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Effect of acupuncture combined with exercise relearning rehabilitation therapy on the recovery of nerve function and limb motor function in patients with cerebral ischemic stroke |
JING Fuquan1 SUN Sa1 WANG Zengliang2 |
1.Department of Acupuncture and Massage, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China; 2.Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China |
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Abstract Objective To observe the effect of acupuncture on nerve function and limb motor function recovery in patients with cerebral ischemic stroke by acupoints of whole body, warm acupuncture of abdominal acupoints and exercise relearning rehabilitation therapy. Methods A total of 90 patients with cerebral ischemic stroke admitted to the First Affiliated Hospital of Xinjiang Medical University from February 2017 to February 2019 were selected. A randomized controlled study was conducted to divide the patients into treatment group and control group according to the random number table, with 45 patients in each group. Before the test, all patients were treated with Western medicine, including blood pressure control, improvement of brain circulation, stabilization of vital signs and prevention of complications. In the treatment group, acupuncture and moxibustion combined with exercise relearning rehabilitation therapy were used as the main treatment, and acupuncture and moxibustion were treated once a day and 10 times as a course of treatment. The control group was given rehabilitation treatment alone, 10 times of rehabilitation treatment for 1 course of treatment, and the patients in the two groups received a total of 2 courses of treatment. The nerve defect function and motor function were evaluated by the nerve defect function rating scale 1995 (CSS) and the international general motion function Fugl-Meyer assessment (FMA), and the clinical efficacy of the two groups of patients was compared. Results There was no significant difference in FMA score and CSS score between the two groups before treatment (P > 0.05). After treatment, FMA score in both groups was higher than before treatment, while CSS score was lower than before treatment. FMA score in the treatment group was higher than that in the control group, while CSS score was lower than that in the control group, with statistically significant differences (P < 0.05). The total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion The improvement of nerve function and limb motor function in patients with ischemic stroke by acupuncture and moxibustion combined with cerebral exercise relearning rehabilitation therapy is superior to rehabilitation therapy alone, and is worthy of further promotion and application in clinic.
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[1] Huang Y,Yang S,Jia J. Factorsrelated tolong-term post-stroke cognitive impairment in young adultischemic stroke [J]. Med Sci Monit,2015,21:654-660.
[2] 洪雁,安中平.2479例缺血性脑卒中登记患者三年随访研究[J].中华老年心脑血管病杂志,2016,18(1):59-63.
[3] 范雅倩,梁楚玲,熊逸潇,等.G蛋白偶联雌激素受体介导的雌激素减轻缺血性脑卒中大鼠神经损伤的作用及机制探讨[J].中华老年心脑血管病杂志,2016,18(10):1086-1089.
[4] 中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010,43(2):147-148.
[5] 国家中医药管理局脑病急症协作组.中风病诊断与疗效标准(试行)[J].北京中医药大学学报,1996,19(1):55-57.
[6] 中华医学会神经病学分会脑血管病学组缺血性脑卒中二级预防指南撰写组.中国缺血性脑卒中和短暂性脑缺血发作二级预防指南2010[J].中国医学前沿杂志:电子版,2011,3(3):84-93.
[7] 王华、杜元灏.针灸学[M].北京:中国中医药出版社,2012.
[8] 王刚,刘琦.神经康复学治疗方法[M].北京:人民卫生出版社,2015.
[9] 倪朝民.脑卒中的临床康复[M].合肥:安徽科学技术出版社,2013:103-107.
[10] 马宇彤,胥广宇.探讨补阳还五汤+针灸治疗缺血性脑卒中后遗症期的临床疗效[J].中国伤残医学,2016,24(2):135-136.
[11] 蒋玉燕,郭良堂.运动想象疗法联合西药、康复训练对脑卒中偏瘫患者平衡功能、表面肌电图的影响[J].中国医药导报,2018,15(5):71-75.
[12] 景福权,周钰,牛相来,等.针刺结合康复运动疗法对缺血性脑卒中恢复期患者肢体运动功能障碍的影响.中华全科医学,2018,16(8):1364-1368.
[13] 朱红霞,肖晓华,易本谊.益气消栓颗粒结合针灸治疗老年气虚血瘀型缺血性脑卒中恢复期老年患者肌力障碍的疗效及机制[J].中国老年学杂志,2015,35(23):6762-6764.
[14] 刘惠如,张斯伟.脑卒中患者偏瘫的康复治疗[J].中华物理医学与康复杂志,2004,26(6):361-362.
[15] 何嫱,张备,李莹莹,等.不同康复方案治疗脑卒中后偏瘫患者的卫生经济学评价[J].中华物理医学与康复杂志,2013,35(4):303-306
[16] 郭洋洋,李义.头针同步进行MOTOmed训练对脑卒中偏瘫患者下肢功能的影响[J].中国医药导报,2018,15(1):106-108,126.
[17] 景福权,汪秀梅,牛相来,等.针刺结合火龙灸法治疗肾虚督寒型神经根型颈椎病的疗效观察[J].针刺研究,2016,41(4):343-346.
[18] 朱德军,杨小琼,袁婉丽.针灸联合通络扶正汤在老年缺血性脑卒中偏瘫早期干预中的临床疗效[J].中国老年学杂志,2014,34(11):2948-2950.
[19] 谈慧.揿针配合功能针治疗缺血性脑卒中后手功能障碍30例疗效观察[J].中国医药科学,2018,8(9):12-15.
[20] 张丹,张春红,孟智宏.“通关利窍”针刺法配合康复训练治疗缺血性中风后吞咽障碍的疗效观察[J].中华中医药杂志,2018,33(4):1649-1652. |
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