针灸联合十八段锦治疗对中风偏瘫患者运动功能影响  

The Effect of Acupuncture Combined with Eighteen Section Brocade on the Motor Function of Apoplectic Hemiplegia Patients

作　　者：王倩[1] 张颖[2] 曹晓滨[1] 裴静[3] 周文涛[4] WANG Qian;ZHANG Ying;CAO Xiao-bin;PEI Jing;ZHOU Wen-tao(Acupuncture clinic of Chinese medicine,The Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830011,China;Cardiology,The Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830011,China;Neurology,The Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830011,China;Chinese medicine,The Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830011,China)

机构地区：[1]新疆医科大学第五附属医院中医科针灸门诊,新疆乌鲁木齐830011 [2]新疆医科大学第五附属医院心内科,新疆乌鲁木齐830011 [3]新疆医科大学第五附属医院神经内科,新疆乌鲁木齐830011 [4]新疆医科大学第五附属医院中医科,新疆乌鲁木齐830011

出　　处：《现代生物医学进展》2021年第5期919-922,共4页Progress in Modern Biomedicine

基　　金：新疆维吾尔自治区自然科学基金项目(2018D01C300)。

摘　　要：目的:研究针灸联合十八段锦治疗对中风偏瘫患者运动功能的影响。方法:选择2017年1月~2019年12月我院中医科针灸门诊针灸治疗的201例中风偏瘫患者,随机分为两组。对照组采用常规治疗,观察组采用针灸联合十八段锦治疗。治疗前后,比较两组的血清基质金属蛋白酶-9 (Matrix metalloproteinases-9,MMP-9)、促红细胞生成素(Erythropoietin,EPO)、同型半胱氨酸(Homocysteine,Hcy)水平、Tinetti步态评估量表(Tinetti gait assessment,TGA)以及功能性步行量表(functional ambulation category,FAC)评分。结果:观察组中风偏瘫患者的有效率明显高于对照组(P<0.05);治疗后,两组的血清MMP-9、EPO、Hcy水平均明显降低(P<0.05),FAC分级和TGA评分均明显升高(P<0.05),且观察组上述指标低于对照组(P<0.05)。结论:针灸联合十八段锦治疗能明显改善中风偏瘫患者的运动功能,提高疗效,其机制可能与降低血清MMP-9、EPO、Hcy水平有关,值得进行推广。Objective: To investigate the effect of acupuncture combined with eighteen section brocade on the motor function of apoplectic hemiplegia patients. Methods: Selected 201 cases of patients with apoplectic hemiplegia who were treated in our hospital from January 2017 to December 2019, divided into two groups randomly. The control group was treated with routine therapy, and the observation group was treated with acupuncture combined with eighteen section brocade. Before and after treatment, the serum levels of matrix metalloproteinases-9(MMP-9), erythropoietin(EPO), homocysteine(Hcy), Tinetti gait assessment scale(TGA) and functional walking scale(FAC) were compared between the two groups. Results: The effective rate of the observation group was Acupuncture exercise therapy higher than control group(P<0.05). After treatment, the serum MMP-9, EPO and Hcy levels of the two groups were significantly reduced(P<0.05), FAC classification and TGA score were significantly increased(P<0.05), and the above indicators in the observation group were lower than the control group(P<0.05). Conclusion: Acupuncture combined with eighteen section brocade can significantly improve the motor function and improve the curative effect of stroke hemiplegic patients. The mechanism may be related to the reduction of serum MMP-9, EPO and Hcy levels, and it is worthy of promotion.

关 键 词：针刺运动疗法 针灸 运动功能 中风偏瘫 

分 类 号：R743[医药卫生—神经病学与精神病学] R245[医药卫生—临床医学]