调神通络针联合四肢联动康复训练在卒中后偏瘫患者中的应用效果

Application effects of Tiaoshen Tongluo needling combined with limbs linkage rehabilitation training in patients with hemiplegia after stroke

目的:观察调神通络针联合四肢联动康复训练在卒中后偏瘫患者中的应用效果。方法:选取2022年7月至2023年7月该院收治的100例卒中后偏瘫患者进行前瞻性研究,按随机数字表法将其分为对照组与研究组各50例。对照组采用四肢联动康复训练治疗,研究组对照组基础上联合调神通络针治疗。比较两组治疗前后中医证候积分、脑血管微循环[基底动脉(BA)、椎动脉(VA)、颈内动脉(ICA)血流速度]、患侧肌协同收缩率(肱二头肌、肱三头肌、股二头肌、股四头肌)。结果:治疗后,两组半身不遂、口舌歪斜、言语謇涩/不语、偏身不利等中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组BA、VA、ICA血流速度均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组患侧肱二头肌、肱三头肌、股二头肌、股四头肌协同收缩率均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:调神通络针联合四肢联动康复训练应用于卒中后偏瘫患者可改善脑血管微循环,降低中医证候积分和患侧肌协同收缩率,其效果优于单纯四肢联动康复训练治疗。

Objective:To observe application effects of Tiaoshen Tongluo needling combined with limbs linkage rehabilitation training in patients with hemiplegia after stroke.Methods:A prospective study was conducted on 100 patients with hemiplegia after stroke admitted to this hospital from July 2022 to July 2023.According to the random number table method,they were divided into control group and study group,50 cases in each group.The control group was treated with limbs linkage rehabilitation training,while the study group was treated with Tiaoshen Tongluo needling on the basis of that of the control group.The TCM syndrome scores,the cerebrovascular microcirculation[basilar artery(BA),vertebral artery(VA),internal carotid artery(ICA)bloodflow velocity],and the affected side muscle synergistic contraction rate(biceps brachii,triceps brachii,biceps femoris,quadriceps femoris)were compared between the two groups before and after the treatment.Results:After the treatment,the scores of TCM syndromes such as hemiplegia,skewed mouth and tongue,dysphasia/logagnosia,and hemiamyosthenia in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the bloodflow velocities of BA,VA and ICA in the two groups were higher than those before the treatment,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the synergistic contraction rates of biceps brachii,triceps brachii,biceps femoris and quadriceps femoris in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Tiaoshen Tongluo needling combined with limbs linkage rehabilitation training can improve the cerebrovascular microcirculation,reduce the TCM syndrome scores and the ipsilateral muscle synergistic contraction rate in the patients with hemiplegia after stroke.Moreover,it is superior to simple limbs linkage rehabilitation training.