摘要
目的:本研究旨在探讨动针静灸法联合自制上肢训练器对脑卒中患者上肢运动功能、生活质量及S100β、NO、CGRP的影响。方法:选取2022年6月~2023年1月在我院康复医学科就诊的脑卒中上肢功能障碍患者62例为研究对象,随机分为观察组和对照组,对照组在常规治疗基础上,采用自制上肢训练器进行功能训练。观察组在对照组基础上,加用动针静灸法。即施术者先实施“静灸”,即在进行隔药饼灸的同时,患者进行运动想象疗法;其后采用运动针法,即患者在接受针刺的同时,进行自制上肢训练器训练。2组连续治疗4周。治疗前后,评估Fugl-Meyer上肢评定量表(Fugl-Meyer assessment-upper extremities,FMA-UE)、改良的Ashworth量表(Modify Ashworth Scale,MAS)、脑卒中专用生活质量量表(Stroke Specific Quality of Life Scale,SS-QOL),实验室指标[S100β蛋白(S100β)、一氧化氮(NO)、降钙素基因相关肽(CGRP)]。结果:在量表评估,治疗前2组在FMA-UE、MAS、SS-QOL评分比较均无统计学意义(P>0.05);治疗4周后,2组3项指标均优于治疗前,差异有统计学意义(P<0.05);而观察组在FMA-UE和SS-QOL评分均高于对照组,在MAS评分低于对照组,差异均有统计学意义(P<0.05)。在实验室检查,治疗前2组S100β、NO、CGRP比较均无统计学意义(P>0.05);干预4周后,2组S100β、NO、CGRP水平均优于治疗前,差异有统计学意义(P<0.05);而观察组在S100β低于对照组,在NO、CGRP高于对照组,差异均有统计学意义(P<0.05)。结论:动针静灸法联合自制上肢训练器可以改善偏瘫患者上肢运动功能、降低肌张力,改善实验室指标,值得进一步推广。
Objective:The purpose of this study is to explore the effects of dynamic acupuncture and static moxibustion combined with a self-made upper limb trainer on upper limb function and S100in stroke patientsβ、The impact of NO and CGRP.Methods:Sixty-two patients with stroke upper limb dysfunction who were treated in the Department of Rehabilitation Medicine of our hospital from June 2022to January 2023were selected as the study subjects,and were randomly divided into the observation group and the control group.The control group used the self-made upper limb trainer for functional training on the basis of routine treatment.On the basis of the control group,the observation group was added with dynamic acupuncture and static moxibustion.That is,the performer first carries out“static moxibustion”,that is,the patient carries out exercise imagination therapy while carrying out medicine cake moxibustion;After that,the exercise acupuncture method was used,that is,the patient was trained with a self-made upper limb trainer while receiving acupuncture.The two groups were treated continuously for 4weeks.Before and after treatment,Fugl-Meyer assessment-upper extremeties(FMA-UE),Modified Ashworth Scale(MAS),Stroke Specific Quality of Life Scale(SS-QOL),laboratory indicators[S100βProtein(S100β)、Nitric oxide(NO),calcitonin gene-related peptide(CGRP)].Results:There was no significant difference in FMA-UE,MAS and SS-QOL scores between the two groups before treatment(P>0.05);After 4weeks of treatment,the three indexes in the two groups were better than those before treatment,with statistically significant difference(P<0.05);The scores of FMA-UE and SS-QOL in the observation group were higher than those in the control group,and the scores of MAS were lower than those in the control group,with statistical significance(P<0.05).In laboratory examination,S100in two groups before treatmentβ、NO and CGRP were not statistically significant(P>0.05);After 4weeks of intervention,S100in two groupsβ、The levels of NO and CGRP were significantly higher than those before treatment(P<0.05);The observation group was in S100βIt was lower than the control group,but higher in NO and CGRP(P<0.05).Conclusion:Dynamic acupuncture and static moxibustion combined with self-made upper limb trainer can improve the upper limb motor function,reduce muscle tension and improve laboratory indicators of hemiplegic patients,which is worthy of further promotion.
作者
吴蔚然
赵洪
尹东琼
许颖
冯雪
WU Weiran;ZHAO Hong;YIN Dongqiong(Department of Rehabilitation Medicine,Qingbaijiang District People's Hospital,Chengdu Sichuan 610300,China)
出处
《四川中医》
2024年第3期180-184,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
成都市卫生与健康委员会2022年医学科研课题(编号:2022131)。
关键词
动针静灸法
自制上肢训练器
脑卒中
上肢功能
Dynamic acupuncture and static moxibustion
Self-made upper limb trainer
Stroke
Upper limb function
