针刺推拿结合八段锦改善早中期帕金森病患者运动功能临床观察
Clinical observation of acupuncture and Tuina combined with Ba Duan Jin in improving motor function in patients with Parkinson disease in the early and middle stages
摘要
Abstract
Objective:To observe the improving effect of acupuncture and Tuina(Chinese therapeutic massage)combined with Ba Duan Jin(Eight-brocade Exercise)on motor function in patients with Parkinson disease(PD)in the early and middle stages. Methods:Seventy patients with early-or middle-stage PD were randomly divided into a control group and an observation group,with 35 patients in each group.The control group was given conventional treatment such as oral levodopa hydrochloride tablets;the observation group was treated with acupuncture,Tuina,and Ba Duan Jin in addition to the control group's treatment.Acupuncture and Tuina were administered twice a week,and Ba Duan Jin was performed five times a week.Each course of treatment lasted 4 weeks,and a total of 3 courses were completed.The changes in the unified Parkinson disease rating scale Ⅲ(UPDRS Ⅲ)score,Berg balance scale(BBS)score,15-meter walking speed,and 6-minute walk distance were compared between the two groups. Results:The total effective rate in the observation group was 93.6%,which was significantly higher than 45.7%in the control group(P<0.01).After 4,8,and 12 weeks of treatment,the UPDRS Ⅲ score in the observation group was significantly lower than the previous score(P<0.05);the BBS score was significantly higher than the previous score(P<0.05),and the 6-minute walk distance also significantly increased compared to the previous result(P<0.05).After 8 and 12 weeks of treatment,the 15-meter walking speed in the observation group was significantly higher than that before treatment and the previous measurement(P<0.05).In comparison with the control group,the observation group showed significantly lower UPDRS Ⅲ scores after 8 and 12 weeks of treatment(P<0.05).Additionally,after 4,8,and 12 weeks of treatment,the observation group had significantly higher BBS scores,15-meter walking speed,and the 6-minute walk distance than the control group(P<0.05).There were no significant differences in the above indicators before and after treatment in the control group(P>0.05). Conclusion:The addition of acupuncture,Tuina,and Ba Duan Jin to Western medication treatment can effectively improve motor function,balance ability,and walking ability in patients with early-or middle-stage PD.关键词
针刺疗法/推拿/按摩/八段锦/功法/帕金森病/运动活动Key words
Acupuncture Therapy/Tuina/Massage/Eight-brocade Exercise/Gongfa/Parkinson Disease/Motor Activity分类
医药卫生引用本文复制引用
曾亮,顾尤,胡嘉威,杨化兰,董晓薇,潘国良,周飞,刘灵儿..针刺推拿结合八段锦改善早中期帕金森病患者运动功能临床观察[J].针灸推拿医学（英文版）,2025,23(2):151-158,8.基金项目
This study was supported by Special Fund for People's Livelihood Research Medical and Health Project of Science and Technology Development Fund in Shanghai Pudong New Area(上海市浦东新区科技发展基金民生科研专项资金医疗卫生项目,No.PKJ2020-Y107) （上海市浦东新区科技发展基金民生科研专项资金医疗卫生项目,No.PKJ2020-Y107）
Young Medical Talents Training Program of Pudong Health Bureau of Shanghai(上海市浦东新区卫生系统优秀青年医学人才培养计划,No.PWRq2024-50) （上海市浦东新区卫生系统优秀青年医学人才培养计划,No.PWRq2024-50）
TCM Inheritance&Innovation Development Demonstration Pilot Projects in Shanghai Pudong New Area(上海浦东新区中医药传承创新发展示范试点项目,No.YC-2023-0128,No.YC-2023-0129,No.YC-2023-0202,No.YC-2023-0607) （上海浦东新区中医药传承创新发展示范试点项目,No.YC-2023-0128,No.YC-2023-0129,No.YC-2023-0202,No.YC-2023-0607）
Outstanding Leaders Training Program of Pudong Health Bureau of Shanghai(上海市浦东新区卫生系统领先人才培养计划,No.PWRl2023-08) （上海市浦东新区卫生系统领先人才培养计划,No.PWRl2023-08）
Improvement Incubation Project of TCM Characteristic Specialty and TCM Emergency Ability in Shanghai"14th Five-Year Plan"(上海市"十四五"中医特色专科和中医急诊能力提升孵化项目,No.ZYTSZK2-1). （上海市"十四五"中医特色专科和中医急诊能力提升孵化项目,No.ZYTSZK2-1）
