首页|手足十二针联合疏经通督推拿治疗缺血性脑卒中偏瘫的临床研究

手足十二针联合疏经通督推拿治疗缺血性脑卒中偏瘫的临床研究

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目的:探讨手足十二针联合疏经通督推拿治疗缺血性脑卒中偏瘫的疗效.方法:选取来本院治疗的缺血性脑卒中偏瘫患者176例,采用区组随机法分为对照组(90例)和观察组(86例),对照组给予疏经通督推拿疗法,观察组在此基础联合手足十二针针法,对比两组治疗后临床疗效、治疗前后肢体运动功能、Barthel指数评分、SS-QOL评分、NIHSS评分、中医症候积分及血清IL-6、TNF-α和MMP-9水平变化.结果:治疗后观察组总有效率96.51%(83/86);对照组总有效率为77.78%(70/90),治疗后观察组疗效明显较高,差异具有统计学意义(P<0.01);治疗后两组FMA-LE和FMA-UE评分较治疗前均明显升高,差异具有统计学意义(P<0.05),且观察组更显著,差异具有统计学意义(P<0.01);治疗后两组中医主症、次症和总积分较治疗前均明显降低,差异具有统计学意义(P<0.05),且观察组降低更显著,差异具有统计学意义(P<0.01);治疗后两组Barthel指数评分、SS-QOL评分和NIHSS评分较治疗前明显改善,差异具有统计学意义(P<0.01),并且观察组改善更明显,差异具有统计学意义(P<0.01);治疗后两组血清IL-6、TNF-α和MMP-9水平较治疗前均明显降低,差异具有统计学意义(P<0.01),且观察组降低更显著,差异具有统计学意义(P<0.01).结论:采用手足十二针联合疏经通督推拿治疗缺血性脑卒中偏瘫具有较好的疗效.
Clinical Study of Hand-Foot 12 Needling Combined with Dredging Meridians and Activating Du Channel Tuina in Treatment of Hemiplegia after Ischemic Stroke
Objective:To investigate the curative effect of hand-foot 12 needling combined with dredging meridians and activating Du channel Tuina in treatment of hemiplegia after ischemic stroke.Methods:A total of 176 patients with hemiplegia after ischemic stroke were divided into the control group(n=90)and the observation group(n=86)by block randomized method.The control group was given dredging meridians and activating Du channel Tuina therapy;on which basis,the observation group was also treated with hand-foot 12 needling.The clinical efficacy,limb motor function,Barthel index score,SS-QOL score and NIHSS score,TCM symptoms score and serum levels of IL-6,TNF-α and MMP-9 were compared between the two groups.Results:After the treatment,the total effective rate of the observation group was 96.51%(83/86)which was higher than 77.78%(70/90)of the control group(P<0.01).The scores of FMA-LE and FMA-UE were significantly increased after the treatment compared with those before the treatment in the two groups(P<0.05),and the increases were more significant in the observation group(P<0.01).The scores of main symptoms and secondary symptoms,as well as the total scores of TCM were significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05),and the decreases were more significant in the observation group(P<0.01).The Barthel index score,SS-QOL score and NIHSS score were significantly improved after the treatment compared with those before the treatment in the two groups(P<0.01),and the improvements were more obvious in the observation group(P<0.01).The serum levels of IL-6,TNF-α and MMP-9 were significantly reduced after the treatment compared with those before the treatment in the two groups(P<0.01),and the reductions were more significant in the observation group(P<0.01).Conclusion:Hand-foot 12 needling combined with dredging meridians and activating Du channel Tuina has a good effect in treatment of hemiplegia after ischemic stroke.

Hand-foot needlingDredging meridians and activating Du channel TuinaIschemic strokeHemiplegia

陈文文、沈洁、杨龙

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上海市第八人民医院,上海 200235

手足十二针 疏经通督推拿 缺血性脑卒中 偏瘫

上海市卫生健康委科研项目

20214Y0078

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(2)
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