Clinical observation of body acupuncture combined with FANG’s scalp acupuncture for limb dysfunction in the remission stage of stroke  

体针联合方氏头皮针治疗中风恢复期肢体功能障碍临床观察

作　　者：AI Xiao HU Dan LIU Jing DU Panpan KANG Rong CAI Chaoqun AI Kun LIU Xiaoyu 艾潇;胡丹;刘婧;杜攀攀;康蓉;蔡超群;艾坤;刘晓瑜(Yueyang Hospital of Traditional Chinese Medicine,Hunan Province,Yueyang 414000,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]Yueyang Hospital of Traditional Chinese Medicine,Hunan Province,Yueyang 414000,China [2]Hunan University of Chinese Medicine,Changsha 410208,China

出　　处：《Journal of Acupuncture and Tuina Science》2024年第5期410-416,共7页针灸推拿医学（英文版）

基　　金：岳阳市科技局基础研究指导性计划,No.5001050216.

摘　　要：Objective:To observe the clinical efficacy of body acupuncture combined with FANG’s scalp acupuncture in treating limb dysfunction in the remission stage of stroke and explore the mechanism.Methods:Sixty patients in the remission stage of stroke with limb dysfunction were divided into a control group and a treatment group using the random number table method,with 30 cases in each group.The control group was treated with ordinary acupuncture based on the conventional rehabilitation treatment,and the treatment group was additionally offered FANG’s scalp acupuncture.The interventions were conducted once daily with 10 sessions as 1 course.The Fugl-Meyer assessment(FMA)and Barthel index(BI)scores and serum malondialdehyde(MDA)and superoxide dismutase(SOD)levels were compared after 2 treatment courses,and the clinical efficacy was evaluated.Results:After treatment,the FMA and BI scores increased in both groups(P<0.05)and were higher in the treatment group than in the control group(P<0.05).Both groups showed a decreased MDA level and an increased SOD level after the intervention,all showing statistical significance(P<0.05);there were significant differences between the two groups(P<0.05).Conclusion:Based on the conventional rehabilitation treatment,ordinary acupuncture used alone or in combination with FANG’s scalp acupuncture can lower the oxidative stress level and improve limb function in treating limb dysfunction in the remission stage of stroke;body acupuncture plus FANG’s scalp acupuncture can produce better results.目的:观察体针联合方氏头皮针治疗中风恢复期肢体功能障碍的临床疗效并探讨其作用机制。方法:将60例中风恢复期肢体功能障碍患者按随机数字表法分为对照组和治疗组,每组30例。对照组在常规康复治疗基础上采用普通针刺;治疗组在对照组的基础上加用方氏头皮针治疗。每日治疗1次,10次为1疗程。治疗2个疗程后比较两组Fugl-Meyer评估(FMA)量表及Barthel指数(BI)评分、血清氧化应激因子丙二醛(MDA)与超氧化物歧化酶(SOD)水平,评价临床疗效。结果:治疗后两组FMA及BI评分均较本组治疗前升高(P˂0.05);治疗组评分高于对照组(P˂0.05)。治疗后,两组MDA水平下降,SOD水平上升,与本组治疗前差异均有统计学意义(P˂0.05);治疗组与对照组差异均有统计学意义(P˂0.05)。结论:在常规康复基础上,普通体针及体针联合方氏头皮针治疗均可降低中风恢复期肢体功能障碍患者的氧化应激水平,改善患者肢体功能;体针联合方氏头皮针的效果更佳。

关 键 词：Acupuncture Therapy Body Acupuncture Scalp Acupuncture FANG’s Scalp Acupuncture STROKE Poststroke Syndrome Limb Dysfunction Oxidative Stress 

分 类 号：R246.6[医药卫生—针灸推拿学]