目的观察醒神通经导气针法联合康复治疗脑卒中后偏瘫的临床疗效。方法将符合纳入标准的105例患者随机分为联合组、针刺组和康复组,每组35例。联合组采用醒神通经导气针法联合康复疗法治疗,针刺组采用醒神通经导气针法治疗,康复组应用Bob...目的观察醒神通经导气针法联合康复治疗脑卒中后偏瘫的临床疗效。方法将符合纳入标准的105例患者随机分为联合组、针刺组和康复组,每组35例。联合组采用醒神通经导气针法联合康复疗法治疗,针刺组采用醒神通经导气针法治疗,康复组应用Bobath技术神经生理疗法治疗。比较治疗前后美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分、肌张力评定(改良Ashwoth)、Fugl-Meyer评估表(fugl-meyer assessment scale,FMA)运动功能评分、血清白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)含量变化及临床疗效。结果联合组有效率(91.4%)明显高于针刺组(80.0%)、康复组(77.1%)(P<0.05)。治疗后,3组NIHSS评分、肌张力Ashwoth分级评定、FMA运动功能评分较治疗前均明显改善(P<0.001),血清中IL-6含量均下降(P<0.001),康复组和针刺组TNF-α含量较治疗前差异无统计学意义(P>0.05),联合组TNF-α含量较治疗前明显下降(P<0.001);且联合组在上述指标改善程度均优于针刺组、康复组(P<0.05或P<0.01)。结论醒神通经导气针法联合康复治疗脑卒中后偏瘫,能够明显改善患者的神经功能缺损症状、改善肌张力、提高肢体运动功能及下调血清IL-6、TNF-α水平,且较单独针刺治疗、康复治疗效果更好,具有临床推广价值。展开更多
This study summarizes Prof. Li-xing ZHUANG's experience in treating psycho-cardiological disease, which is characterized by cardiovascular somatic symptoms and emotional abnormalities. Psycho-cardiological disease...This study summarizes Prof. Li-xing ZHUANG's experience in treating psycho-cardiological disease, which is characterized by cardiovascular somatic symptoms and emotional abnormalities. Psycho-cardiological disease is mainly caused by disorders of the brain and heart shen-mind, and related to the dysfunction of zangfu functions. In acupuncture treatment, attention should be paid to “regulation of the heart and brain, and taking zangfu organs in to account at the same time.” Sìshénzhēn (四神针) of JIN’s three-needle, Shéntíng (神庭GV 24) and Yìntáng (印堂GV29) are adopted to regulate the brain, Shénmén (神门HT7) or Nèiguān (内关PC6) are used to regulate the heart shen-mind, Hégǔ (合谷LI4), Tàichōng (太冲LR3), and Sānyīnjiāo (三阴交SP6) are used to regulate zangfu, and the Daoqi Tongjing method is applied to regulate the qi and blood, achieving good effects in the clinical setting.展开更多
文摘目的观察醒神通经导气针法联合康复治疗脑卒中后偏瘫的临床疗效。方法将符合纳入标准的105例患者随机分为联合组、针刺组和康复组,每组35例。联合组采用醒神通经导气针法联合康复疗法治疗,针刺组采用醒神通经导气针法治疗,康复组应用Bobath技术神经生理疗法治疗。比较治疗前后美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分、肌张力评定(改良Ashwoth)、Fugl-Meyer评估表(fugl-meyer assessment scale,FMA)运动功能评分、血清白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)含量变化及临床疗效。结果联合组有效率(91.4%)明显高于针刺组(80.0%)、康复组(77.1%)(P<0.05)。治疗后,3组NIHSS评分、肌张力Ashwoth分级评定、FMA运动功能评分较治疗前均明显改善(P<0.001),血清中IL-6含量均下降(P<0.001),康复组和针刺组TNF-α含量较治疗前差异无统计学意义(P>0.05),联合组TNF-α含量较治疗前明显下降(P<0.001);且联合组在上述指标改善程度均优于针刺组、康复组(P<0.05或P<0.01)。结论醒神通经导气针法联合康复治疗脑卒中后偏瘫,能够明显改善患者的神经功能缺损症状、改善肌张力、提高肢体运动功能及下调血清IL-6、TNF-α水平,且较单独针刺治疗、康复治疗效果更好,具有临床推广价值。
基金Supported by the Science and Technology Department of Guangdong Province:2018-5。
文摘This study summarizes Prof. Li-xing ZHUANG's experience in treating psycho-cardiological disease, which is characterized by cardiovascular somatic symptoms and emotional abnormalities. Psycho-cardiological disease is mainly caused by disorders of the brain and heart shen-mind, and related to the dysfunction of zangfu functions. In acupuncture treatment, attention should be paid to “regulation of the heart and brain, and taking zangfu organs in to account at the same time.” Sìshénzhēn (四神针) of JIN’s three-needle, Shéntíng (神庭GV 24) and Yìntáng (印堂GV29) are adopted to regulate the brain, Shénmén (神门HT7) or Nèiguān (内关PC6) are used to regulate the heart shen-mind, Hégǔ (合谷LI4), Tàichōng (太冲LR3), and Sānyīnjiāo (三阴交SP6) are used to regulate zangfu, and the Daoqi Tongjing method is applied to regulate the qi and blood, achieving good effects in the clinical setting.
