温阳通督针刺运动疗法对脑出血恢复期运动障碍阳虚质患者头颅CT及神经电生理的影响

Effect of Wenyang Tongdu Acupuncture and Exercise Therapy on Cranial CT and Neurophysiology in Patients with Dyskinesia and Yang Deficiency in Convalescent Period of Cerebral Hemorrhage

目的:探讨温阳通督针刺运动疗法对脑出血恢复期运动障碍阳虚质患者头颅CT及神经电生理的影响。方法:回顾性分析脑出血恢复期运动障碍阳虚质患者120例的资料,按针刺治疗方案分为治疗组和对照组。两组均给予脑出血恢复期基础治疗,治疗组在基础治疗上增加温阳通督针刺运动疗法,对照组患者则给予常规针刺治疗。比较两组治疗前后颅脑CT出血情况、神经电生理数值和运动功能评价指标,并统计临床治疗总有效率。结果:两组治疗后颅脑CT(血肿体积、水肿体积与血肿周围低密度区面积)和颅脑神经电生理(CMCT、CSP和RT)数值均显著低于治疗前,差异有统计学意义(P<0.05),四肢RMS(肱二头肌、肱三头肌和股四头肌)则显著高于治疗前(P<0.05),且治疗组上述颅脑CT和神经电生理数值均显著优于对照组,差异有统计学意义(P<0.05)。两组治疗后运动功能评价指标BBS和SFMAS数值均显著高于治疗前,差异有统计学意义(P<0.05),TUGT则减少,差异有统计学意义(P<0.05);且治疗组治疗后的上述各项运动功能评价指标均显著优于对照组,差异有统计学意义(P<0.05)。治疗组的治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:温阳通督针刺运动疗法可有效促进脑出血恢复期运动障碍阳虚质患者颅内血肿吸收,改善中枢和四肢神经电生理传导,并增强患者肢体肌力,促进机体运动功能恢复。

Objective:To investigate the effect of Wenyang Tongdu acupuncture and exercise therapy on cranial CT and neurophysiology in patients with dyskinesia and Yang deficiency in convalescent period of cerebral hemorrhage.Methods:The data of 120 patients with dyskinesia and Yang deficiency in convalescent period of cerebral hemorrhage were retrospectively analyzed,and they were divided into the treatment group and the control group according to the acupuncture treatment plan.Both groups were given basic therapy in the recovery period of cerebral hemorrhage;on which basis,the treatment group was given Wenyang Tongdu acupuncture and exercise therapy,and the control group was given routine acupuncture.The cranial CT hemorrhage,neurophysiological values and motor function evaluation indexes were compared between the two groups before and after the treatment,and the total clinical effective rate was calculated.Results:The values of cranial CT(hematoma volume,edema volume and low-density area around hematoma)and cranial nerve electrophysiology(CMCT,CSP and RT)were significantly lower(P<0.05),whereas RMS values(biceps,triceps and quadriceps)were significantly higher after the treatment than those before the treatment in the two groups(P<0.05);the above cranial CT indexes and neurophysiological values were significantly better in the treatment group than those in the control group(P<0.05).The motor function evaluation indexes of BBS and SFMAS were significantly increased(P<0.05),whereas TUGT was significantly decreased after the treatment than those before the treatment in the two groups(P<0.05);the above indexes were better in the treatment group than those in the control group(P<0.05).The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).Conclusion:Wenyang Tongdu acupuncture and exercise therapy can effectively promote the absorption of intracranial hematoma,improve the nerve electrophysiological conduction in the central nervous system and limbs,enhance the limb muscle strength and promote the recovery of body motor function in patients with dyskinesia and Yang deficiency during the convalescent period of cerebral hemorrhage.