Clinical observation of auricular needle-embedding therapy for primary insomnia

Objective:To observe the clinical efficacy of auricular needle-embedding therapy for treating primary insomnia.Methods:A total of 63 patients were randomly divided into a conventional acupuncture group and an auricular needleembedding group.The conventional acupuncture group received acupuncture at meridian points,while the auricular needle-embedding group received acupuncture at auricular points.Treatments were given once a day for 6 consecutive days,followed by a 1-day break,as a course of treatment.Both groups were treated for 2 courses.Before treatment,and after 1 course and 2 courses of treatment,the Pittsburgh sleep quality index(PSQI)score was assessed,and the efficacy was evaluated.Results:The cured and markedly effective rate and total effective rate of the auricular needle-embedding group were higher than those of the conventional acupuncture group,but there was no significant difference between the two groups(P>0.05).After 1 course of treatment,the PSQI global score and the scores of subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,and daytime dysfunction of both groups decreased compared with those before treatment(P<0.01);there was no statistical significance in comparing the PSQI global score and individual component scores between the two groups(P>0.05).After 2 courses of treatment,the PSQI global score and the scores of sleep latency and habitual sleep efficiency of the auricular needle-embedding group decreased compared with those after 1 course of treatment(P<0.01 or P<0.05),while only the score of sleep latency of the conventional acupuncture group decreased compared with that after 1 course of treatment(P<0.05);the PSQI global score and the scores of subjective sleep quality and sleep latency of the auricular needle-embedding group were lower than those of the conventional acupuncture group(P<0.05).Conclusion:Both therapies can improve insomnia.Compared to conventional acupuncture,auricular needleembedding therapy demonstrates a therapeutic advantage in improving sleep latency and sleep quality,making it worthy of clinical promotion.

OBSERVATION ON CLINICAL THERAPEUTIC EFFECTS OF SCALP ACUPUNCTURE FOR FACIAL SPASM

Objective; To observe clinical therapeutic effect of scalp acupuncture in the treatment of facial spasm. Methods： Sixty-five cases of facial spasm were randomly divided into control group （n = 31 ） and treatment group（n = 34）. Patients of the treatment group were treated with penetrative acupuncture from Qienshencong（前神聪 Extra） to Xuanli（悬厘 GB 6）, Baihui（百会 GV 20） to Qubin（曲鬓 GB 7）, etc., and those of control group treated with acupuncture of Taiyang（太阳 EX-HN 5）, Yengbai（阳白 GB 14）, Quanliao（颧髎 SI 18） and Xiaguan（下关 ST 7）, etc. once daily, 20 sessions altogether. Results. After treatment, of the 31 cases and 34 cases in control and treatment groups, 5 and 12 were cured, 8 and 13 had remarkable improvement, 11 and 8 had improvement, 7 and 1 failed, with the total effective rates being 77.42% and 97.06% respectively; and the therapeutic elfact of treatment group was significantly superior to that of control group（P〈0.01）. Conclusion; Scalp acupurcture has an obvious therapeutic effect for facial spasm.

THE ASSESSMENT OF SCALP ACUPUNCTURE FOR TREATING ISCHEMIC STROKE

One hundred and seventeen acute cerebral infarction patients were randomly divid-ed into two groups: Scalp acupuncture group(Group A) and pure medication group(Group B). Thefunction of the nervous system, brain electrical activity mapping and somatosensory evoked potentialswere observed before and after the treatment. It was found that the indexes in the two groupschanged significantly (P【0. 05). The curative effects in Group A were better than that in Group B(P【0. 001 ). The curative effects of scalp acupuncture on acute cerebral infarction were objectivelyconfirmed by means of electrophysiological studies.

Treatment of Decortical State of Child Encephalitis with Scalp Acupuncture and the Effects on EEG and BEAM

Electroencephalogram (EEG)-recorded rhythmicelectrophysiologic activity of brain is synchronoussynthesis of postsynaptic potentials of pyramidalcells and their parietal dendrites of the cerebralcortex.Abnormal changes in EEG and brainelectrical activity mapping (BEAM) appear prior tothat in computed tomography (CT) and nuclearmagnetic resonance (NMR) during the acute stage ofencephalitis,providing a scientific and

A COMPARATIVE OBSERVATION ON COMPREHENSIVE SCALP-ACUPUNCTURE TREATMENT OF ISCHEMIC APOPLECTIC HEMIPLEGIA

Scalp acupuncture with comprehensivemanipulations of lifting, thrusting, moving,and retaining is a unique acupuncture therapyfrequently used by Prof. Wang Dai and Prof.Feng Chunxiang to treat apoplectic hemiplegia.The author treated 100 cases of hemiplegiadue to ischemic apoplexy with the abovemethod from 1992 to 1996, and obtainedsatisfactory therapeutic results as reported inthe following.

头穴丛刺联合取食训练对2型糖尿病认知障碍大鼠海马神经元损伤的治疗作用

目的观察头穴丛刺联合取食训练对2型糖尿病(T2DM)认知障碍大鼠海马神经元损伤的治疗作用。方法健康雄性SD大鼠72只,随机分为对照组、T2DM组、模型组、头穴丛刺组、取食训练组、联合组,每组12只。对照组常规饲养,T2DM组制备T2DM模型,模型组、头穴丛刺组、取食训练组和联合组制作T2DM认知障碍模型。头穴丛刺组予头穴丛刺,取食训练组进行取食训练,联合组在头穴丛刺长留针期间进行取食训练;对照组、T2DM组、模型组不予任何干预。分别于造模14、28 d后,采用Morris水迷宫评价大鼠学习和记忆能力;处死大鼠取海马组织,透射电镜下观察海马组织超微结构,采用ELISA法检测超氧化物歧化酶(SOD)和丙二醛(MDA),采用Western blotting法检测脑源性神经营养因子(BDNF)蛋白。结果与T2DM组相比,模型组逃避潜伏期延长,穿越平台次数和目标象限停留时间缩短,海马神经元髓鞘不完整,线粒体呈空泡化倾向、嵴溶解消失,海马组织SOD活性、BDNF蛋白表达降低,MDA含量增加(P均<0.05)。与模型组相比,头穴丛刺组、取食训练组、联合组逃避潜伏期缩短,穿越平台次数和目标象限停留时间延长,海马神经元超微结构改变减轻,海马组织SOD活性、BDNF蛋白表达增加,MDA含量减少(P均<0.05)。联合组各项优于头穴丛刺组和取食训练组,且造模28 d指标优于造模14 d(P均<0.05)。结论头穴丛刺联合取食训练治疗能够减轻氧化应激损伤,修复海马神经元超微结构,改善T2DM认知障碍大鼠学习记忆功能,且治疗时间越长,效果越显著。

Needle-embedding therapy for fifty cases of post-herpetic neuralgia

Objective To observe the clinical efficacy of needle-embedding therapy for the treatment of post-herpetic neuralgia. Method Fifty patients of post-herpetic neuralgia treated with needle-embedding therapy from January 2013 to June 2014 at Department of pain of the Second People＇s Hospital of Yibin City were selected. At each time of needle-embedding therapy, 4-8 points were selected. Patients were treated once a day, 5 times for a course of treatment and received a total of 1-3 courses of treatment. Meanwhile, the curative effect was analyzed in accordance with Criteria of Diagnosis and Therapeutic Effect of Diseases and Syndromes in Traditional Chinese Medicine. Result Among the 50 patients, the markedly effective rate was 84.0% （42/50）, the effective rate was 16.0% （8/50） and the total effective rate was 100.0%. Conclusion Needle-embedding therapy for the treatment of post-herpetic neuralgia offers a good curative effect.

头皮针留针配合康复治疗对中风后吞咽困难的临床分析

目的 探究头皮针留针配合康复治疗对中风后吞咽困难的临床效果。方法 简单随机选取2022年4月—2023年4月于福建中医药大学附属第二人民医院与康复医院门诊及住院部诊断为中风后吞咽困难患者60例为研究对象,依据随机数表法分配法分为对照组和观察组,每组30例。对照组采用吞咽障碍现代康复治疗;观察组采用头皮针留针时行吞咽障碍现代康复治疗。比较两组治疗前后的标准吞咽功能评价量表评分(Standardized Swallowing Assessment,SSA)、洼田饮水试验评分(Water Swallow Test,WST)及治疗总有效率。结果 与治疗前相比,治疗4周后,对照组和观察组WST、SSA评分均下降,观察组的WST、SSA评分均低于对照组,差异有统计学意义(P均<0.05),对照组总有效率为73.33%(22/30),低于观察组的93.33%(28/30),差异有统计学意义(χ^(2)=4.320,P<0.05)。结论 在头皮针留针时行吞咽康复治疗训练可改善中风后吞咽困难患者的吞咽功能,临床疗效显著。

头体针结合的电针疗法治疗急性脑梗死临床观察

目的观察电针治疗急性脑梗死的临床效果和对神经功能、神经炎性因子水平的影响。方法选取济宁医学院附属医院2021年11月1日—2022年11月1日收治的急性脑梗死患者60例,随机分为对照组和电针组,各30例。对照组给予西医常规疗法,电针组给予头体针结合的电针疗法,观察两组临床疗效、神经功能缺损程度及神经炎性因子表达水平。结果电针组总有效率为92.86%(26/28),高于对照组的68.97%(20/29)(P<0.05)。治疗后,两组神经功能缺损程度及神经炎性因子[白细胞介素-10(IL-10)、肿瘤坏死因子-ɑ(TNF-ɑ)、白细胞介素-17(IL-17)]水平均较治疗前有好转,且电针组均更优(P<0.05)。结论电针疗法对急性脑梗死有较好临床效果,能显著改善患者神经功能和炎性因子水平,提高其生活质量,且安全可靠,值得推广。

不同针刺方案治疗脑卒中后语言功能障碍对照研究

目的:比较不同针刺方案治疗脑卒中后语言功能障碍的临床效果。方法:选择脑卒中后语言功能障碍患者102例,按照随机数字表法分为治疗组和对照组各51例,治疗过程中2组各脱落1例,最终各纳入50例。对照组采用国际头针标准线治疗,治疗组采用通督开喑针法治疗,2组均治疗4周。比较2组中医证候评分、西方失语症成套测验(WAB)评分、脑卒中失语症生活质量量表(SAQOL-39g)评分、临床疗效及不良反应。结果:治疗后,治疗组总有效率为94.00%,对照组为80.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组言语謇涩或不语、口舌歪斜、半身不遂、头晕目眩、气短乏力、自汗出等证候评分均较治疗前降低(P<0.05),且治疗组各项中医证候评分均低于对照组(P<0.05)。治疗后,2组WAB量表中自发性言语、听语理解、复述、命名及失语指数评分均较治疗前升高(P<0.05),且治疗组上述各项评分均高于对照组(P<0.05)。治疗后,2组SAQOL-39g量表中生理、心理社会、交流评分及总分均较治疗前升高(P<0.05),且治疗组上述各项评分均高于对照组(P<0.05)。治疗过程中,2组不良反应发生率均为2.00%。结论:通督开喑针法治疗脑卒中后语言功能障碍在改善中医证候、语言能力、生活质量方面效果优于国际头针标准线治疗。

益智头针治疗对孤独症谱系障碍患者语言及认知功能的影响

目的观察益智头针治疗孤独症谱系障碍的临床疗效及其对患者语言及认知功能的影响。方法将60例孤独症谱系障碍患者随机分为治疗组和对照组,每组30例。对照组给予常规康复训练治疗,治疗组在对照组基础上加用益智头针治疗。观察两组治疗前后孤独症儿童行为量表(autism behavior checklist,ABC)评分、儿童孤独症评定量表(childhood autism rating scale,CARS)评分及格赛尔(Gesell)评估量表中适应性、语言和个人-社交3个能区评分的变化情况,并采用语言发育迟缓评定法(S-S法)评定两组言语改善总有效率。结果两组治疗后ABC、CARS评分均较同组治疗前显著下降,Gesell评估量表各项评分均显著上升,差异均具有统计学意义(P<0.05)。治疗组治疗后ABC、CARS评分均明显低于对照组,Gesell评估量表各项评分均明显高于对照组,差异均具有统计学意义(P<0.05)。治疗组言语改善总有效率为86.7%,明显高于对照组的70.0%(P<0.05)。结论益智头针配合常规康复训练可有效促进孤独症谱系障碍患者语言及认知功能的改善。

头针配合低频重复经颅磁刺激治疗痉挛性脑性瘫痪疗效观察

目的基于脑电频谱技术,观察头针配合低频重复经颅磁刺激治疗痉挛性脑性瘫痪的临床疗效。方法将90例痉挛性脑性瘫痪患者和20例健康儿童分为病例组和正常组,通过采集静息态脑电信号比较各频谱(δ、θ、α、β、γ)密度。再将病例组随机分为A组、B组和C组,每组30例。在接受常规康复训练的基础上,A组采用头针治疗,B组采用低频重复经颅磁刺激治疗,C组采用头针配合低频重复经颅磁刺激治疗。观察3组治疗前后粗大运动功能测试量表-88(gross motor function measure-88,GMFM-88)评分(D区、E区)、Gesell发育诊断量表各项评分、颅内椎基底节动脉血流状态各项指标[左侧椎动脉(left vertebral artery,LVA)、右侧椎动脉(right vertebral,RLA)、基底动脉(basilar artery,BA)平均流速]、各项炎症因子[血清白细胞介素-6(interleukin-6,IL-6)、白细胞介素-33(interleukin-33,IL-33)、肿瘤坏死因子α(tumor necrosis factor-α,TNF-α)]水平及脑电信号各频谱密度的变化情况,比较3组临床疗效。结果C组治疗后D区、E区GMFM-88评分及Gesell发育诊断量表各项评分较同组治疗前显著上升,LVA、RLA、BA平均流速显著加快,各项炎症因子水平显著降低,差异均具有统计学意义(P<0.05)。C组治疗后D区、E区GMFM-88评分及Gesell发育诊断量表各项评分均明显高于A组和B组,LVA、RLA、BA平均流速明显快于A组和B组,各项炎症因子水平明显低于A组和B组,差异均具有统计学意义(P<0.05)。病例组治疗前脑电信号δ、θ频谱密度明显高于正常组(P<0.05);3组治疗后脑电信号δ、θ频谱密度均较同组治疗前显著降低(P<0.05)。C组总有效率为83.3%,明显高于A组的63.3%和B组的56.7%,差异均具有统计学意义(P<0.05)。结论在常规康复训练的基础上,头针配合低频重复经颅磁刺激治疗痉挛性脑性瘫痪疗效确切,能改善患者运动功能和认知功能,其机制主要与该方法能下调炎症因子表达、调节颅内椎基底节动脉血流状态有关。

5-氨基酮戊酸光动力治疗头皮弥漫性日光性角化病一例

日光性角化病的治疗包括冷冻治疗、激光与微波治疗等,针对大面积皮损,光动力疗法是一种更有效的疗法。本文报道一例76岁女性日光性角化病患者,头皮皮损面积较大,使用5-氨基酮戊酸光动力治疗6次,皮损基本消退,辅以局部冷冻治疗2次,随访9个月余未复发。

头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床研究

目的观察头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床疗效。方法选取60例脑型肝豆状核变性痉挛性肌张力障碍患者,随机分为观察组和对照组,每组30例。两组均接受基础驱铜治疗,对照组加用口服巴氯芬片治疗,观察组在对照组基础上加用头针配合体针治疗。观察两组治疗前后改良Ashworth量表(modified Ashworth scale,MAS)、日常生活能力评定量表(activities of daily living,ADL)、简易Fugl-Meyer运动功能量表评分的变化情况。结果两组治疗后MAS、ADL及Fugl-Meyer运动功能量表评分均较同组治疗前显著上升,差异均具有统计学意义(P<0.05)。观察组治疗后MAS、ADL及Fugl-Meyer运动功能量表评分明显高于对照组,差异均具有统计学意义(P<0.05)。结论头针配合体针是一种治疗脑型肝豆状核变性痉挛性肌张力障碍的有效方法。

方氏头针联合择时耳穴贴压治疗维持性血液透析失眠患者的临床观察

【目的】观察方氏头针联合择时耳穴贴压治疗维持性血液透析失眠患者的临床疗效。【方法】将70例维持性血液透析失眠患者随机分为观察组和对照组,每组各35例。2组均给予常规治疗,对照组在常规治疗的基础上给予艾司唑仑片口服,观察组给予方氏头针联合择时耳穴贴压治疗,共治疗4周。治疗1个月后,评价2组临床疗效,观察2组患者治疗前后匹兹堡睡眠质量指数量表(PSQI)评分与肾脏疾病生活质量简表(KDQOL-SF)评分的变化情况,以及汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分的情况。比较2组患者治疗前后血红蛋白(Hb)、血肌酐(Scr)、血尿素氮(BUN)水平的变化情况。并评价2组的安全性。【结果】(1)治疗后,2组患者的PSQI、KDQOL-SF评分均明显改善(P<0.05),且观察组在改善PSQI、KDQOL-SF评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的HAMD、HAMA评分均明显改善(P<0.05),且观察组在改善HAMD、HAMA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者Hb、Scr、BUN水平均明显改善(P<0.05),且观察组在改善Hb、Scr、BUN水平方面明显优于对照组,差异均有统计学意义(P<0.05)。(4)观察组总有效率为77.14%(27/35),对照组为62.86%(22/35)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(5)2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】方氏头针联合择时耳穴贴压治疗维持性血液透析失眠,能够有效改善患者的睡眠质量,缓解焦虑抑郁情绪,从而提高患者的生活质量,疗效显著。

Needle-embedding therapy combined with basic treatment for stable angina pectoris

Objective： To clarify the clinical efficacy of needle-embedding therapy for stable angina pectoris. Methods： Seventy-six patients with stable angina pectoris were divided into needle-embedding therapy group （group A） and basic treatment group （group B） according to the random number table, with 38 patients in each group. Needle-embedding therapy combined with basic treatment was adopted in group A, and needle-embedding was given once every other day, the needles were retained for 24 h each time and three times of treatment were given each week. basic treatment was applied solely in group B. Four weeks of treatment which means one course were given in two groups, efficacy observation and evaluation were carried out after 1 course of treatment. Results： After treatment, the total effective rate of clinical efficacy was 89.47% in group A and 71.05% in group B （p 〈 0.05）, and the total effective rate of electrocardiograph （ECG） efficacy was 84.21% in group A and 63.16% in group B （p〈0.05）. After treatment, the score of limitation of motion, score of the sta- ble state of angina pectoris and the score of angina pectoris attack in group A increased by 0.7%, 34,5% and 16.9% respectively when compared with the scores before treatment （t= 1.623, p 〈0.0l; t=3.867, p 〈 0.01 ; t = 1.958, p 〈 0.05）, and according to the comparison of the score of satisfaction with treatment and the score of disease perception before and after treatment, the difference was not statistically significant （t=4.972, p 〉 0.05; t=0.999, p 〉 0.05）. According to the comparison of the score of limitation of motion, score of angina pectoris attack, score of satisfaction with treatment and the score of disease per- ception in group B before and after treatment, the differences were not statistically significant （t = 1.726, p 〉 0.05; t = 1.594, p 〉 0.05; t = 4.385, p 〉 0.05; t = 0.999, p 〉 0.05）. The score of： the stable state of angina pectoris increased by 4.9% （t = 1.780, p 〈 0.05）. Conclusion： Needle-embedding in acupoint therapy can effectively improve the clinical efficacy, ECG efficacy and the score of Seattle angina questionnaire （SAQ） of stable angina pectoris.

头针久留针配合分期电针治疗卒中的疗效观察

目的 观察头针久留针配合分期电针治疗卒中的临床疗效及其对患者神经功能、步行能力及肢体运动功能的影响。方法 将88例卒中患者随机分为治疗组和对照组,每组44例。两组均予基础治疗,治疗组采用头针久留针配合分期电针治疗,对照组采用头针久留针配合常规电针治疗。比较两组治疗前后美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分、神经功能缺损评分量表(neurological functional deficit scores,NFDS)评分、Holden步行功能分类量表(Holden functional ambulation category,Holden-FAC)分级、Fugl-Meyer运动功能评定量表评分及改良Barthel指数(modified Barthel index,MBI)评分的变化情况,比较两组临床疗效。结果 两组治疗后NIHSS评分及NFDS评分较同组治疗前均显著下降,Fugl-Meyer运动功能评定量表评分及MBI评分均显著上升,差异均具有统计学意义(P<0.05)。治疗组治疗后NIHSS评分及NFDS评分均明显低于对照组,Fugl-Meyer运动功能评定量表评分及MBI评分明显高于对照组,差异均具有统计学意义(P<0.05)。两组治疗后Holden-FAC分级与同组治疗前比较,差异均有统计学意义(P<0.05)。治疗组治疗后Holden-FAC分级与对照组比较,差异具有统计学意义(P<0.05)。治疗组总有效率为95.5%,明显高于对照组的72.7%,两组比较差异具有统计学意义(P<0.05)。结论 在基础治疗上,头针久留针配合分期电针治疗卒中疗效确切,能改善患者神经功能、步行能力及肢体运动功能。

头针不同留针时间对脑卒中后运动功能障碍和血清C反应蛋白、血糖、血脂的影响

【目的】观察头针不同留针时间对脑卒中患者运动功能障碍和血清C反应蛋白(CRP)、血糖、血脂的改善情况。【方法】将120例脑卒中后运动功能障碍患者随机分为对照组、观察1组、观察2组,每组各40例。3组患者均采取头针、体针及常规运动康复训练治疗,对照组头针留针30 min,观察1组头针留针1 h,观察2组头针留针2 h,每日1次,每周6次,连续治疗2周。比较3组患者的美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动评定量表(FMA)、Berg平衡量表(BBS)、改良Barthel指数(MBI)评分以及外周血CRP、空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)的改善程度,并评价3组治疗方案的安全性。【结果】(1)量表评分方面,治疗后,3组患者的NIHSS评分均较治疗前降低(P<0.01),FMA、BBS、MBI评分均较治疗前升高(P<0.05或P<0.01);治疗后3组间比较,差异均有统计学意义(P<0.01),其中,观察2组对NIHSS评分的降低幅度及对FMA、BBS、MBI评分的升高幅度均明显优于对照组和观察1组(P<0.01),观察1组对FMA评分的改善幅度又明显优于对照组(P<0.01),对NIHSS、BBS、MBI评分的改善幅度均有优于对照组趋势,但差异均无统计学意义(P>0.05),表明头针运动治疗方案的疗效与头针留针时长呈正向时效关系。(2)实验室指标方面,治疗后,3组患者的外周血CRP、FPG水平和两观察组的TG、LDL-C水平以及观察2组的HDL-C水平均较治疗前改善(P<0.05或P<0.01);且治疗后3组间的外周血CRP、TG水平比较,差异均有统计学意义(P<0.05或P<0.01),其中,观察2组对CRP、TG水平的改善幅度明显优于对照组,对CRP水平的改善幅度又明显优于观察1组,差异均有统计学意义(P<0.05或P<0.01);而3组患者的TC水平治疗前后及组间比较,差异均无统计学意义(P>0.05)。(3)安全性方面,3组患者治疗期间均未发生晕针、断针、血肿等不良反应,且患者的生命体征均平稳,脉搏、血压、呼吸频率等均无明显异常变化。【结论】头针治疗可有效改善脑卒中患者的运动功能,且留针时长呈正向时效关系,以头针留针2 h方案疗效更显著。

头针疗法配合触觉振动反馈训练对改善卒中后偏瘫平衡能力及步态的影响研究

目的:观察头针疗法配合触觉振动反馈训练对改善卒中后偏瘫患者平衡能力及步态的影响。方法:选取2021年1月—2022年6月河南省确山县中医院收治的123例卒中后偏瘫患者作为研究对象,采用随机数表法将其分为试验组(62例)和常规组(61例)。常规组患者行常规物理治疗及康复训练,试验组患者行头针疗法配合触觉振动反馈训练,所有患者开展为期半年的随访,比较两组患者的平衡能力、行走能力、步态变化及随访期间的肢体运动功能康复情况。结果:在不同治疗方案下,试验组治疗7 d、14 d后的Berg平衡量表(BBS)评分均高于常规组,计时起立-行走测试(TUGT)值均低于常规组,差异有统计学意义(t=3.230、3.391、3.448、3.121,P<0.05);治疗后,试验组的健侧步长、患侧/健侧单项支撑相时长均长于常规组,差异有统计学意义(t=3.928、4.489,P<0.05);在不同治疗方案下,试验组随访第3个月、第6个月时的Fugl-Meyer运动功能量表(FMA)上肢及下肢评分均高于常规组,差异有统计学意义(t=3.767、3.866、3.679、3.044,P<0.05)。结论:头针疗法配合触觉振动反馈训练能有效改善卒中后偏瘫患者的平衡能力、行走能力,对促进患者步态及肢体运动恢复均有积极意义。

头针结合热敏灸治疗脑梗死恢复期临床观察

目的探究头针结合热敏灸治疗脑梗死恢复期患者的临床效果及对神经功能、生活质量的影响。方法从南昌市第一医院2020年6月—2022年6月收治的脑梗死患者中选取68例作为研究对象,按随机数字表法分为观察组和对照组,每组34例。对照组接受常规西医治疗,观察组在对照组的基础上接受头针结合热敏灸治疗。比较两组临床疗效并采用美国国立卫生研究院卒中量表(NIHSS)评估神经功能,采用日常生活活动能力量表(ADL)评估生活质量水平。结果观察组临床总有效率为97.06%(33/34),高于对照组的79.41%(27/34)(P<0.05)。治疗后,两组NIHSS评分、ADL评分均优于治疗前,且观察组NIHSS评分低于对照组,ADL评分高于对照组(P<0.05)。结论头针结合热敏灸治疗脑梗死恢复期患者,可以提高临床效果,恢复神经功能水平,提高生活质量。