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Clinical effect of head-spine electroacupuncture combined with Huatan Tongfu Decoction on finger spasm after stroke#br# |
SONG Conglin YANG Jinshan XING Xiaodong |
Department of General, Harbin Traditional Chinese Medicine Hospital, Heilongjiang Province, Harbin 150076, China |
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Abstract Objective To investigate the clinical effect of head-spine electroacupuncture combined with Huatan Tongfu Decoction on finger spasm after stroke. Methods A total of 180 patients with finger spasm after stroke treated in Department of General, Harbin Traditional Chinese Medicine Hospital from January 2020 to January 2021 were selected and they were divided into three groups according to random number table method, with 60 patients in each group. The electroacupuncture group was treated with head-spine electroacupuncture, the decoction group was treated with Huatan Tongfu Decoction, and the combined group was treated with head-spine electroacupuncture combined with Huatan Tongfu Decoction. The improvement of hand symptoms, dyskinesia and clinical effect were observed after 30 days of treatment. Results After treatment, the scores of finger spasm and hand nerve function defect in three groups were lower than before, and those in the combined group were lower than those in electroacupuncture group and decoction group, the differences were statistically significant (P < 0.05); after treatment, the score of hand function in the three groups was all higher than before, and that in the combined group was higher than in the electroacupuncture group and decoction group, the differences were statistically significant (P < 0.05). After treatment, the motor coordination ability score, sensory function score and total score in the three groups were higher than those before treatment, and those in the combined group were higher than those in electroacupuncture group and decoction group, the differences were statistically significant (P < 0.05). After treatment, the clinical effect of combined group was better than electroacupuncture group and decoction group, and the difference was statistically significant (P < 0.05). Conclusion In the clinical treatment of finger spasm after stroke, simultaneous treatment with head-spine electroacupuncture combined with Huatan Tongfu Decoction can effectively improve the total clinical effect.
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[1] 孙远征,李成晨,许娜.经验穴“五关”刺络放血联合头针治疗中风后手指拘挛性瘫痪疗效观察[J].上海针灸杂志,2020,39(4):446-450.
[2] 范红阳.关刺四缝穴对中风后手指痉挛性瘫手功能的影响[J].中国针灸,2019,39(6):593-596.
[3] 刘欢,周建忠,王苗,等.针刺治疗中风后手指过屈疗效及对患者中医症候积分与关节功能相关指标的影响[J].陕西中医,2018,39(10):1466-1469.
[4] 谢乐,伍大华,曹思佳.中风后痉挛性瘫痪病名病位源流探析[J].中医药导报,2019,25(15):9-12.
[5] 严莉,李晶,卫义兰,等.轻点刺络法联合针刺对脑卒中偏身感觉障碍患者 感觉功能和生活质量的影响[J].现代中西医结合杂志,2019,28(17):1856-1860.
[6] 于学平,魏铭胤,邹伟,等.针刺“腰痛穴”治疗中风后手指拘挛临床疗效观察[J].中医药学报,2021,49(1):27-30.
[7] 蔡业峰.缺血中风诊断与治疗[M].北京:人民军医出版社,2011:405-406.
[8] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:99-104.
[9] 吴跃迪,李放,熊莉.改良Ashworth量表及改良Tardieu量表应用于卒中患者屈肘肌评估的信度比较[J].中国康复医学杂志,2013,28(12):1151-1152.
[10] Fugl-Meyer AR,Jaasko L,Leyman I,et al. The post-stroke hemiplegic patient [J]. Scand J Rehabil Med,1975,7:13-31.
[11] 全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996, 29(6):381-383.
[12] 顾旭东.Lindmark平衡评估在偏瘫康复评定中的效度研究[C]//第三届康复医学青年学术会议论文集,南京,1999:138.
[13] 盛莉.脑卒中患者临床神经功能缺损程度评分标准[J].中国乡村医药,1995(1):45.
[14] 陈孝男,杨爱琳,赵亚楠,等.缺血性脑中风的发病机制及其常用治疗中药研究进展[J].中国中药杂志,2019, 44(3):422-432.
[15] 慕容志苗,牛红月.芒针透刺为主治疗中风后肩手综合征35例[J].中国针灸,2018,38(5):527-528.
[16] 赵凌飞,牛红月.醒脑开窍针法结合三间交叉透刺法治疗中风后手指拘挛30例[J].中国针灸,2020,40(9):923-924.
[17] 王杰,宋春波.芪蛭通络胶囊治疗气虚血瘀型中风后遗症患者的疗效观察[J].中国中西医结合急救杂志,2018(2):85-96.
[18] 温彬,康丽娟,靳丽丽.藏红花应用于中风后遗症恢复治疗的价值[J].中国医药导报,2020,17(31):150-153.
[19] 张旖旎,李非洲,王平,等.王平从培调元气论治中风后遗症的经验[J].中华中医药杂志,2021,36(2):866-868.
[20] 刘勇,范红阳.关刺四缝穴对中风后手指痉挛性瘫手功能的影响[J].中国针灸,2019,39(6):593-596.
[21] 唐林.中西医结合治疗对脑卒中后遗症患者功能恢复的影响[J].中国当代医药,2021,28(3):193-195,199.
[22] 陈瑶,王莹莹,王传凯,等.低频经皮穴位电刺激对脑卒中后遗症期手和上肢功能障碍的疗效[J].中国康复理论与实践,2018,24(12):1371-1375.
[23] 姚雪青,潘良德.头针联合体针对脑卒中后遗症患者脑血流的影响[J].世界中医药,2018,13(4):963-965.
[24] 齐丛会,田瑶,赵景茹,等.针刺治疗卒中后手指拘挛meta分析[J].脑与神经疾病杂志,2019,27(10):630-636.
[25] 杨金山,宋聪琳,邢晓东.头脊电针结合作业疗法治疗中风后手指拘挛60例[J].中医药信息,2018,35(6):42-44.
[26] 朱贝子.化痰通腑汤治疗中风急性期的临床价值分析[J].中国医药指南,2020,18(12):183-184.
[27] 李一平,谢宁,王素,等.地黄饮子加减治疗中风后遗症的研究进展[J].辽宁中医杂志,2019,46(8):1786-1788. |
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