开窍醒神补虚通络针刺联合穴位按摩治疗亚急性期脑梗死偏瘫临床分析OA
目的:观察开窍醒神补虚通络针刺联合穴位按摩治疗亚急性期脑梗死偏瘫的效果.方法:68例按照不同治疗方法分为两组,两组均给予西医常规治疗和康复训练,对照组34例给予穴位按摩治疗,研究组34例给予针刺联合穴位按摩治疗.结果:研究组总有效率高于对照组(P<0.05).治疗1个月后研究组口角歪斜、吞咽困难、语言障碍、肢体偏瘫中医证候积分低于对照组(P<0.05),肢体功能、生活质量、平衡功能评分高于对照组而NSE、MASP-3水平低于对照组(P<0.05).两组不良反应发生率比较差异无统计学意义(P>0.05).结论:开窍醒神补虚通络针刺联合穴位按摩治疗亚急性期脑梗死偏瘫可促进肢体功能恢复,改善平衡力,降低血清指标,促进恢复.
Objective:To observe the efficacy of acupuncture for resuscitating consciousness,tonifying deficiency,and unblocking collaterals combined with acupoint massage in treating hemiplegia due to subacute cerebral infarction.Methods:Sixty-eight patients were randomly divided into two groups.Both groups received conventional western medical treatment and rehabilitation training.The control group(34 cases)received acupoint massage,while the study group(34 cases)received acupuncture combined with acupoint massage.Results:The total effective rate was higher in the study group than in the control group(P<0.05).After one month of treatment,the TCM syndrome scores for deviated mouth,dysphagia,language disorder,and limb hemiplegia were lower in the study group than in the control group(P<0.05).The study group also showed higher scores in limb function,quality of life,and balance function,along with lower levels of NSE and MASP-3 compared to the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Acupuncture combined with acupoint massage for hemiplegia due to subacute cerebral infarction could promote the recovery of limb function,improve balance,reduce serum indicators,and facilitate overall recovery.
杨慧娟;梅胜利;闫恩利;杨飞
郑州大学第二附属医院中医科二病区,河南郑州 450000郑州大学第二附属医院中医科二病区,河南郑州 450000郑州大学第二附属医院中医科二病区,河南郑州 450000郑州大学第二附属医院中医科二病区,河南郑州 450000
医药卫生
脑梗死偏瘫按摩针刺
Cerebral infarctionHemiplegiaMassageAcupuncture
《实用中医药杂志》 2026 (1)
1-3,3
河南省医学科技攻关计划项目(LHGJ20220434)
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