,22(8):758.
[14] 冯晓东,赵 薇,李瑞青,等.刺络放血疗法结合康复训练对丘脑损伤后偏身感觉障碍康复的临床研究[J].中国康复医学杂志,2017,32(1):64-66.
[15] 厚晓昀,戴智勇,徐延庭.针刺结合中药治疗中风后偏身感觉障碍患者的疗效观察及安全性评价[J].河北医药,2017,39(1):122-123,126.
[16] 蒋示吉.医宗说约[M].北京:中国中医药出版社,2004:103.
[17] 周亚军,周 鑫,励洲楠,等.针刺治疗缺血性中风急性期的临床应用特点分析[J].天津中医药大学学报,2018,37(3):249-252.
[18] 颜昌昌,苏绍永,唐根卡,等. 针灸治疗脑卒中后抑郁疗效研究[J]. 陕西中医,2018,39(1):122-124.
[19] 隋山芊.四关穴的临床应用[C].新时代 新思维 新跨越 新发展——2019中国针灸学会年会暨40周年回顾论文集.中国针灸学会:中国针灸学会,2019:1529-1531.
[20] 李颖文,符文彬.针灸从“四关”穴论治及其临床应用[J].辽宁中医杂志,2007,34(9):1307-1308.

相似文献/References:

[1]樊润润,赵建华,马明明,等.血塞通注射液联合阿司匹林治疗老年缺血性卒中疗效及对患者血清Thl/Th2细胞因子水平的影响*[J].陕西中医,2019,(8):1032.
　FAN Runrun,ZHAO Jianhua,MA Mingming,et al.Effect of Xuesaitong injection combined with aspirin on senile ischemic stroke and serum Thl/Th2 cytokine level[J].,2019,(12):1032.
[2]蔡丽,刘毅,陆小青,等.神经复元方治疗缺血性卒中后抑郁临床研究*[J].陕西中医,2019,(11):1523.
　CAI Li,LIU Yi,LU Xiaoqing,et al.Shenjing Fuyuan decoction in the treatment of ischemic poststroke depression[J].,2019,(12):1523.
[3]李飞亚,颜思阳,李 中,等.基于阴阳学说探讨小胶质细胞极化在缺血性卒中神经炎症治疗中的应用[J].陕西中医,2024,(11):1521.[doi:DOI:10.3969/j.issn.1000-7369.2024.11.017]
　LI Feiya,YAN Siyang,LI Zhong,et al.Investigate application of microglial polarization in treatment of neuroinflammation in ischemic stroke based on theory of Yin and Yang[J].,2024,(12):1521.[doi:DOI:10.3969/j.issn.1000-7369.2024.11.017]
[4]孙 进,王雨婷,王昕竹,等.通督调神针刺法联合低频重复经颅磁治疗缺血性卒中后抑郁疗效研究[J].陕西中医,2024,(11):1557.[doi:DOI:10.3969/j.issn.1000-7369.2024.11.026]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年科学基金资助项目(81703975); 苏州市药学会科研基金研究项目(SYHKY201809); 苏州市中西医结合医院专项资助项目(YJ2018016)
更新日期/Last Update: 2021-12-09