头体针巨刺治疗豆纹动脉粥样硬化型梗死临床研究
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R743.3

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河南省中医药科学研究专项课题(20-21ZY2295)


Clinical Study on Contralateral Meridian Needling with Scalp Acupuncture and Body Acupuncture for Infarction Caused by Atherosclerosis in Lenticulostriate Artery
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    摘要:

    目的:观察头体针巨刺治疗对豆纹动脉粥样硬化型梗死吞咽功能及肢体运动功能的影响。方法: 选取豆纹动脉粥样硬化型梗死患者94 例,根据就诊顺序随机分为2 组各47 例,对照组给予常规康复运动治 疗,治疗组在对照组治疗方案的基础上给予头体针巨刺治疗。观察比较2 组临床疗效、中医证候评分、吞咽功 能[吞咽功能评定量表(SSA) 评分、Metrohealth 评分、进食评估问卷调查工具-10(EAT-10) 评分]、运动 功能[评价采用运动功能评估量表(Fugl-Meyer) 评分、Wolf 运动功能测试(WMFT) 量表评分、Barthel 指 数(BI) 评分]、血液流变学指标[血浆黏度(PV)、低切全血黏度(L-WBV)、中切全血黏度(M-WBV)、高 切全血黏度(H-WBV)]。结果:总有效率观察组85.11%,对照组68.09%,2 组比较,差异有统计学意 义(P<0.05)。治疗后,2 组肢体活动不利,关节硬结、瘀斑,关节僵硬,痰多,肌肉刺痛,肌肤肿胀评分、 SSA 评分、Metrohealth 评分、EAT-10 评分均较治疗前降低,且观察组各项评分均低于对照组,差异均有统计 学意义(P<0.05)。治疗后,2 组Fugl-Meyer 评分、WMFT 量表评分、BI 评分均较治疗前升高,且观察组各 项指标均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组PV、L-WBV、M-WBV、H-WBV 均较 治疗前降低,且观察组各项指标均低于对照组,差异均有统计学意义(P<0.05)。结论:头体针巨刺治疗豆纹 动脉粥样硬化型梗死疗效显著,能改善患者血液流变学,促进吞咽功能恢复,改善患者肢体运动功能。

    Abstract:

    Abstract:Objective:To observe the effect of contralateral meridian needling with scalp acupuncture and body acupuncture on swallowing function and limb motor function in patients with infarction caused by atherosclerosis in lenticulostriate artery. Methods:A total of 94 cases of patients with infarction caused by atherosclerosis in lenticulostriate artery were selected and randomly divided into two groups according to the order of treatment, with 47 cases in each group. The control group was treated with routine rehabilitation exercise, and the treatment group was additionally treated with contralateral meridian needling with scalp acupuncture and body acupuncture based on the treatment plan of the control group. Clinical effects, traditional Chinese medicine syndrome scores, swallowing function [evaluated by Standardized Swallowing Assessment (SSA) scores , Metrohealth scores and Eating Assessment Tool-10 (EAT-10) scores],motor function [evaluated by Motor Function Assessment Scale (Fugl-Meyer) scores,Wolf Motor Function Test (WMFT) scores and Barthel Index (BI) scores],hemorheology indexes [plasma viscosity (PV),low shear-whole blood viscosity (L-WBV),medium shear-whole blood viscosity (M-WBV) and high shear-whole blood viscosity (H-WBV)] in the two groups were observed and compared. Results: The total effective rate was 85.11% in the observation group and 68.09% in the control group, there being significant difference between the two groups (P<0.05). After treatment, the scores of inflexible limb movement, joint induration, ecchymosis, joint stiffness, excessive phlegm, tingling sensation in the muscles and skin swelling, SSA scores, Metrohealth scores and EAT- 10 scores in the two groups were decreased when compared with those before treatment,and all the above scores in the observation group were lower than those in the control group,differences being significant (P<0.05). After treatment, Fugl- Meyer scores, WMFT scores and BI scores in the two groups were increased when compared with those before treatment, and all the above indexes in the observation group were higher than those in the control group, differences being significant (P<0.05). After treatment, PV, L- WBV, M-WBV and H-WBV in the two groups were decreased when compared with those before treatment,and all the above indexes in the observation group were lower than those in the control group, differences being significant (P<0.05). Conclusion: Contralateral meridian needling with scalp acupuncture and body acupuncture for infarction caused by atherosclerosis in lenticulostriate artery has a significant curative effect, and can improve hemorheology and motor function of patients and promote the recovery of swallowing function.

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崔小灿,王小璐,丁军杰.头体针巨刺治疗豆纹动脉粥样硬化型梗死临床研究[J].新中医,2023,55(8):162-167

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  • 在线发布日期: 2023-04-25
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