上海针灸杂志2025，Vol.44Issue(2)：183-189,7.DOI:10.13460/j.issn.1005-0957.2025.02.0183
基于多模式影像技术观察针刺对卒中后肢体功能障碍的影响
Effect of acupuncture on post-stroke limb dysfunction based on multimodal imaging technique
摘要
Abstract
Objective To observe the effect of acupuncture on post-stroke limb dysfunction by multimodal imaging technique.Method A total of 116 patients with ischemic stroke confirmed by cranial MRI were selected and randomly divided into an acupuncture group(60 cases)and a rehabilitation group(56 cases).The rehabilitation group was treated with secondary prevention drugs for cerebrovascular diseases and routine neurological treatment,and was accompanied by limb function rehabilitation training;the acupuncture group was treated with acupuncture on the basis of the rehabilitation group.The Brunnstrom stage changes,apparent diffusion coefficient(ADC)and fractional anisotropy(FA)in diffusion tensor image(DTI)and cerebral perfusion imaging to detect infarct area and collateral circulation were compared between the two groups before and after treatment.Result After treatment,Brunnstrom staging was better in the acupuncture group than in the rehabilitation group(P＜0.05).The ADC value of both groups was lower than that before treatment(P＜0.05),and the FA value of both groups was higher than that before treatment(P＜0.05).The infarct area of both groups did not progress significantly compared with that before treatment(P＞0.05),decreased slightly but not significantly.The collateral circulation of both groups improved significantly after treatment(P＜0.05),and the collateral circulation of the acupuncture group was better than that of the rehabilitation group after treatment(P＜0.05).Conclusion On the basis of conventional treatment and rehabilitation training,acupuncture may improve limb function after stroke by stimulating the primary cortex to be active,increasing cerebral blood flow,especially increasing peri-infarct collateral circulation,strengthening the connectivity between the motor cortex in the infarcted area and the related brain areas,and further activating the function of the cortical fiber tracts.关键词
针刺疗法/电针/康复训练/卒中/中风后遗症/功能障碍Key words
Acupuncture therapy/Electroacupuncture/Rehabilitation training/Stroke/Post-stroke sequelae/Functional impairment分类
医药卫生引用本文复制引用
吴文宝,范道丰,郑冲,陈银娟,郭芳,阙彬福,连清清,邱蕊..基于多模式影像技术观察针刺对卒中后肢体功能障碍的影响[J].上海针灸杂志,2025,44(2):183-189,7.基金项目
福建省自然科学基金项目(2023J011879) （2023J011879）
福建省卫生健康委员会中医药专项课题(2021zylc55) （2021zylc55）
龙岩市科技局重点项目(2023LYF17043) （2023LYF17043）
