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ANALYSIS OF EFFECT OF APOPLECTIC HEMIPLEGIA TREATED BY NEEDLING AROUND THE PROJECTIVE AREA ON THE SCALP OF FOCUS LOCATED WITH NUCLEAR MAGNETIC RESONANCE(NMR)
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作者 李艳慧 林凯玲 《World Journal of Acupuncture-Moxibustion》 1999年第3期25-28,共4页
Sixty-one patients of ischemic apoplectic hemiplegia were randomly divided into group ofneedling around the ipsilateral projective area on the scalp of the fOcus (group A) and group of scalpacupuncture (group B). Afte... Sixty-one patients of ischemic apoplectic hemiplegia were randomly divided into group ofneedling around the ipsilateral projective area on the scalp of the fOcus (group A) and group of scalpacupuncture (group B). After 30 treatments, there is a significant difference between the therapeuticeffects of two groups (P < 0. 05 ), the former is better than the latter. It suggests that the method ofneedling around the projective area on the scalp of the focus is an effective and a feasible 展开更多
关键词 Apoplectic HEMIPLEGIA needling AROUND the PROJECTIVE area on the scalp of the FOCUS scalp acupuncture Location with NMR
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深刺焦氏晕听区结合化瘀通督方对脑卒中后平衡障碍患者动态平衡、步态速度和稳定性极限的影响
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作者 高婷 潘婕 +2 位作者 陈晓莉 袁世伟 刘靖斐 《成都医学院学报》 CAS 2024年第3期419-423,共5页
目的 观察深刺焦氏晕听区结合化瘀通督方对脑卒中后平衡障碍患者动态平衡、步态速度和稳定性极限的影响。方法 选择2021年3月至2022年10月于河北省人民医院治疗的脑卒中后平衡障碍患者89例作为研究对象,采用随机数字表法将患者分为方剂... 目的 观察深刺焦氏晕听区结合化瘀通督方对脑卒中后平衡障碍患者动态平衡、步态速度和稳定性极限的影响。方法 选择2021年3月至2022年10月于河北省人民医院治疗的脑卒中后平衡障碍患者89例作为研究对象,采用随机数字表法将患者分为方剂组和针剂联合组。方剂组患者44例,给予化瘀通督方治疗;针剂联合组患者45例,给予深刺焦氏晕听区结合化瘀通督方治疗。检测两组患者治疗前、后血清神经元特异性烯醇化酶(NSE)、脑源性神经生长因子(BDNF)水平,大脑中动脉、基底动脉血流速度,Berg平衡量表(BBS)及Fugl-Meyer平衡量表(FM-B)评分,患者移动速度、反应时间、最大偏移、端点行程、方向控制水平,测试稳定极限时间及范围,记录患者步频及步速,比较两组临床疗效。结果 针剂联合组NSE水平较方剂组低,BDNF表达水平、大脑中动脉、基底动脉血流速度、FM-B、BBS评分、患者移动速度、最大偏移、端点行程、方向控制水平较方剂组明显升高,反应时间短于方剂组;针剂联合组患者稳定极限时间长于方剂组,稳定极限范围大于方剂组,步频及步速高于方剂组。针剂联合组患者总有效率(97.78%)高于方剂组(81.82%)。结论 深刺焦氏晕听区结合化瘀通督方治疗脑卒中后平衡障碍患者,可改善其脑血流动力学和姿势控制力、步态及稳定性极限,提升其动态平衡能力,提高临床疗效。 展开更多
关键词 深刺焦氏晕听区 化瘀通督方 脑卒中后平衡障碍 动态平衡 姿势控制力 稳定性极限
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Efficacy observation of long-retaining scalp acupuncture plus interactive training for upper-extremity dysfunction after cerebral stroke 被引量:2
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作者 Qi Cong-hui Cui Lin-hua +5 位作者 Yuan Ye Tian Yao Yang Jie Xing Xiao Zhang Sha Chen Yuan-wu 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第1期43-48,共6页
Objective:To observe the efficacy of long-retaining scalp acupuncture plus interactive training in improving upper-extremity dysfunction in cerebral stroke patients.Methods:Ninety-five patients with upper-extremity dy... Objective:To observe the efficacy of long-retaining scalp acupuncture plus interactive training in improving upper-extremity dysfunction in cerebral stroke patients.Methods:Ninety-five patients with upper-extremity dysfunction after cerebral stroke were randomized into two groups,with 48 cases in the treatment group and 47 cases in the control group.Conventional internal medicine treatment was offered to both groups.In both groups,Anterior Oblique Line of Vertex-temporal(MS 6,the middle 2/5)and Posterior Oblique Line of Vertex-temporal(MS 7,the middle 2/5)were selected from the same side of the brain lesion(the side apposing to the hemiplegic limb)for scalp acupuncture treatment.In the treatment group,the scalp acupuncture needles were retained for 7 h,in combination with interactive training,while the needles were also retained for 7 h in the control group but without interactive training.Prior to treatment and at 2-week and 4-week treatment,the two groups were scored using the functional test for the hemiplegic upper extremity-Hong Kong(FTHUE-HK)and simplified Fugl-Meyer assessment-upper extremity(FMA-UE).Results:The total effective rate was 97.9%in the treatment group,higher than 74.5%in the control group(P<0.01).The FTHUE-HK score was higher at 2-week and 4-week treatment than before treatment in both groups,presenting statistically significant intra-group differences(all P<0.001);the FTHUE-HK score was higher at 4-week treatment than at 2-week treatment in both groups,presenting statistically significant intra-group differences(both P<0.001).At 2-week and 4-week treatment,the FTHUE-HK score was higher in the treatment group than in the control group,showing significant between-group differences(both P<0.05).During the whole treatment process,the treatment group had higher FTHUE-HK scores compared with the control group,but there was no statistical significance comparing the change of the score between the two groups at 2-week treatment(P>0.05),while the between-group difference in the change of the score was statistically significant at 4-week treatment(P<0.05).The FMA-UE score was higher at 2-week and 4-weeks treatment than before treatment in both groups,presenting statistically significant intra-group differences(all P<0.001);the FMA-UE score was higher at 4-week treatment than at 2-week treatment in both groups,presenting statistically significant intra-group differences(both P<0.001).At 2-week and 4-week treatment,the FMA-UE was higher in the treatment group than in the control group,and the between-group differences were statistically significant(both P<0.01).The FMA-UE score rose gradually with the increase of treatment session,and there was statistical significance comparing the change of the score between the two groups at 2-week and 4-week treatment,respectively(both P<0.05).Conclusion:Long-retaining scalp acupuncture plus interactive training results in more significant efficacy than long-retaining scalp acupuncture alone in improving the upper-limb dysfunction after cerebral stroke and the advantage becomes more notable after 2-week consecutive treatment. 展开更多
关键词 acupuncture Therapy scalp acupuncture scalp Stimulation areas Needle Retaining Stroke Poststroke Syndrome Upper Extremity Shoulder Pain
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调神解痉针刺法治疗中风后上肢痉挛性瘫痪临床观察 被引量:35
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作者 孙熙罡 张金喜 +4 位作者 王晶 王秀娟 王立存 赵淑华 林翠茹 《上海针灸杂志》 2018年第2期149-153,共5页
目的观察调神解痉针刺法治疗中风后上肢痉挛性瘫痪的临床疗效。方法将90例中风后上肢痉挛性瘫痪患者随机分为观察组和对照组,每组45例。观察组予调神解痉针刺法治疗,对照组予常规针刺治疗。观察记录治疗前、治疗2星期、治疗4星期和治疗... 目的观察调神解痉针刺法治疗中风后上肢痉挛性瘫痪的临床疗效。方法将90例中风后上肢痉挛性瘫痪患者随机分为观察组和对照组,每组45例。观察组予调神解痉针刺法治疗,对照组予常规针刺治疗。观察记录治疗前、治疗2星期、治疗4星期和治疗后3个月改良Ashworth痉挛分级量表(MAS)、上肢运动功能简化Fugl-Meyer量表(SFMA)及日常生活能力Barthel指数评分,并于治疗前后测定患者血清?-氨基丁酸(GABA)浓度水平。结果观察组总有效率为83.3%,对照组总有效率为61.0%,观察组疗效优于对照组(P<0.05)。两组患者治疗后各项评分与同组治疗前比较均有改善(P<0.05),且观察组的改善更明显(P<0.05)。在随访时,观察组各项评分有持续改善,优于对照组(P<0.05);观察组治疗后GABA浓度水平高于对照组(P<0.05)。结论调神解痉针刺法可有效改善患者上肢痉挛状态,改善上肢运动功能,提高日常生活能力,并能够保持远期疗效,优于常规取穴治疗,其作用机制与调节血清GABA水平相关。 展开更多
关键词 中风后遗症 针刺 头针刺激区 调神解痉针刺法 偏瘫 上肢痉挛性瘫痪 γ-氨基丁酸
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针刺配合耳穴贴压治疗面肌痉挛疗效观察 被引量:7
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作者 曹阳 张淼 王文君 《上海针灸杂志》 2015年第9期839-840,共2页
目的观察针刺配合耳穴贴压治疗面肌痉挛的临床疗效。方法将56例面肌痉挛患者随机分为治疗组和对照组,每组28例。治疗组采用针刺配合耳穴贴压治疗,对照组采用常规针刺治疗,比较两组临床疗效。结果治疗组总有效率为89.3%,对照组为67.9%,... 目的观察针刺配合耳穴贴压治疗面肌痉挛的临床疗效。方法将56例面肌痉挛患者随机分为治疗组和对照组,每组28例。治疗组采用针刺配合耳穴贴压治疗,对照组采用常规针刺治疗,比较两组临床疗效。结果治疗组总有效率为89.3%,对照组为67.9%,两组比较差异有统计学意义(P<0.05)。结论针刺配合耳穴贴压是一种治疗面肌痉挛的有效方法。 展开更多
关键词 针刺疗法 巨刺 耳穴贴压 面肌痉挛 头针刺激区 头针运动区 头针感觉区
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体针配合梅花针叩刺治疗中风偏瘫临床观察 被引量:2
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作者 崔秀芳 范萍 +3 位作者 赵丽君 舒晓芳 陈贝贝 刘燕 《光明中医》 2022年第6期1030-1032,共3页
目的观察体针配合梅花针叩刺治疗中风偏瘫的临床疗效,探讨2者合用对中风偏瘫患者的影响,以便在未来的中风治疗中提供新思路。方法选取120例住院的脑中风偏瘫患者,随机分为体针组、梅花针组、体+梅花针组,每组40例。体针组采用单纯体针治... 目的观察体针配合梅花针叩刺治疗中风偏瘫的临床疗效,探讨2者合用对中风偏瘫患者的影响,以便在未来的中风治疗中提供新思路。方法选取120例住院的脑中风偏瘫患者,随机分为体针组、梅花针组、体+梅花针组,每组40例。体针组采用单纯体针治疗,梅花针组采用梅花针叩刺方氏头针穴区,体针+梅花针组将2种治疗方法相结合,各组均每日治疗1次,14次后对比3组的运动功能(Fugl-Meyer)评分、日常生活能力(ADL)评分。结果治疗14次后3组患者Fugl-Meyer评分、ADL评分均明显提升(P<0.05);且治疗后体针+梅花针组患者的Fugl-Meyer评分、ADL评分、治疗总有效率较单纯体针组、梅花针组明显提高(P<0.05)。结论体针配合梅花针叩刺方氏头针穴区治疗中风偏瘫的临床疗效优于单纯体针、梅花针叩刺治疗。 展开更多
关键词 体针 方氏头针穴区 梅花针 中风 偏瘫
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头针刺激靶点研究新思路 被引量:1
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作者 孔健 曹瑾 《针刺研究》 CAS CSCD 北大核心 2023年第6期606-609,共4页
头针疗法作为一种针灸与现代脑科学相结合的产物,已经在临床上得到了越来越广泛的应用。近年来,借助于脑成像技术对大脑相关疾病中枢机制的研究取得了重大进展,但这些新的进展尚未应用到头针刺激区(靶点)的选择之中。本文旨在提供一个... 头针疗法作为一种针灸与现代脑科学相结合的产物,已经在临床上得到了越来越广泛的应用。近年来,借助于脑成像技术对大脑相关疾病中枢机制的研究取得了重大进展,但这些新的进展尚未应用到头针刺激区(靶点)的选择之中。本文旨在提供一个将现代影像学研究与头针刺激靶点相结合的新思路和方法,并根据这些方法对一些特定疾病的头针刺激靶点进行了初步的研究,提出了一系列大脑相关疾病的刺激靶点,以期启发头针研究的新思路,促进头针的进一步发展。 展开更多
关键词 头针 头针刺激区 脑成像 经颅电刺激 大脑相关疾病
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