首页|醒脑开窍针刺法结合靳三针针刺法治疗脑卒中偏瘫恢复期患者的效果

醒脑开窍针刺法结合靳三针针刺法治疗脑卒中偏瘫恢复期患者的效果

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目的 分析醒脑开窍针刺法结合靳三针针刺法治疗脑卒中偏瘫恢复期患者的效果。方法 选择2020 年1月至 2022 年12 月我院收治的 60 例脑卒中后偏瘫患者作为研究对象,将其随机分为常规组和针刺组,各30例。常规组给予常规康复锻炼指导治疗,针刺组在常规组治疗基础上增加醒脑开窍针刺法结合靳三针针刺法治疗。比较两组的治疗效果。结果 针刺组的治疗总有效率显著高于常规组(P<0。05)。治疗后,针刺组的大脑中动脉(MCA)、大脑前动脉(ACA)、大脑后动脉(PCA)及基底动脉(BA)平均血流速度显著高于常规组(P<0。05)。治疗后,针刺组的Fugl-Meyer运动功能评定量表(FMA)、Barthel指数(BI)评分显著高于常规组,神经元特异性烯醇化酶(NSE)、S-100B蛋白水平显著低于常规组(P<0。05)。结论 醒脑开窍针刺法结合靳三针针刺法治疗脑卒中偏瘫恢复期患者可取得理想效果,能快速提升偏瘫侧脑组织血液灌注量,恢复肢体功能与提升日常生活能力。
Effect of Xingnao Kaiqiao acupuncture combined with Jin's three-needle acupuncture in the treatment of stroke patients with hemiplegia during convalescence
Objective To analyze the effect of Xingnao Kaiqiao acupuncture combined with Jin's three-needle acupuncture in the treatment of stroke patients with hemiplegia during convalescence.Methods Sixty patients with hemiplegia after stroke admitted in our hospital from January 2020 to December 2022 were selected as the research objects and randomly divided into routine group and acupuncture group,with 30 cases in each group.The routine group was given routine rehabilitation exercise guidance,and the acupuncture group was treated with Xingnao Kaiqiao acupuncture combined with Jin's three-needle acupuncture on the basis of the routine group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the acupuncture group was significantly higher than that in the routine group(P<0.05).After treatment,the average blood flow velocity of middle cerebral artery(MCA),anterior cerebral artery(ACA),posterior cerebral artery(PCA)and basilar artery(BA)in the acupuncture group were significantly higher than those in the routine group(P<0.05).After treatment,the scores of Fugl-Meyer Assessment Scale(FMA)and Barthel Index(BI)in the acupuncture group were significantly higher than those in the routine group,and the levels of neuron-specific enolase(NSE)and S-100B protein were significantly lower than those in the routine group(P<0.05).Conclusion Xingnao Kaiqiao acupuncture combined with Jin's three-needle acupuncture can achieve ideal effect in the treatment of stroke patients with hemiplegia during convalescence,which can quickly improve the blood perfusion of hemiplegic brain tissue,restore limb function and elevate daily living ability.

strokehemiplegiaconvalescenceXingnao Kaiqiao acupunctureJin's three-needle acupuncture

南媛、刘娜娜、刘晶

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北京大学第三医院延安分院/延安市中医医院针灸科,陕西 延安,716000

脑卒中 偏瘫 恢复期 醒脑开窍针刺法 靳三针针刺法

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(25)