椎针通督循经疗法对脑中风患者肢体痉挛状态的影响
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摘要
目的:探讨椎针通督循经疗法对脑中风患者肢体痉挛状态的影响。方法:选取脑中风患者82例,随机对照分为两组,对照组41例予以传统针刺治疗,研究组41例予以椎针通督循经疗法治疗。评价并记录两组肢体痉挛程度评分、生存质量、炎症指标、临床疗效。结果:对照组有效率73.17%,研究组有效率92.68%,两组比较,差异具有统计学意义(P<0.05);两组患者治疗后肢体痉挛程度评分均显著下降,研究组患者治疗后肘关节、腕关节、膝关节、踝关节肢体痉挛程度评分显著低于对照组,差异具有统计学意义(P<0.05);研究组患者治疗后血清超敏C反应蛋白、白细胞介素-6及白细胞介素-1β水平降低,且水平低于对照组;研究组治疗后综合康复能力、日常生活能力显著升高,且均高于对照组,美国国立卫生研究院卒中量表评分显著降低,且低于对照组(P<0.05)。结论:相对于传统针刺,采用椎针通督循经疗法能够改善脑中风患者肢体痉挛状态,提高生存质量,效果显著。
Objective:To explore the effect of Zhuizhen Tongdu Xunjing therapy on limb spasm in patients with stroke.Methods:82 patients with stroke were randomly divided into two groups.41 patients in the control group were treated with traditional acupuncture.41 patients in the study group were treated with Zhuizhen Tongdu Xunjing therapy.The scores of limb spasm,quality of life,inflammation index and clinical efficacy of the two groups were evaluated and recorded.Results:The effective rate was 73.17% in the control group and 92.68% in the study group.There was a significant difference between the two groups(P<0.05).After treatment,the scores of limb spasm in the study group and the control group decreased significantly.The scores of elbow joint,wrist joint,knee joint and ankle joint in the study group were significantly lower than those in the control group.The difference was statistically significant(P<0.05).The serum levels of high-sensitivity C-reactive protein,interleukin-6 and interleukin-1β were decreased in the study group after treatment,and the level was lower than that of the control group.The comprehensive rehabilitation ability and daily living ability of the study group were significantly higher than those of the control group after treatment.The National Institutes of Health Stroke Scale score was significantly lower than that of the control group(P<0.05).Conclusion:Compared with traditional acupuncture,the use of Zhuizhen Tongdu Xunjing therapy can improve the spasm of limbs of stroke patients,improve the quality of life,and the effect is remarkable.
Objective:To explore the effect of Zhuizhen Tongdu Xunjing therapy on limb spasm in patients with stroke.Methods:82 patients with stroke were randomly divided into two groups.41 patients in the control group were treated with traditional acupuncture.41 patients in the study group were treated with Zhuizhen Tongdu Xunjing therapy.The scores of limb spasm,quality of life,inflammation index and clinical efficacy of the two groups were evaluated and recorded.Results:The effective rate was 73.17% in the control group and 92.68% in the study group.There was a significant difference between the two groups(P<0.05).After treatment,the scores of limb spasm in the study group and the control group decreased significantly.The scores of elbow joint,wrist joint,knee joint and ankle joint in the study group were significantly lower than those in the control group.The difference was statistically significant(P<0.05).The serum levels of high-sensitivity C-reactive protein,interleukin-6 and interleukin-1β were decreased in the study group after treatment,and the level was lower than that of the control group.The comprehensive rehabilitation ability and daily living ability of the study group were significantly higher than those of the control group after treatment.The National Institutes of Health Stroke Scale score was significantly lower than that of the control group(P<0.05).Conclusion:Compared with traditional acupuncture,the use of Zhuizhen Tongdu Xunjing therapy can improve the spasm of limbs of stroke patients,improve the quality of life,and the effect is remarkable.
引文
[1]陈瑞云.中医综合疗法治疗中风肢体痉挛症49例[J].中国中医药现代远程教育,2015,13(5):19-21.
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[11]劳祥婷.针刺督脉及被动运动对脑卒中后肢体痉挛的脑功能即时效应的影响[D].成都:成都中医药大学,2014.
[12]余芳菲,郑侠海,许能贵(指导).调任通督针刺法治疗缺血性中风后痉挛性偏瘫32例临床观察[J].云南中医中药杂志,2013,34(7):50-52.
[13]许晓斌.温针灸联合中药湿热敷治疗脑中风后肢体痉挛临床观察[J].亚太传统医药,2014,10(24):62-63.
[14]杨兴旺,张辉,丁智斌,等.小胶质细胞TLR4/NF-κB通路在脑血管疾病中的作用研究近况[J].中国免疫学杂志,2015,31(1):131-134.
[15]段东印.炎症因子和自由基在诱导缺氧缺血性脑损伤新生大鼠神经细胞凋亡中的作用[J].中华实用儿科临床杂志,2014,28(23):1825-1827.
[16]贾孟辉,王晓丽,马立凤,等.失答剌知丸对中风恢复期患者血清TNF-α和IL-6水平干预作用的研究[J].中医药临床杂志,2014,26(5):465-468.
[17]郑涛,杨淑焕.补阳还五汤加减治疗中风病恢复期41例[J].陕西中医,2015,36(5):546-548.
[18]苏浩亮,黎桂泱,朱均权.活血益气方联合康复对缺血性中风恢复期患者疗效及日常活动能力的影响[J].中华中医药学刊,2015,33(12):3070-3072.
[2]刘雁,冯晓东,任彬彬,等.放血疗法治疗脑卒中后肢体痉挛患者的临床观察[J].中国康复医学杂志,2015,30(4):393-394.
[3]高志群,杨骏.针灸治疗中风后痉挛性偏瘫研究进展[J].中医药临床杂志,2014,26(2):201-203.
[4]白振军,尹慧芳.椎针及椎针疗法的临床推广应用[J].山西大同大学学报(自然科学版),2011,27(1):58-60.
[5]董赟,郝盼富,王二真,等.通督推拿法治疗脑卒中痉挛性瘫痪临床研究[J].中医药临床杂志,2012,24(3):221-223.
[6]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55.
[7]王仲明,姚莹莹.浮针缪刺法结合康复治疗中风后肢体痉挛疗效观察[J].浙江中西医结合杂志,2014,24(10):888-890.
[8]袁勤,张国庆,韩为.针刺治疗中风后痉挛性瘫痪临床与机理研究进展[J].亚太传统医药,2015,11(23):67-69.
[9]洪恩四,邓铭英,程立红,等.椎针疗法对椎动脉型颈椎病椎-基底动脉血流的影响[J].中国中西医结合杂志,2005,25(8):742-744.
[10]程红亮,李飞,胡培佳,等.通督调神针法治疗脑卒中后痉挛瘫期的临床研究[J].中医药临床杂志,2012,24(6):499-501.
[11]劳祥婷.针刺督脉及被动运动对脑卒中后肢体痉挛的脑功能即时效应的影响[D].成都:成都中医药大学,2014.
[12]余芳菲,郑侠海,许能贵(指导).调任通督针刺法治疗缺血性中风后痉挛性偏瘫32例临床观察[J].云南中医中药杂志,2013,34(7):50-52.
[13]许晓斌.温针灸联合中药湿热敷治疗脑中风后肢体痉挛临床观察[J].亚太传统医药,2014,10(24):62-63.
[14]杨兴旺,张辉,丁智斌,等.小胶质细胞TLR4/NF-κB通路在脑血管疾病中的作用研究近况[J].中国免疫学杂志,2015,31(1):131-134.
[15]段东印.炎症因子和自由基在诱导缺氧缺血性脑损伤新生大鼠神经细胞凋亡中的作用[J].中华实用儿科临床杂志,2014,28(23):1825-1827.
[16]贾孟辉,王晓丽,马立凤,等.失答剌知丸对中风恢复期患者血清TNF-α和IL-6水平干预作用的研究[J].中医药临床杂志,2014,26(5):465-468.
[17]郑涛,杨淑焕.补阳还五汤加减治疗中风病恢复期41例[J].陕西中医,2015,36(5):546-548.
[18]苏浩亮,黎桂泱,朱均权.活血益气方联合康复对缺血性中风恢复期患者疗效及日常活动能力的影响[J].中华中医药学刊,2015,33(12):3070-3072.