|
|
Effect of immediate effect of yin yang balance acupuncture therapy on upper limb motor dysfunction after stroke |
ZHOU Liang1 BAO Chunling1 SHI Cheng2 ZHOU Lifang1 JIAO Zhihua1 MA Shuang1 DONG Hongsheng3 DONG Guirong1 |
1.Department of Acupuncture, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;
2.Department of Preventive Medicine, Shanghai Integrated Traditional Chinese and Western Medicine Hospital, Shanghai 200082, China;
3.Department of Acupuncture Shanghai Acupuncture and Moxibustion Meridian Research Institute, Shanghai 200030, China |
|
|
Abstract Objective To observe the immediate effect of yin yang balance acupuncture therapy on upper limb motor dysfunction after stroke. Methods A total of 66 stroke patients with upper limb motor dysfunction admitted to the Department of Acupuncture, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine from December 2017 to December 2018 were enrolled as the research subjects. They were divided into the experimental group (33 cases) and the control group (33 cases) according to the random number table method. The experimental group was used the yin yang balance acupuncture therapy, and the treatment plan of the control group was the same as that of the experimental group, but the biomechanical feedback manipulation was not performed. The upper limb simplified Fugl-Meyer assessment scale (FMA) scores were compared before treatment, 10, 20 and 30 min after treatment. Results FMA scores in two groups at 10, 20 and 30 min after treatment were higher than those before treatment; FMA scores in the experimental group at 20 and 30 min after treatment were lower than those at 10 min after treatment, and the differences were statistically significant (P < 0.05). Before treatment, there was no significant difference in FMA score between the two groups (P > 0.05). FMA scores in the experimental group were higher than those in control group at 10, 20 and 30 min after treatment, and the differences were statistically significant (P < 0.05). Conclusion Yin yang balance acupuncture therapy can effectively improve the upper limb motor dysfunction of patients with upper limb paralysis, and the immediate effect is the best 10 min after treatment.
|
|
|
|
|
[1] 王伊龙,韩尚容,曹勇,等.中国脑血管病临床管理指南(节选版)——脑血管病高危人群管理[J].中国卒中杂志,2019,14(7):700-708.
[2] 郑苏,彭力,穆敬平.经颅直流电刺激联合分期针刺对脑卒中偏瘫患者上肢运动功能的影响[J].中国医药导报,2020,17(10):86-89.
[3] 牛丽,李彦杰,秦合伟,等.脑卒中后吞咽障碍康复评估和治疗研究进展[J].中国医药导报,2020,17(28):48-51.
[4] 鲍春龄,东贵荣,王海桥,等.阴阳调衡透刺针法为主分期治疗缺血性中风后偏瘫的多中心随机对照临床研究[J].上海中医药杂志,2015,49(6):30-34.
[5] 卫生部疾病控制司,中华医学会神经病学分会.中国脑血管病防治指南(节选)[J].中国现代神经疾病杂志,2007, 7(2):200.
[6] 欧彩娣,李锦才.Brunnstrom技术在脑卒中患者肢体综合训练中应用的疗效观察[J].中外医学研究,2020,18(9):164-166.
[7] 饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007.
[8] 李平,吴钟璇,张如云,等.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[9] 莫燕丽,樊伟,褚江海,等.头穴透刺治疗原发性耳鸣经验[J].环球中医药,2020,13(9):1589-1591.
[10] Amano S,Umeji A, Takebayashi T,et al. Clinimetric properties of the shortened Fugl-Meyer Assessment for the assessment of arm motor function in hemiparetic patients after stroke [J]. TSR,2020,27(4):290-295.
[11] 王俊翔,马良宵,宋越,等.浅析运动类针法在痉挛治疗中的意义[J].中国针灸,2019,39(12):1335-1338.
[12] 何增华,罗冠宇,李建强,等.吴山运用林氏推拿联合运动针法辨治神经根型颈椎病经验[J].中国中医药信息杂志,2020,27(12):116-119.
[13] 潘江,李里,石文英,等.从“穴位动态性”探讨运动针法及带针康复的疗效机制[J].辽宁中医杂志,2019,46(3):618-620.
[14] 黄城琳,黄培冬.运动针法的临床研究进展[J].中国民族民间医药,2015,24(17):33-35.
[15] 杜小正,王金海,鲍春龄,等.头穴捻转补泻手法针刺对急性缺血性中风偏瘫患者肢体肌力的即刻影响:随机对照研究[J].中国针灸,2016,36(1):43-47.
[16] 东贵荣,张宣,李丹,等.头穴针刺治疗急性高血压性脑出血的临床对比研究[J].中国针灸,1994(3):13-15, 58.
[17] 刘建浩,鲍春龄,朱文增,等.针刺头穴治疗中风病偏瘫时发生即刻效应的临床观察[J].中医学报,2013,28(8):1259-1260.
[18] 代金刚.偏瘫后脑功能重塑中针刺即刻效应的临床和fMRI研究[D].北京:北京中医药大学,2008.
[19] 李小娇,MOSTAFIZI NARJES,许可,等.针刺风池穴即刻后效应与视觉皮层功能相关的静息态fMRI研究[J].北京中医药,2019,38(5):413-417.
[20] 刘建浩,陈书俞,莫燕丽,等.头穴透刺治疗急性中风病针刺手法特异性临床研究[J].上海针灸杂志,2018,37(2):144-148.
[21] 刘建浩,王凡,鲍春龄,等.头穴透刺不同刺激法对急性脑卒中疗效的比较[J].中国康复理论与实践,2016,22(1):92-94.
[22] 王壮志,毕可萍.头穴透刺法对脑卒中患者神经功能及血液流变学的影响[J].国际医药卫生导报,2019,25(17):2964-2966.
[23] 王凡,雷慧姝,赵喜,等.头穴透刺对急性脑出血家兔脑组织N-乙酰基天门冬氨酸和胆碱化合物水平的影响[J].针刺研究,2011,36(4):242-246.
[24] 王凡,鲍春龄,焦志华,等.急性脑出血家兔针刺即刻效应的PWI和MRS研究[J].中华中医药杂志,2012,27(4):836-840.
[25] 东贵荣,王钊,吴宝柱,等.头穴治疗急性脑出血即刻效应的机理探讨(Ⅰ:针刺对体感诱发电位的影响)[J].中国针灸,1994(2):26-29.
[26] 陈阳阳.针灸治疗中风偏瘫促进神经功能恢复的疗效观察[J].中国医药科学,2021,11(3):103-105.
[27] 唐萍萍,许骞,陈栋,等.头针刺激层次影响大脑皮层功能的机制探讨[J].针刺研究,2020,45(6):504-507.
[28] 曲良,马贤德.针刺百会、四神聪对脑缺血再灌注损伤模型大鼠缺血半暗带组织NF-κB信号通路的影响[J].吉林中医药,2019,39(2):232-236. |
|
|
|