四川中医2024,Vol.42Issue(3):180-184,5.
动针静灸法联合自制上肢训练器对脑卒中患者上肢运动功能、生活质量及S100β、NO、CGRP的影响
Dynamic Acupuncture and Static Moxibustion Combined with Homemade Upper Limb Trainer for Upper Limb Motor Function,Quality of Life,and S100in Stroke Patients β、The impact of NO and CGRP
摘要
Abstract
Objective:The purpose of this study is to explore the effects of dynamic acupuncture and static moxibustion com-bined with a self-made upper limb trainer on upper limb function and S100in stroke patients β、The impact of NO and CGRP.Methods:Sixty-two patients with stroke upper limb dysfunction who were treated in the Department of Rehabilitation Medicine of our hospital from June 2022to January 2023were selected as the study subjects,and were randomly divided into the observation group and the control group.The control group used the self-made upper limb trainer for functional training on the basis of routine treatment.On the basis of the control group,the observation group was added with dynamic acupuncture and static moxibustion.That is,the performer first carries out"static moxibustion",that is,the patient carries out exercise imagination therapy while carrying out medicine cake moxibustion;After that,the exercise acupuncture method was used,that is,the patient was trained with a self-made upper limb trainer while receiving acupuncture.The two groups were treated continuously for 4weeks.Before and after treatment,Fugl-Meyer assessment-upper extremeties(FMA-UE),Modified Ashworth Scale(MAS),Stroke Specific Quality of Life Scale(SS-QOL),laboratory indicators[S100β Protein(S100β)、Nitric oxide(NO),calcitonin gene-related peptide(CGRP)].Results:There was no significant difference in FMA-UE,MAS and SS-QOL scores between the two groups before treatment(P>0.05);After 4weeks of treatment,the three indexes in the two groups were better than those before treat-ment,with statistically significant difference(P<0.05);The scores of FMA-UE and SS-QOL in the observation group were higher than those in the control group,and the scores of MAS were lower than those in the control group,with statistical signifi-cance(P<0.05).In laboratory examination,S100in two groups before treatmentβ、NO and CGRP were not statistically signifi-cant(P>0.05);After 4weeks of intervention,S100in two groups β、The levels of NO and CGRP were significantly higher than those before treatment(P<0.05);The observation group was in S100β It was lower than the control group,but higher in NO and CGRP(P<0.05).Conclusion:Dynamic acupuncture and static moxibustion combined with self-made upper limb trainer can im-prove the upper limb motor function,reduce muscle tension and improve laboratory indicators of hemiplegic patients,which is worthy of further promotion.关键词
动针静灸法/自制上肢训练器/脑卒中/上肢功能Key words
Dynamic acupuncture and static moxibustion/Self-made upper limb trainer/Stroke/Upper limb function分类
医药卫生引用本文复制引用
吴蔚然,赵洪,尹东琼,许颖,冯雪..动针静灸法联合自制上肢训练器对脑卒中患者上肢运动功能、生活质量及S100β、NO、CGRP的影响[J].四川中医,2024,42(3):180-184,5.基金项目
成都市卫生与健康委员会2022年医学科研课题(编号:2022131). (编号:2022131)