第二掌骨桡侧全息疗法治疗脑梗死后假性球麻痹临床研究  

Clinical Study on Treatment of Pseudobulbar Palsy After Cerebral Infarction with Holographic Therapy on Radial Side of the Second Metacarpal Bone

作　　者：曾敏俊 吕金丹 ZENG Minjun;LYU Jindan(The Affiliated Guangzhou Hospital of Traditional Chinese Medicine of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510100,China;The Affiliated Traditional Chinese Medicine Hospital,Guangzhou Medical University,Guangzhou Guangdong 510100,China)

机构地区：[1]广州中医药大学附属广州中医医院,广东广州510100 [2]广州医科大学附属中医医院,广东广州510100

出　　处：《新中医》2024年第23期92-96,共5页New Chinese Medicine

基　　金：广东省中医药局科研课题项目(20211292)。

摘　　要：目的:观察第二掌骨桡侧全息疗法治疗脑梗死后假性球麻痹(PBP)的疗效。方法:选取112例脑梗死后PBP患者,按随机数字表法分为对照组、舌三针组及治疗组各38例,因对照组、治疗组各1例未能按照治疗方案执行而脱落,最终舌三针组38例,对照组、治疗组各37例。对照组给予常规脑血管病治疗和吞咽功能障碍治疗,舌三针组在对照组基础上给予舌三针治疗,治疗组在对照组基础上予以第二掌骨桡侧全息疗法。3组均治疗14 d。比较3组石氏评分法临床疗效及洼田氏饮水试验临床疗效,比较3组治疗前后美国国立卫生研究院卒中量表评分(NIHSS)、内皮素-1(ET-1)、降钙素基因相关肽(CGRP)水平的变化。结果:治疗后,3组NIHSS评分均较治疗前下降(P<0.05),舌三针组、治疗组均低于同一时间段对照组,差异均有统计学意义(P<0.05)。对照组石氏评分法临床疗效总有效率为62.16%,舌三针组石氏评分法临床疗效总有效率为92.10%,治疗组石氏评分法临床疗效总有效率为89.19%,舌三针组、治疗组石氏评分法临床疗效均高于对照组,差异有统计学意义(P<0.05)。对照组洼田氏饮水试验临床疗效总有效率为65.57%,舌三针组洼田氏饮水试验临床疗效总有效率为89.47%,治疗组洼田氏饮水试验临床疗效总有效率为89.19%,舌三针组、治疗组洼田氏饮水试验临床疗效均高于对照组,差异有统计学意义(P<0.05)。治疗14 d后,3组血清ET水平均较治疗前下降(P<0.05),舌三针组、治疗组均低于对照组,差异均有统计学意义(P<0.05)。治疗后,3组血清CGRP水平均较治疗前升高(P<0.05),舌三针组、治疗组均高于对照组,差异均有统计学意义(P<0.05)。结论:第二掌骨桡侧全息疗法治疗PBP可缓解临床症状,改善脑部血流,提高生活质量,促进神经功能恢复。Objective:To observe the curative effect of holographic therapy on radial side of the second metacarpal bone on pseudobulbar palsy(PBP)after cerebral infarction.Methods:A total of 112 patients with PBP after cerebral infarction were selected and randomly divided into the control group,the tongue tri-needle group,and the treatment group,with 38 cases in each group.One case in the control group and one case in the treatment group failed to follow the treatment plan and fell out,resulting in 38 cases in the tongue tri-needle group,37 cases in the control group,and 37 cases in the treatment group.The control group received conventional treatment for cerebrovascular disease and swallowing dysfunction;the tongue tri-needle group received tongue tri-needle treatment on the basis of the control group;the treatment group received holographic point therapy on the radial side of the second metacarpal bone on the basis of the control group.All the three groups were treated for 14 days.Compared the clinical efficacy of the three groups using the Shi's scoring method and the Kubota Water Swallow Test,and compared the changes in the National Institutes of Health Stroke Scale score(NIHSS),endothelin-1(ET-1),and calcitonin gene-related peptide(CGRP)levels before and after treatment in the three groups.Results:After treatment,the NIHSS scores in all the three groups were decreased when compared with those before treatment(P<0.05),the scores in the tongue tri-needle group and the treatment group were lower than those in the control group at the same time period,differences being significant(P<0.05).The total effective rate of the Shi's scoring method was 62.16%in the control group,92.10%in the tongue tri-needle group,and 89.19%in the treatment group;the clinical effects of the Shi's scoring method in the tongue tri-needle group and the treatment group were higher than that in the control group,the difference being significant(P<0.05).The total effective rate of Kubota Water Swallow Test was 65.57%in the control group,89.47%in the t

关 键 词：脑梗死 假性球麻痹 第二掌骨桡侧 全息疗法 内皮素-1 

分 类 号：R743.33[医药卫生—神经病学与精神病学]