Kāiqiàotōngluòacupuncture combined with repetitive transcranial magnetic stimulation for the treatment of hand dysfunction after stroke  

开窍通络针刺法配合重复经颅磁刺激治疗脑卒中后手功能障碍临床应用研究

作　　者：Xue CAO Xiu-ling PU Wen-juan MA Gang XU Wei-hua ZHANG 曹雪;蒲秀玲;马文娟;徐刚;张卫华(咸阳市中心医院康复医学科,咸阳712000;陕西中医药大学第二附属医院,咸阳712000)

机构地区：[1]Department of Rehabilitation Medicine,Xianyang Central Hospital,Xianyang 712000,China [2]The Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China

出　　处：《World Journal of Acupuncture-Moxibustion》2022年第2期137-141,共5页世界针灸杂志（英文版）

基　　金：Supported by The 2nd TCM Master Inheritance Studio Construction Project:2015,10;Shaanxi Province famous TCM doctor Zhang Wei-hua Inheritance Studio Construction Project:2,019,022;Academic Schools Inheritance Project of Shaanxi Provincial Administration of Traditional Chinese MedicineShaanxi Traditional Chinese Medicine[2018]no.40;Key Research and Development project of Xianyang Science and Technology Bureau:2019K02-92;Research innovation project of Xianyang Central Hospital:2019Q05。

摘　　要：Objective:To observe the clinical improvement of Kāiqiàotōngluò(induce resuscitation and remove obstruction in meridians)acupuncture combined with repetitive transcranial magnetic stimulation(rTMS)in patients with hand dysfunction after stroke,and to provide evidence for its extensive application in the future.Methods:Sixty patients with the problem of hand dysfunction were divided into the observation group and the control group randomly.The two groups of patients were treated with the basic treatment,the observation group received Kdiqiaotongluo acupuncture combined with rTMS,and the control group only received the rTMS treatment.Broetz hand function scale,hemiplegic hand function grading,and modified Barthel index were used to evaluate the hand function of the patients in two groups before and after treatment.Results:After treatment,Broetz score of the patients in observation group and control group were significantly lower than that before treatment,and Broetz score of the patients in observation group was lower than that of control group(all P<0.05);As for the hemiplegic hand function grading,24 cases in the observation group improved,the improvement rate was 80.0%,and 8 cases in the control group improved,the improvement rate was only 26.7%.The improvement rate of observation group was significantly better than that of control group(P<0.01);the Barthel index scores of the observation group and the control group were significantly improved after treatment,and the observation group was better than the control group(both P<0.05).Conclusion:The Kāiqiàotōngluòacupuncture combined with rTMS can improve the hand dysfunction of patients after stroke,and it is worthy of clinical application.

关 键 词：ACUPUNCTURE KāiqiàotOngluò(induce resuscitation and remove obstruction in meridians) Repetitive transcranial magnetic stimulation(rTMS) Hand dysfunction STROKE 

分 类 号：R246.6[医药卫生—针灸推拿学]