阴阳经对穴针刺法联合康复锻炼治疗脑卒中后肢体运动功能障碍的疗效及对脑血流动力学影响  

Clinical Efficacy of Yin-Yang Meridian Pair Points Needling Combined with Rehabilitation Training in Treatment of Post-Stroke Limb Motor Dysfunction and Its Influence to Cerebral Hemodynamics

作　　者：贾志强 李文婷 费娜 于凯悦 孙雪男 李春峰[2] JIA Zhiqiang;LI Wenting;FEI Na;YU Kaiyue;SUN Xuenan;LI Chunfeng(North Branch,Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar 161000,China;Cancer Hospital Affiliated to Harbin Medical University,Harbin 150081,China)

机构地区：[1]齐齐哈尔市中医医院北院,黑龙江齐齐哈尔161000 [2]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081

出　　处：《针灸临床杂志》2023年第8期19-23,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金联合引导项目,编号:LH2022H063。

摘　　要：目的:探讨阴阳经对穴针刺法联合康复锻炼治疗脑卒中后肢体运动功能障碍的疗效及对脑血流动力学影响。方法:选取2021年3月—2022年8月来本院治疗的脑卒中后肢体运动功能障碍患者206例,采用随机分配的方法分为对照组(104例)和观察组(102例),对照组给予常规康复锻炼,观察组在此基础上联合阴阳经对穴针刺法,比较两组治疗后临床疗效、治疗前后Fugl-Meyer评分、MBI评分、NIHSS评分、症候积分及脑血流动力学指标变化。结果:治疗后观察组疗效明显较高;治疗前两组Vs、Vm和RI值间差异无统计学意义(P>0.05);治疗后两组Vs和Vm较治疗前均明显升高,RI较治疗前均明显降低,差异具有统计学意义(P<0.05),且观察组改善更明显,差异具有统计学意义(P<0.05)。治疗前两组Fugl-Meyer评分、MBI评分和NIHSS评分差异无统计学意义(P>0.05);治疗后两组Fugl-Meyer评分和MBI评分较治疗前均明显升高,NIHSS评分较治疗前均明显降低(P<0.05),且观察组改善更明显,差异具有统计学意义(P<0.05)。治疗前两组Brunnstrom分级差异无统计学意义(P>0.05);治疗后两组Brunnstrom分级较治疗前明显改善,差异具有统计学意义(P<0.05),且观察组改善更明显,差异具有统计学意义(P<0.05)。结论:采用阴阳经对穴针刺法联合康复锻炼治疗脑卒中后肢体运动功能障碍具有较好的疗效,可改善神经功能和脑血流动力学,提高患者肢体运动功能。Objective:To investigate the clinical efficacy of Yin-Yang meridian pair points needling combined with rehabilitation training in treatment of post-stroke limb motor dysfunction and its influence to cerebral hemodynamics.Methods:A total of 206 patients with post-stroke limb motor dysfunction were randomly divided into the control group(n=104)and the observation group(n=102).The control group was treated with routine rehabilitation training;on which basis,the observation group was also treated with Yin-Yang meridian pair points needling.Clinical efficacy was compared between the two groups.Scores of Fugl-Meyer,MBI,NIHSS and symptoms,as well as cerebral hemodynamic indexes were compared between before and after the treatment in the two groups.Results:The curative effect of the observation group was significantly higher than that of the control group(P<0.05).There were no statistical differences in Vs,Vm and RI between the two groups before the treatment(P>0.05);Vs and Vm were significantly increased,and RI was significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05);the improvements were more significant in the observation group than those in the control group(P<0.05).There were no statistical differences in the scores of Fugl-Meyer,MBI and NIHSS between the two groups before the treatment(P>0.05);Fugl-Meyer score and MBI score were significantly increased,and NIHSS score was significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05);the improvements were more significant in the observation group than those in the control group(P<0.05).There was no statistical difference in Brunnstrom grade between the two groups before the treatment(P>0.05);Brunnstrom grade was significantly improved after the treatment compared with that before the treatment in the two groups(P<0.05);the improvement was more significant in the observation group(P<0.05).Conclusion:Yin-Yang meridian pair points needling combined with rehabilita

关 键 词：阴阳经对穴针刺法 康复锻炼 脑卒中 肢体运动功能障碍 脑血流动力学 

分 类 号：R246.6[医药卫生—针灸推拿学]