醒脑开窍针法配合中药塌渍治疗早期缺血性脑卒中患者上肢功能障碍的临床研究  

Clinical Study on Treating Upper Limb Dysfunction in Patients with Early Ischemic Stroke by Xingnao Kaiqiao Acupuncture Method and Chinese Herbs Collapse

作　　者：曾宪敏[1] 陈婷婷[1] 胡兰 ZENG Xianmin;CHEN Tingting;HU Lan(Department of Rehabilitation Medicine,Shifang Municipal People's Hospital,Shifang Sichuan 618400,China)

机构地区：[1]什邡市人民医院,康复医学科,四川什邡618400

出　　处：《四川中医》2022年第10期201-204,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察醒脑开窍针法联合中药塌渍对早期缺血性脑卒中患者上肢功能的影响。方法:采用随机单盲单中心的研究方法,从本院中选取94例早期缺血性脑卒中患者,采用随机数字表法分为观察组、对照组。对照组采用醒脑开窍针法,主穴为内关穴、人中穴、三阴交穴,并在辅之以极泉穴、委中穴、尺泽穴;观察组在对照组的基础上选择科室的偏枯肢体中药塌渍方进行中药塌渍。两组共治疗8周后观察Fugl-meyer上肢运动功能评定表(FMA)、Barthel指数(BI)以及实验室检查,包括内皮素1(ET-1)、C反应蛋白(CRP)、胰岛素样生长因子-1(IGF-1)。结果:两组患者在治疗前后进行FMA评分、BI指数比较,治疗前两组在两指标比较,差异均无统计学差异(P>0.05);8周后两组在两指标均与治疗前相比,差异均有统计学意义(P<0.05);而组间比较,观察组在FMA评分、BI指数均优于对照组,差异有统计学意义(P<0.05)。而在实验室检查方面,治疗前两组在ET-1、CRP、IGF-1的水平比较差异均无统计意义(P>0.05);治疗后两组在上述指标均优于治疗前,差异有统计学意义(P<0.05);而组间比较,观察组在CRP、IGF-1优于对照组,差异有统计学意义(P<0.05);在ET-1两组无差异(P>0.05)。结论:针对脑卒中患者上肢的突出问题,醒脑开窍针法联合中药塌渍,可以有效改善患者上肢的运动功能障碍,改善相关实验室指标,从而达到提高日常生活活动能力的目的,值得临床进一步研习和推广应用。Objective:To observe the effect of Xingnao Kaiqiao acupuncture method combined with Chinese medicine collapse on upper limb function for patients with early ischemic stroke.Methods:Using a randomized single-blind single-center research method,94 patients with early ischemic stroke were selected from this hospital and divided into an observation group and a controlled group by the random number table method.The controlled group used Xingnao Kaiqiao Acupuncture Method,the main acupoints were Neiguan,Renzhong,Sanyinjiao,and supplemented by Jiquan,Weizhong,and Chize.The observation group selected departments on the basis of the controlled group for the partial dry limbs,the traditional Chinese medicine collapses the recipe for the traditional Chinese medicine collapses.After a total of 8 weeks of treatment,the two groups were observed Fugl-meyer upper limb motor function assessment form(FMA),Barthel index(BI)and laboratory tests,including endothelin-1(ET-1),C-reactive protein(CRP),and insulin-like growth Factor-1(IGF-1).Results:The FMA score and BI index were compared between the two groups of patients before and after treatment.There was no significant difference in the two indicators between the two groups before treatment(P>0.05);after 8 weeks,the two indicators were similar to those before treatment.Compared with each other,the difference was statistically significant(P<0.05);while comparison between groups,the observation group was better than the controlled group in FMA score and BI index,and the difference was statistically significant(P<0.05).In terms of laboratory examinations,there was no statistically significant difference in the levels of ET-1,CRP,and IGF-1 between the two groups before treatment(P>0.05);after treatment,the two groups were better than those before treatment,and there were differences statistical significance(P<0.05);while comparison between the two groups,the observation group was better than the controlled group in CRP and IGF-1,the difference was statistically significant(P<0.05);there

关 键 词：醒脑开窍针法 中药塌渍 早期 缺血性脑卒中 上肢 

分 类 号：R246.6[医药卫生—针灸推拿学]