MOTOmed训练联合芒针透刺法对脑梗死偏瘫患者脑血流动力学和脑内神经递质的影响  

Effects of MOTOmed Training Combined with Awn Needle Oenetration Acupuncture on Cerebral Hemodynamics and Brain Neurotransmitters in Patients with Cerebral Infarction Hemiplegia

作　　者：卫婧雅 杜芳 李敏 任鲜卉 刘丽娟 WEI Jing-ya;DU Fang;LI Min;REN Xian-hui;LIU Li-juan(Department of Neurology,The First Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi,710000,China)

机构地区：[1]空军军医大学第一附属医院神经内科,陕西西安710000

出　　处：《现代生物医学进展》2024年第21期4191-4193,共3页Progress in Modern Biomedicine

基　　金：陕西省自然科学基础研究计划项目(2020JM-338)。

摘　　要：目的:探讨MOTOmed训练联合芒针透刺法对脑梗死偏瘫患者脑血流动力学和脑内神经递质的影响。方法:采用随机数字表法将115例脑梗死偏瘫患者分为对照组(57例,MOTOmed训练)和研究组(58例,MOTOmed训练联合芒针透刺法)。对比两组脑血流动力学、脑神经递质指标[5-羟色胺(5-HT)、去甲肾上腺素(NE)、多巴胺(DA)]、肌张力改善情况。结果:和对照组治疗后比较,研究组大脑前、中、后动脉的平均血流速度更高,NE水平更低,5-HT、DA水平更高(P<0.05)。研究组治疗后肌张力分级的改善效果优于对照组(P<0.05)。结论:MOTOmed训练联合芒针透刺法用于脑梗死偏瘫患者,可改善肌张力、脑血流动力学和脑内神经递质。Objective:To explore the effect of MOTOmed training combined with awn needle penetration acupuncture on cerebral hemodynamics and brain neurotransmitters in patients with cerebral infarction hemiplegia.Methods:115 patients with cerebral infarction hemiplegia were divided into control group(57 cases,MOTOmed training)and study group(58 cases,MOTOmed training combined with awn needle penetration acupuncture)by random number table method.Cerebral hemodynamics,brain neurotransmitters indexes[5-hydroxytryptamine(5-HT),norepinephrine(NE),dopamine(DA)]and muscle tension improvement were compared between two groups.Results:Compared with control group after treatment,the average blood flow velocity of the anterior,middle and posterior cerebral arteries were higher,the NE level was lower,and the 5-HT and DA levels were higher(P<0.05).The improvement effect of muscle tension grading in study group was better than that in control group after treatment(P<0.05).Conclusion:MOTOmed training combined with awn needle penetration method in patients with cerebral infarction hemiplegia,which can improve muscle tension,cerebral hemodynamics and brain neurotransmitters.

关 键 词：芒针透刺法 MOTOmed训练 脑梗死 偏瘫 血流动力学 神经递质 

分 类 号：R743[医药卫生—神经病学与精神病学]