上海针灸杂志2024，Vol.43Issue(12)：1307-1312,6.DOI:10.13460/j.issn.1005-0957.2024.12.1307
温针灸联合冲击波对卒中后手功能和认知功能的影响
Effects of warming needle combined with shock wave on hand function and cognitive function after stroke
摘要
Abstract
Objective To observe the effects of warming needle combined with shock wave on hand function,cognitive function and serum inflammatory factors levels in stroke patients.Method A total of 100 stroke patients were randomly divided into a control group(50 cases)and an observation group(50 cases).Both groups were treated with conventional rehabilitation therapy,while the control group was treated with shock wave therapy and the observation group was treated with warming needle on the basis of the control group.The changes of Fugl-Meyer assessment scale(FMA)and Montreal cognitive assessment(MoCA)scores were observed before treatment,after 1-week treatment,after 6-week treatment and after treatment.The changes of serum homocystinemia(Hcy),nitric oxide(NO),CNS-specific protein S100-β and the inflammatory factors[interleukin-6(IL-6),hypersensitive C-reactive protein(hs-CRP)and tumor necrosis factor-α(TNF-α)]were observed in both groups before and after treatment.Result Before treatment and after 1-week treatment,there was no statistically significant difference in FMA scores of wrist and hand function between the two groups(P＞0.05).After 6-week treatment and after treatment,the FMA scores of wrist and hand functions increased in both groups(P＜0.05),and those in the observation group was higher than those in the control group(P＜0.05).Before treatment,after 1-week treatment and after 6-week treatment,there was no statistically significant difference between the MoCA scores of the two groups(P＞0.05).After treatment,the MoCA scores of both groups increased(P＜0.05),and those in the observation group was higher than those in the control group(P＜0.05).Before treatment,there was no statistically significant difference in the levels of serum Hcy,NO,S100-β,IL-6,hs-CRP and TNF-α between the two groups(P＞0.05).After treatment,the serum levels of Hcy,NO,S100-β,IL-6,hs-CRP and TNF-α were reduced in both groups(P＜0.05),and those in the observation group was lower than those in the control group(P＜0.05).Conclusion On the basis of conventional rehabilitation therapy,warming needle combined with shock wave therapy can better promote the recovery of hand function after stroke,improve the cognitive function of the patients,which is better than shock wave therapy alone,and reduce the levels of serum Hcy,NO,and S100-β,as well as the levels of serum inflammatory factors.关键词
针灸疗法/温针疗法/卒中/中风后遗症/运动功能/认知功能/炎症因子Key words
Acupuncture therapy/Needle warming therapy/Stroke/Post-stroke sequelae/Motor function/Cognitive function/Inflammatory factor分类
医药卫生引用本文复制引用
刘红,艾瑛煊,孙雪,马欣,程为平..温针灸联合冲击波对卒中后手功能和认知功能的影响[J].上海针灸杂志,2024,43(12):1307-1312,6.基金项目
秦皇岛市科学技术研究与发展计划项目(202004A068) （202004A068）
