目的基于系统评价比较经筋刺疗法与常规康复疗法对脑卒中后痉挛性瘫痪(PSSP)患者的干预效果。方法计算机检索中国期刊全文数据库、维普全文数据库、中国生物医学文献数据库、万方数据知识服务平台、中国中医药数据库、Embase、PubMed、C...目的基于系统评价比较经筋刺疗法与常规康复疗法对脑卒中后痉挛性瘫痪(PSSP)患者的干预效果。方法计算机检索中国期刊全文数据库、维普全文数据库、中国生物医学文献数据库、万方数据知识服务平台、中国中医药数据库、Embase、PubMed、Cochrane Library、Web of Science等数据库,纳入采用经筋刺疗法和常规康复疗法治疗PSSP患者的临床随机对照试验。筛选文献、提取资料和评价质量后,应用RevMan5.3软件进行Meta分析。结果共纳入13篇文献,包括1 118例患者。Meta分析结果显示,与单纯采用常规康复疗法相比,采用经筋刺疗法治疗的PSSP患者的改良Ashworth痉挛量表评分/有效率、Fugl-Meyer评定量表评分、改良Barthel指数、中国卒中量表评分均更高(均P<0.05)。结论经筋刺疗法与现代常规康复训练均能有效改善PSSP状态,但与单纯常规康复疗法比较,采用经筋刺疗法单独或联合常规康复疗法治疗PSSP的临床有效率更高,可更好地提高患者的运动功能和日常生活能力,更有效地改善神经功能缺损。展开更多
目的探讨经筋刺血疗法联合低频脉冲电刺激治疗脑卒中后肩手综合征(Shoulder hand syndrome,SHS)的临床价值。方法选择太和县人民医院确诊的156例SHS患者,按随机数字表法分为对照Ⅰ组、对照Ⅱ组、治疗组,各52例。3组患者均给予脑卒中康...目的探讨经筋刺血疗法联合低频脉冲电刺激治疗脑卒中后肩手综合征(Shoulder hand syndrome,SHS)的临床价值。方法选择太和县人民医院确诊的156例SHS患者,按随机数字表法分为对照Ⅰ组、对照Ⅱ组、治疗组,各52例。3组患者均给予脑卒中康复期基础治疗与功能康复锻炼,在此基础上,对照Ⅰ组患者给予低频脉冲电刺激,对照Ⅱ组患者给予经筋刺血疗法治疗,治疗组患者给予低频脉冲电刺激+经筋刺血疗法,治疗4周后,观察3组患者临床疗效、安全性及治疗前后病损评分(Shoulder hand syn-drome score,SHSS)、疼痛评分(Visualanaloguescale,VAS)、关节活动度评分、生活质量评分(Stroke-specific quality of life,SS-QOL)的变化。结果(1)治疗4周后,治疗组患者临床总有效率(96.0%)高于对照Ⅰ组患者(82.35%)与对照Ⅱ组患者(80.77%),差异均有统计学意义(P<0.05);(2)治疗4周后,3组患者SHSS评分均较治疗前下降,且治疗组患者最低,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(3)治疗4周后,3组患者VAS评分均较治疗前下降,且治疗组患者最低,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(4)治疗4周后,3组患者关节活动度评分均较治疗前增加,且治疗组患者最高,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(5)治疗4周后,3组患者SS-QOL活动能力、心情、自理、上肢功能领域评分均较治疗前增加,且治疗组患者最高,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(6)治疗期间,3组患者均未见与治疗直接相关的不良反应与事件。结论经筋刺血疗法联合低频脉冲电刺激治疗脑卒中后SHS安全、有效,有利于减轻病损程度,缓解疼痛,改善患者功能状态与生存质量。展开更多
Objective To explore the effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis. Methods Four hundred and eighty-eight cases of post-str...Objective To explore the effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis. Methods Four hundred and eighty-eight cases of post-stroke patients with upper limb spasticity were randomly divided into two groups at the ratio of 1： 1, the group of meridian sinew row needling combined with dermal needling （group A, 244 cases） and western medication group （group B, 244 cases）. Coupled with rehabilitation, the patients in the group A were given meridian sinew row needling combined with dermal needling where five shu points were specifically selected, and three yang meridians of the hand were treated with acupuncture with muscle region, and three yin meridians of the hand were treated with dermal needles; the patients in the group B was treated with conventional western medication with piracetam injection and cerebroprotein hydrolysate included. Clinical efficacy was evaluated among patients in the two groups after three weeks of continuous treatment, and upper limb spasticity and motor functions were observed through modified Asworth Scale and FugI-Meyer Assessment Scale （FMA） before and after treatment. Results For Asworth Scale, group A was significantly superior to group B （3.04 ± 1.29 vs 3.88 ± 1.54, P〈0.05）; for FMA scale, group A was also significantly superior to group B （48.67± 15.64 vs 42.96±14.72, P〈0.05）; mitigations of motor status of upper limb joints in group A, such as remission of shoulder adduction （90.5%）, pronation of forearm （70.7%）, elbow joint flexion （73.1%）, wrist joint flexion （80.9%） and finger flexion （88.1%）, were superior to those of group B （70.0%, 60.0%, 61.9%, 57.4%, 63.2%, all P〈0.05）. Conclusion Good clinical efficacy of the treatment with combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis is achieved.展开更多
Objective To explore the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis affecting different locations.Methods A total of 110 participants were randomized into an obser...Objective To explore the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis affecting different locations.Methods A total of 110 participants were randomized into an observation group and a control group,with 55 cases in each group.The observation group was treated with muscle regions of meridians needling method,and the control group was treated with conventional facial three-line needling method.The clinical efficacy was evaluated four weeks after the treatment.And the infrared imaging spectra of the two groups were examined.Results The total effective rate of the observation group was higher than that of the control group(P<0.05),and its curative effect for refractory facial paralysis located above the geniculate ganglion was better than that of the control group(P<0.05).The color scale distribution of different disease locations in the two groups varied significantly(P<0.05),the higher the disease location,the higher the occurrence rate of cool zone and low temperature zone.After treatment,the reductions of the facial and periotic temperature difference between the healthy side and the affected side in the observation group were statistically different from those in the control group(P<0.05).Conclusion Muscle regions of meridians needling method has a better effect than facial three-line needling method for refractory facial paralysis.It can promote the microcirculation of the affected side of the face,improve the blood and oxygen supply to local tissues,and thus promote the repair of the peripheral facial nerve.展开更多
Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cereb...Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.展开更多
Objective:To observe the efficacy of electroacupuncture(EA)plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis(KOA).Methods:A total of 60 patients with KOA were divided into an observation gro...Objective:To observe the efficacy of electroacupuncture(EA)plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis(KOA).Methods:A total of 60 patients with KOA were divided into an observation group and a control group according to the random number table method,with 30 cases in each group.Patients in the observation group received the treatment of EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises),while patients in the control group only received EA treatment.Both groups were treated for 5 weeks.The changes of Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and visual analog scale(VAS)scores in the two groups were observed after treatment.Results:After treatment,the total effective rate in the observation group(92.3%)was significantly higher than that in the control group(70.0%),(P<0.05);the WOMAC and VAS scores in both groups were significantly lower than those before treatment,showing statistical significance(all P<0.01);there were significant differences in the post-treatment changes in the WOMAC and VAS scores between the two groups(P<0.05,P<0.01).Conclusion:EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises)is clinically effective for KOA.This combined treatment can alleviate clinical symptoms.展开更多
文摘目的基于系统评价比较经筋刺疗法与常规康复疗法对脑卒中后痉挛性瘫痪(PSSP)患者的干预效果。方法计算机检索中国期刊全文数据库、维普全文数据库、中国生物医学文献数据库、万方数据知识服务平台、中国中医药数据库、Embase、PubMed、Cochrane Library、Web of Science等数据库,纳入采用经筋刺疗法和常规康复疗法治疗PSSP患者的临床随机对照试验。筛选文献、提取资料和评价质量后,应用RevMan5.3软件进行Meta分析。结果共纳入13篇文献,包括1 118例患者。Meta分析结果显示,与单纯采用常规康复疗法相比,采用经筋刺疗法治疗的PSSP患者的改良Ashworth痉挛量表评分/有效率、Fugl-Meyer评定量表评分、改良Barthel指数、中国卒中量表评分均更高(均P<0.05)。结论经筋刺疗法与现代常规康复训练均能有效改善PSSP状态,但与单纯常规康复疗法比较,采用经筋刺疗法单独或联合常规康复疗法治疗PSSP的临床有效率更高,可更好地提高患者的运动功能和日常生活能力,更有效地改善神经功能缺损。
文摘目的探讨经筋刺血疗法联合低频脉冲电刺激治疗脑卒中后肩手综合征(Shoulder hand syndrome,SHS)的临床价值。方法选择太和县人民医院确诊的156例SHS患者,按随机数字表法分为对照Ⅰ组、对照Ⅱ组、治疗组,各52例。3组患者均给予脑卒中康复期基础治疗与功能康复锻炼,在此基础上,对照Ⅰ组患者给予低频脉冲电刺激,对照Ⅱ组患者给予经筋刺血疗法治疗,治疗组患者给予低频脉冲电刺激+经筋刺血疗法,治疗4周后,观察3组患者临床疗效、安全性及治疗前后病损评分(Shoulder hand syn-drome score,SHSS)、疼痛评分(Visualanaloguescale,VAS)、关节活动度评分、生活质量评分(Stroke-specific quality of life,SS-QOL)的变化。结果(1)治疗4周后,治疗组患者临床总有效率(96.0%)高于对照Ⅰ组患者(82.35%)与对照Ⅱ组患者(80.77%),差异均有统计学意义(P<0.05);(2)治疗4周后,3组患者SHSS评分均较治疗前下降,且治疗组患者最低,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(3)治疗4周后,3组患者VAS评分均较治疗前下降,且治疗组患者最低,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(4)治疗4周后,3组患者关节活动度评分均较治疗前增加,且治疗组患者最高,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(5)治疗4周后,3组患者SS-QOL活动能力、心情、自理、上肢功能领域评分均较治疗前增加,且治疗组患者最高,与对照Ⅰ、Ⅱ组患者比较差异均有统计学意义(P<0.05);(6)治疗期间,3组患者均未见与治疗直接相关的不良反应与事件。结论经筋刺血疗法联合低频脉冲电刺激治疗脑卒中后SHS安全、有效,有利于减轻病损程度,缓解疼痛,改善患者功能状态与生存质量。
基金Supported by Hebei Administration of Traditional Chinese Medicine(2009180)
文摘Objective To explore the effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis. Methods Four hundred and eighty-eight cases of post-stroke patients with upper limb spasticity were randomly divided into two groups at the ratio of 1： 1, the group of meridian sinew row needling combined with dermal needling （group A, 244 cases） and western medication group （group B, 244 cases）. Coupled with rehabilitation, the patients in the group A were given meridian sinew row needling combined with dermal needling where five shu points were specifically selected, and three yang meridians of the hand were treated with acupuncture with muscle region, and three yin meridians of the hand were treated with dermal needles; the patients in the group B was treated with conventional western medication with piracetam injection and cerebroprotein hydrolysate included. Clinical efficacy was evaluated among patients in the two groups after three weeks of continuous treatment, and upper limb spasticity and motor functions were observed through modified Asworth Scale and FugI-Meyer Assessment Scale （FMA） before and after treatment. Results For Asworth Scale, group A was significantly superior to group B （3.04 ± 1.29 vs 3.88 ± 1.54, P〈0.05）; for FMA scale, group A was also significantly superior to group B （48.67± 15.64 vs 42.96±14.72, P〈0.05）; mitigations of motor status of upper limb joints in group A, such as remission of shoulder adduction （90.5%）, pronation of forearm （70.7%）, elbow joint flexion （73.1%）, wrist joint flexion （80.9%） and finger flexion （88.1%）, were superior to those of group B （70.0%, 60.0%, 61.9%, 57.4%, 63.2%, all P〈0.05）. Conclusion Good clinical efficacy of the treatment with combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis is achieved.
文摘Objective To explore the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis affecting different locations.Methods A total of 110 participants were randomized into an observation group and a control group,with 55 cases in each group.The observation group was treated with muscle regions of meridians needling method,and the control group was treated with conventional facial three-line needling method.The clinical efficacy was evaluated four weeks after the treatment.And the infrared imaging spectra of the two groups were examined.Results The total effective rate of the observation group was higher than that of the control group(P<0.05),and its curative effect for refractory facial paralysis located above the geniculate ganglion was better than that of the control group(P<0.05).The color scale distribution of different disease locations in the two groups varied significantly(P<0.05),the higher the disease location,the higher the occurrence rate of cool zone and low temperature zone.After treatment,the reductions of the facial and periotic temperature difference between the healthy side and the affected side in the observation group were statistically different from those in the control group(P<0.05).Conclusion Muscle regions of meridians needling method has a better effect than facial three-line needling method for refractory facial paralysis.It can promote the microcirculation of the affected side of the face,improve the blood and oxygen supply to local tissues,and thus promote the repair of the peripheral facial nerve.
文摘Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.
文摘Objective:To observe the efficacy of electroacupuncture(EA)plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis(KOA).Methods:A total of 60 patients with KOA were divided into an observation group and a control group according to the random number table method,with 30 cases in each group.Patients in the observation group received the treatment of EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises),while patients in the control group only received EA treatment.Both groups were treated for 5 weeks.The changes of Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and visual analog scale(VAS)scores in the two groups were observed after treatment.Results:After treatment,the total effective rate in the observation group(92.3%)was significantly higher than that in the control group(70.0%),(P<0.05);the WOMAC and VAS scores in both groups were significantly lower than those before treatment,showing statistical significance(all P<0.01);there were significant differences in the post-treatment changes in the WOMAC and VAS scores between the two groups(P<0.05,P<0.01).Conclusion:EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises)is clinically effective for KOA.This combined treatment can alleviate clinical symptoms.
