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温阳通督针刺法改善脑出血患者康复期运动障碍的效果

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目的 观察温阳通督针刺法对改善脑出血患者康复期运动障碍的应用效果。方法 选取 123 例脑出血患者,随机分为常规组(61 例)和针刺组(62 例),常规组予以常规康复治疗,针刺组采用温阳通督针刺法辅助常规康复治疗,比较两组的脑氧代谢指标,脑部血流参数,四肢神经电生理指标以及肢体运动功能。结果 针刺组的颈静脉球部血氧饱和度(SjvO2)、脑静脉血氧含量(CjvO2)均高于常规组,颈静脉球部血氧饱和度(SjvO2)、脑静脉血氧含量(CjvO2)均低于常规组(P<0。05);针刺组的全血高切黏度、全血低切黏度均低于常规组,中央动脉平均血流速度(Vm)、动脉峰值流速(Vp)均高于常规组(P<0。05);针刺组的中枢传导时间(CMCT)、中枢静息期(CSP)、静息状态刺激阈值(RT)均低于常规组,肱二头肌、肱三头肌、股四头肌等肌力表面肌电图均方根(RMS)均值高于常规组(P<0。05);针刺组的简化Fugl-Meyer运动功能评定量表上肢(FMA-UL)、下肢(FMA-LL)评分均高于常规组(P<0。05)。结论 温阳通督针刺法能改善脑出血患者的脑氧代谢情况和脑部血流参数,对促进患者四肢肌力及肢体运动功能恢复均有积极意义。
Effects of Wenyang Tongdu acupuncture method in improving movement disorders during the rehabilitation period in the patients with the cerebral hemorrhage
Objective To observe the application effects of Wenyang Tongdu acupuncture method on improving the morement disorders during the rehabilitation period in the patients with the cerebral hemorrhage.Methods 123 patients with the cerebral hemorrhage were randomly divided into the conventional group(61 cases)and acupuncture group(62 cases).The patients in the conventional group were received conventional rehabilitation treatment,while the patients in the acupuncture group were received Wenyang Tongdu acupuncture as an adjunct to conventional rehabilitation treatment.The cerebral oxygen metabolism indicators,cerebral blood flow parameters,four limb neurophysiological indicators,and limb motor function were compared between the two groups patients.Results Under different rehabilitation treatment measures,the jugular bulb oxygen saturation(SjvO2)and cerebral vein oxygen content(CjvO2)in the acupuncture group were higher than those in the control group(P<0.05).The whole blood high shear viscosity and whole blood low shear viscosity in the acupuncture group were lower than those in the conventional group,while the average blood flow velocity(Vm)and peak arterial flow velocity(Vp)of the central artery in the acupuncture group were higher than those in the conventional group(P<0.05).The central conduction time(CMCT),central resting period(CSP),and resting state stimulation threshold(RT)in the acupuncture group were all lower than those in the control group.The root mean square(RMS)of surface electromyography of biceps,triceps,and quadriceps muscles in the acupuncture group were higher than those in the control group(P<0.05).The simplified Fugl Meyer motor function assessment scale(FMA-UL)and lower limb(FMA-LL)scores of the acupuncture group in the acupuncture group were higher than those in the conventional group(P<0.05).Conclusion The Wenyang Tongdu acupuncture method improves the cerebral oxygen metabolism and cerebral blood flow parameters in patients with the cerebral hemorrhage,and has a positive significance in promoting the recovery of limb muscle strength and limb motor function in the patients with the cerebral hemorrhage.

cerebral hemorrhageWenyang Tongdu acupuncture methodcerebral oxygen metabolismcerebral blood flowoperation function

秦佳、徐艳芳、马志松、张鹤飞、金贝贝、孟令波

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河南大学第一附属医院康复医学科,开封 475000

开封市中心医院外科重症监护室,开封 475000

兰考县中心医院康复医学科,开封 475000

脑出血 温阳通督针刺法 脑氧代谢 脑部血流 运功功能

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(6)