摘要
目的:分析运动想象针法配合经颅电刺激对气虚血瘀证中风后偏瘫患者脑血流动力学及肢体功能的影响。方法:选取本院2020年1月—2022年3月收治的气虚血瘀证中风后偏瘫患者168例,采用随机数字表分为4组,各42例。对照组采用常规康复治疗,A组采用常规康复+经颅电刺激,B组采用常规康复+运动想象针法,C组采用常规康复+经颅电刺激+运动想象针法。比较4组治疗前后症状评分、临床疗效、治疗前后脑血流动力学及肢体功能与不良反应。结果:4组治疗后主症、次症和总评分均下降,差异具有统计学意义(P<0.05),且治疗后A组、B组与C组评分均低于对照组,差异具有统计学意义(P<0.05),C组均低于A组、B组,差异具有统计学意义(P<0.05);4组临床疗效分布,差异具有统计学意义(P<0.05),且C组总有效率高于对照组,差异具有统计学意义(P<0.05);4组治疗后大脑中动脉(MCA)、前动脉(ACA)、后动脉(PCA)及基底动脉(BA)血流速度、上肢和下肢功能评分均升高,差异具有统计学意义(P<0.05),且治疗后A组、B组和C组均高于对照组,差异具有统计学意义(P<0.05),C组均高于A组、B组,差异具有统计学意义(P<0.05);4组不良反应发生率差异无统计学意义(P>0.05)。结论:对气虚血瘀证中风后偏瘫患者采用运动想象针法、经颅电刺激治疗均可减轻症状、增强疗效、改善脑血流动力学及肢体功能,二者配合使用的作用更强、效果更佳且安全。
Objective:To analyze the effect of motor imaginary acupuncture combined with transcranial electrical stimulation on cerebral hemodynamics and limb function of hemiplegic patients after stroke with the syndrome of Qi deficiency and blood stasis.Methods:168 patients with post-stroke hemiplegia due to Qi deficiency and blood stasis were randomly divided into the control group,group A,group B and group C,with 42 patients in each group.The control group was treated with conventional rehabilitation,group A was treated with conventional rehabilitation plus transcranial electrical stimulation,group B was treated with conventional rehabilitation plus motor imaginary acupuncture,and group C was treated with conventional rehabilitation,transcranial electrical stimulation and motor imaginary acupuncture.The symptom scores,clinical curative effect,cerebral hemodynamics,limb function and adverse reactions were compared among the four groups before and after the treatment.Results:After the treatment,the scores of main symptoms and secondary symptoms,as well as the total scores were decreased in the four groups(P<0.05),and the scores of group A,group B and group C were lower than those of the control group(P<0.05);the scores of group C were lower than those of group A and group B(P<0.05).There was a statistically significant difference in the distribution of clinical curative effect among the four groups(P<0.05),and the total effective rate of group C was higher than that of the control group(P<0.05).After the treatment,the blood flow velocities of middle cerebral artery(MCA),anterior cerebral artery(ACA),posterior cerebral artery(PCA)and basilar artery(BA)and the functional scores of upper and lower limbs were increased in the four groups(P<0.05),which were higher in group A,group B and group C than those in the control group(P<0.05);and the blood flow velocities and the functional scores were higher in group C than those in group A and group B(P<0.05).There was no statistical difference in the incidences of adverse reactions among the four groups(P>0.05).Conclusion:Both motor imaginary acupuncture and transcranial electrical stimulation can reduce symptoms,enhance efficacy and improve cerebral hemodynamics and limb function in treatment of post-stroke hemiplegia with the syndrome of Qi deficiency and blood stasis.The combination of the two has stronger effect and better efficacy,which is safety.
作者
成金洋
关荣杓
尚官红
CHENG Jinyang;GUAN Rongshao;SHANG Guanhong(Nanyang ZHANG Zhongjing Hospital,Nanyang 473000,China)
出处
《针灸临床杂志》
2023年第10期32-37,共6页
Journal of Clinical Acupuncture and Moxibustion
关键词
运动想象针法
经颅电刺激
中风
偏瘫
脑血流动力学
肢体功能
Motor imaginary acupuncture
Transcranial electrical stimulation
Stroke
Hemiplegia
Cerebral hemodynamics
Limb function
