通督调神针灸法联合等速肌力训练治疗脑梗死偏瘫临床研究
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R246.6

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Clinical Study on Tongdu Tiaoshen Acupuncture and Moxibustion Method Combined with Isokinetic Muscle Strength Training for Hemiplegia Due to Cerebral infarction
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    摘要:

    目的:观察通督调神针灸法联合等速肌力训练治疗脑梗死偏瘫的临床疗效。方法:选取80 例脑梗死偏瘫患者,随机分为观察组和对照组,每组40 例。对照组给予等速肌力训练治疗,观察组给予通督调神针灸法联合等速肌力训练治疗。比较2 组临床疗效;比较2 组治疗前后美国国立卫生研究院卒中量表(NIHSS) 评分、改良Barthel 指数(MBI) 评分、肌肉力学指标及血清指标。结果:观察组总有效率为85.00%,对照组总有效率为65.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组NIHSS 评分均较治疗前降低(P<0.05),MBI 评分均较治疗前升高(P<0.05);观察组NIHSS 评分低于对照组(P<0.05),MBI 评分高于对照组(P<0.05)。治疗后,2 组峰力矩(PT)、平均功率(AP)、总功(TW) 均较治疗前升高(P<0.05),观察组PT、AP、TW 均高于对照组(P<0.05)。治疗后,2 组血清C-反应蛋白(CRP) 水平均较治疗前降低(P<0.05),血清神经生长因子(NGF)、脑源性神经营养因子(BDNF) 水平均较治疗前升高(P<0.05);观察组血清CRP 水平低于对照组(P<0.05),血清NGF、BDNF 水平均高于对照组(P<0.05)。结论:通督调神针灸法联合等速肌力训练治疗脑梗死偏瘫,可有效改善患者的神经功能、日常生活能力及肌力。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Tongdu Tiaoshen acupuncture and moxibustion method combined with isokinetic muscle strength training for hemiplegia due to cerebral infarction. Methods:A total of 80 cases of patients with hemiplegia due to cerebral infarction were selected and randomly divided into the observation group and the control group, 40 cases in each group. The control group was given isokinetic muscle strength training, and the observation group was additionally treated with Tongdu Tiaoshen acupuncture and moxibustion method combined with isokinetic muscle strength training. The clinical effect was compared between the two groups. Before and after treatment,scores of National Institutes of Health Stroke Scale(NIHSS), modified Barthel Index(MBI), as well as levels of muscle strength index and serum index were compared between the two groups. Results: The total effective rate was 85.00% in the observation group, and 65.00% in the control group,the difference being significant(P<0.05). After treatment,scores of NIHSS in the two groups were decreased when compared with those before treatment(P<0.05),and MBI scores were increased(P<0.05). Score of NIHSS in the observation group was lower than that in the control group(P<0.05),and MBI score was higher(P<0.05). After treatment,peak torque(PT),average power(AP),and total work(TW) in the two groups were increased when compared with those before treatment(P<0.05),and the three indexes in the observation group were higher than those in the control group (P<0.05). After treatment,levels of C- reactive protein(CRP) in serum in the two groups were decreased when compared with those before treatment(P<0.05),and levels of nerve growth factor(NGF) and brain-derived neurotrophic factor(BDNF) in serum were increased when compared with those before treatment(P<0.05);CRP level in serum in the observation group was lower than that in the control group(P<0.05),and levels of NGF and BDNF in serum were higher than those in the control group(P<0.05). Conclusion: For patients with hemiplegia due to cerebral infarction, the therapy of Tongdu Tiaoshen acupuncture and moxibustion method combined with isokinetic muscle strength training can effectively improve their neurological function,ability of daily living,and muscle strength.

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邱慧琴.通督调神针灸法联合等速肌力训练治疗脑梗死偏瘫临床研究[J].新中医,2021,53(15):136-140

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  • 在线发布日期: 2021-08-10
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