眼针带针康复疗法辅助治疗急性脑梗死手功能障碍45例临床观察OA
Clinical observation of eye-acupuncture with needle retention rehabilitation therapy as adjunctive treatment for hand dysfunction in acute cerebral infarction
目的 观察眼针带针康复疗法辅助治疗急性脑梗死手功能障碍的临床疗效.方法 将90例急性脑梗死手功能障碍患者采用随机数字表法分为对照组和治疗组,各45例.对照组采用基础疗法和康复疗法治疗,治疗组在对照组治疗方法的基础上联合眼针带针康复疗法治疗.2组均每日治疗1次,每周5次,共治疗4周.4周后比较2组的临床疗效以及治疗前后徒手肌力检查(MMT)、Brunnstrom分期(BRS-H)评分,腕背伸肌群积分肌电值(iEMG),腕掌屈肌群iEMG,血清神经元特异性烯醇化酶(NSE)、S100B蛋白、血管内皮生长因子(VEGF)水平.结果 对照组总有效率为77.77％(35/45),治疗组为97.77％(44/45),2组比较差异有统计学意义(P＜0.05).治疗后2组MMT、BRS-H评分,腕背伸肌群iEMG、腕掌屈肌群iEMG及血清VEGF水平均明显升高,血清NSE、S100B蛋白水平均明显降低,与同组治疗前比较差异有统计学意义(P＜0.01),且治疗组各项指标改善更明显,与对照组治疗后比较差异均有统计学意义(P＜0.01).结论 眼针带针康复疗法辅助治疗急性脑梗死手功能障碍临床疗效显著,不仅能促进患者的手功能恢复,还能改善神经损伤相关因子水平,值得临床推广应用.
Objective To observe the clinical efficacy of eye-acupuncture with needle retention rehabilitation therapy as an adjunctive treatment for hand dysfunction in acute cerebral infarction.Methods A total of 90 pa-tients with hand dysfunction due to acute cerebral infarction were randomly divided into a control group and a treat-ment group,with 45 patients in each group.The control group received basic therapy and rehabilitation therapy.The treatment group received the combination of eye-acupuncture with needle retention rehabilitation therapy in addition to the control group's treatment regimen.Both groups were treated once daily,5 times per week,for a total of 4 weeks.After 4 weeks,the clinical efficacy,manual muscle testing(MMT)scores,Brunnstrom Recovery Stage for the Hand(BRS-H)scores,integrated electromyography(iEMG)values of the dorsal wrist extensor muscle group and the volar wrist flexor muscle group,as well as serum levels of neuron-specific enolase(NSE),S100B protein,and vascular endothelial growth factor(VEGF)were compared between the two groups before and after treatment.Results The total effective rate was 77.77％(35/45)in the control group and 97.77％(44/45)in the treatment group,showing a statistically significant difference(P＜0.05).After treatment,both groups showed significant increa-ses in MMT scores,BRS-H scores,iEMG values of the dorsal wrist extensor and volar wrist flexor muscle groups,and serum VEGF levels,along with significant decreases in serum NSE and S100B protein levels compared to before treatment within each group(P＜0.01).Furthermore,improvements in all indicators were significantly more pro-nounced in the treatment group compared to the control group after treatment(P＜0.01).Conclusion Eye-acu-puncture with needle retention rehabilitation therapy as an adjunctive treatment demonstrates significant clinical effi-cacy for hand dysfunction in acute cerebral infarction.It not only promotes the recovery of hand function but also improves levels of neural injury-related markers,meriting clinical promotion and application.
谌晓妍;孔艳芳;李翠玲;孙启;李敬道;曹晶
郑州市中心医院康复科,河南 郑州 450000河南省中医院康复科,河南 郑州 450002郑州市中心医院康复科,河南 郑州 450000郑州市中心医院康复科,河南 郑州 450000郑州市中心医院康复科,河南 郑州 450000郑州市中心医院康复科,河南 郑州 450000
医药卫生
急性脑梗死手功能障碍眼针康复疗法神经损伤相关因子临床疗效
acute cerebral infarctionhand dysfunctioneye-acupuncturerehabilitation therapyneural injury-related markerclinical efficacy
《甘肃中医药大学学报》 2026 (1)
49-53,5
河南省中医药科学研究专项课题(2023ZY2068).
评论