陕西中医2024，Vol.45Issue(9)：1262-1265,4.DOI:10.3969/j.issn.1000-7369.2024.09.026
针刺夹脊穴联合通督调神针刺治疗中风后平衡障碍临床研究
Clinical study on acupuncture at Jiaji point combined with Tongdu Tiaoshen acupuncture in the treatment of post-stroke balance disorders
摘要
Abstract
Objective:To observe the clinical effects of acupuncture at Jiaji point combined with Tongdu Tiaosh-en acupuncture in the treatment of post-stroke balance disorders.Methods:A total of 67 patients with post-stroke bal-ance disorders were included in this study.Using the random number table method,the subjects were assigned to the control group(34 cases,conventional treatment and Tongdu Tiaoshen acupuncture)and the experimental group(33 cases,acupuncture at Jiaji point on the basis of the treatment of control group).Both groups were treated for 4 weeks.After treatment,the patients'balance function,limb function,activities of daily living and walking function were evaluated using the Berg Balance Scale(BBS),Fugl-Meyer assessment scale-balance(FMB),Modified Barthel Index(MBI)and Holden Functional Walking Classification(FAC),respectively.The changes in biochemical indica-tors such as D-Dimer(DD),homocysteine(Hcy)and high-sensitivity C-reactive protein(hs-CRP)were observed.The overall efficacy was evaluated.Results:After 4 weeks of treatment,BBS score,FMB score,MBI score and FAC score of the experimental group[(41.56±7.01),(13.22±1.62),(70.13±6.92)and(3.84±1.07)]were signifi-cantly higher than those in the control group(P<0.05).The levels of Hcy,DD and hs-CRP in the experimental group[(15.42±3.22)μmol/L,(372.46±39.58)μg/L and(5.61±1.03)mg/L]were significantly lower than those in the control group(P<0.05).The total effective rate of the experimental group(96.97%)was significantly better than that of the control group(P<0.05).Conclusion:Acupuncture at Jiaji point combined with Tongdu Tiaoshen acupuncture is effective to treat post-stroke balance disorders,which can improve the patients'limb func-tion,activities of daily living,walking ability and coagulation function,and reduce inflammatory response.关键词
中风/平衡障碍/夹脊穴/通督调神/针刺/同型半胱氨酸/D-二聚体/超敏C反应蛋白/Barthel指数Key words
Stroke/Balance disorder/Jiaji acupoint/Tongdu Tiaoshen/Acupuncture/Homocysteine/D-Dimer/High-sensitivity C-reactive protein/Modified Barthel Index分类
医药卫生引用本文复制引用
罗春梅,李佩芳,刘霞,王涛,浦芳,刘睿..针刺夹脊穴联合通督调神针刺治疗中风后平衡障碍临床研究[J].陕西中医,2024,45(9):1262-1265,4.基金项目
安徽省科技攻关计划项目(1604A0802086) （1604A0802086）
安徽省临床医学研究转化专项课题(202304295107020113) （202304295107020113）
安徽省中医药领军人才培养对象项目[中医药发展秘(2018)23号] （2018）
李佩芳安徽省名中医工作室建设项目[皖卫中药发(2019)8号] （2019）
安徽省第十三批"115"产业创新团队"针药结合防治脑病产业创新团队"项目[皖人才办(2020)4号] （2020）
