目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒...目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒中常规西药治疗,对照组在此基础上给予常规康复训练,中医整合康复组在常规治疗基础上给予针康法、易筋经联合推拿治疗,共治疗8周后判定疗效。比较两组的中医证候积分,比较治疗前后患者肢体肌力[徒手肌力检查(Manual muscle testing,MMT)]、肌张力[改良Ashworth分级标准(MAS)]、肢体运动功能[Fug-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)]、神经功能[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]及生活质量[脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)]。彩色多普勒超声测定颈总动脉收缩期最大流速(Peak systolic velocity,PSV)、舒张末期最低流速(End diastolic velocity,EDV)及阻力指数(Resistance index,RI)等脑血流动力学参数。结果两组治疗后半身不遂、偏身麻木、口舌歪斜、言语謇涩、步履不稳、气短乏力等中医证候积分及总积分均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。中医整合康复组的显效率(51.1%,23/45)和有效率(95.5%,43/45)均明显优于对照组[24.4%(11/45)和82.2%(37/45)],组间比较差异有统计学意义(P<0.05)。两组治疗后MMT、FAM、SS-QOL评分及PSV、EDV值均较治疗前显著升高(P<0.05),中医整合康复组显著高于对照组(P<0.05);两组治疗后MAS、NIHSS评分及RI值均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。结论以针康法为主的中医整合康复技术治疗脑卒中后偏瘫效果显著,能够明显增强患者肢体肌力,降低肌张力,改善患者的肢体运动功能和神经功能,提高患者生活质量。展开更多
中风后假性延髓麻痹的患者主要表现为吞咽困难、饮水呛咳等症状,其发病率呈逐年上升趋势,目前无确切有效药物治疗,严重影响患者的生活质量。针刺因安全性高、操作简便、疗效突出等优势,被普遍运用到脑中风后吞咽障碍康复治疗中。针刺可...中风后假性延髓麻痹的患者主要表现为吞咽困难、饮水呛咳等症状,其发病率呈逐年上升趋势,目前无确切有效药物治疗,严重影响患者的生活质量。针刺因安全性高、操作简便、疗效突出等优势,被普遍运用到脑中风后吞咽障碍康复治疗中。针刺可有效治疗中风后假性延髓麻痹吞咽障碍的患者,增强其吞咽功能,使患者的生活质量得到提高。笔者通过查看近些年传统针刺治疗中风后假性延髓麻痹吞咽障碍的相关文献,观察普通针刺、特殊针刺,针刺联合其他治疗方法治疗吞咽障碍患者的疗效情况,对不同的针刺方法进行阐述,为临床进一步应用各种针刺方法提供疗法依据,能更好服务于临床治疗,更好地发掘祖国传统医学,推动其应用与发展。Patients with pseudobulbar palsy after stroke mainly have symptoms such as dysphagia and choking cough in drinking water. The incidence of pseudobulbar palsy after stroke is increasing year by year. At present, there is no effective drug treatment, which seriously affects the quality of life of patients. Acupuncture is widely used in the rehabilitation treatment of dysphagia after stroke due to its advantages of high safety, simple operation and outstanding curative effect. Acupuncture can effectively treat patients with pseudobulbar palsy dysphagia after stroke, enhance their swallowing function, and improve the quality of life of patients. By reviewing the relevant literature on traditional acupuncture in the treatment of post-stroke pseudobulbar palsy dysphagia in recent years, the author observed the efficacy of ordinary acupuncture, special acupuncture, and acupuncture combined with other treatment methods in the treatment of patients with dysphagia, and elaborated on different acupuncture methods. It provides a therapeutic basis for further clinical application of various acupuncture methods, which can better serve clinical treatment, better explore traditional Chinese medicine, and promote its application and development.展开更多
脑出血后所释放的大量内源性物质和血液中的毒性成分可加剧炎性反应和神经缺损,严重影响脑出血患者预后。microRNAs水平在脑出血后发生变化,可通过多种机制调控神经炎症的功能。文章综述归纳总结了microRNAs对脑出血后神经炎症影响的研...脑出血后所释放的大量内源性物质和血液中的毒性成分可加剧炎性反应和神经缺损,严重影响脑出血患者预后。microRNAs水平在脑出血后发生变化,可通过多种机制调控神经炎症的功能。文章综述归纳总结了microRNAs对脑出血后神经炎症影响的研究进展,旨在为出血性中风患者发现更有效的治疗方法。A large number of endogenous substances and toxic components in blood released after intracerebral hemorrhage can aggravate inflammatory reaction and neurological damage, which seriously affect the prognosis of patients with intracerebral hemorrhage. The level of microRNAs changes after intracerebral hemorrhage, which can regulate the function of neuroinflammation through various mechanisms. This review summarizes the research progress of the effect of microRNAs on neuroinflammation after intracerebral hemorrhage in order to find more effective treatment methods for patients with hemorrhagic stroke.展开更多
文摘目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒中常规西药治疗,对照组在此基础上给予常规康复训练,中医整合康复组在常规治疗基础上给予针康法、易筋经联合推拿治疗,共治疗8周后判定疗效。比较两组的中医证候积分,比较治疗前后患者肢体肌力[徒手肌力检查(Manual muscle testing,MMT)]、肌张力[改良Ashworth分级标准(MAS)]、肢体运动功能[Fug-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)]、神经功能[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]及生活质量[脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)]。彩色多普勒超声测定颈总动脉收缩期最大流速(Peak systolic velocity,PSV)、舒张末期最低流速(End diastolic velocity,EDV)及阻力指数(Resistance index,RI)等脑血流动力学参数。结果两组治疗后半身不遂、偏身麻木、口舌歪斜、言语謇涩、步履不稳、气短乏力等中医证候积分及总积分均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。中医整合康复组的显效率(51.1%,23/45)和有效率(95.5%,43/45)均明显优于对照组[24.4%(11/45)和82.2%(37/45)],组间比较差异有统计学意义(P<0.05)。两组治疗后MMT、FAM、SS-QOL评分及PSV、EDV值均较治疗前显著升高(P<0.05),中医整合康复组显著高于对照组(P<0.05);两组治疗后MAS、NIHSS评分及RI值均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。结论以针康法为主的中医整合康复技术治疗脑卒中后偏瘫效果显著,能够明显增强患者肢体肌力,降低肌张力,改善患者的肢体运动功能和神经功能,提高患者生活质量。
文摘中风后假性延髓麻痹的患者主要表现为吞咽困难、饮水呛咳等症状,其发病率呈逐年上升趋势,目前无确切有效药物治疗,严重影响患者的生活质量。针刺因安全性高、操作简便、疗效突出等优势,被普遍运用到脑中风后吞咽障碍康复治疗中。针刺可有效治疗中风后假性延髓麻痹吞咽障碍的患者,增强其吞咽功能,使患者的生活质量得到提高。笔者通过查看近些年传统针刺治疗中风后假性延髓麻痹吞咽障碍的相关文献,观察普通针刺、特殊针刺,针刺联合其他治疗方法治疗吞咽障碍患者的疗效情况,对不同的针刺方法进行阐述,为临床进一步应用各种针刺方法提供疗法依据,能更好服务于临床治疗,更好地发掘祖国传统医学,推动其应用与发展。Patients with pseudobulbar palsy after stroke mainly have symptoms such as dysphagia and choking cough in drinking water. The incidence of pseudobulbar palsy after stroke is increasing year by year. At present, there is no effective drug treatment, which seriously affects the quality of life of patients. Acupuncture is widely used in the rehabilitation treatment of dysphagia after stroke due to its advantages of high safety, simple operation and outstanding curative effect. Acupuncture can effectively treat patients with pseudobulbar palsy dysphagia after stroke, enhance their swallowing function, and improve the quality of life of patients. By reviewing the relevant literature on traditional acupuncture in the treatment of post-stroke pseudobulbar palsy dysphagia in recent years, the author observed the efficacy of ordinary acupuncture, special acupuncture, and acupuncture combined with other treatment methods in the treatment of patients with dysphagia, and elaborated on different acupuncture methods. It provides a therapeutic basis for further clinical application of various acupuncture methods, which can better serve clinical treatment, better explore traditional Chinese medicine, and promote its application and development.
文摘脑出血后所释放的大量内源性物质和血液中的毒性成分可加剧炎性反应和神经缺损,严重影响脑出血患者预后。microRNAs水平在脑出血后发生变化,可通过多种机制调控神经炎症的功能。文章综述归纳总结了microRNAs对脑出血后神经炎症影响的研究进展,旨在为出血性中风患者发现更有效的治疗方法。A large number of endogenous substances and toxic components in blood released after intracerebral hemorrhage can aggravate inflammatory reaction and neurological damage, which seriously affect the prognosis of patients with intracerebral hemorrhage. The level of microRNAs changes after intracerebral hemorrhage, which can regulate the function of neuroinflammation through various mechanisms. This review summarizes the research progress of the effect of microRNAs on neuroinflammation after intracerebral hemorrhage in order to find more effective treatment methods for patients with hemorrhagic stroke.
