头体针巨刺疗法辅助高-低频rTMS对脑梗死偏瘫患者神经及肢体功能的影响OA
Effect of Head and Body Acupuncture Therapy Assisted by High-Low Frequency rTMS on Nerve and Limb Function in Patients with Cerebral Infarction and Hemiplegia
目的:研究头体针巨刺疗法辅助高-低频重复经颅脑刺激(rTMS)对脑梗死偏瘫患者神经及肢体功能的影响.方法:选取2022 年5 月—2024 年5 月在河南省荣军医院康复医学科就诊的脑梗死偏瘫患者80 例,随机分为对照组和观察组,每组40 例.两组均给予常规内科治疗,对照组在上述基础上给予高-低频 rTMS 治疗,观察组在常规内科治疗基础上给予头体针巨刺疗法+高-低频 rTMS 治疗.评估两组患者临床疗效,采用美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer 运动功能量表(FMA)、Berg 平衡量表(BBS)、日常生活能力(Barthel 指数)评估两组患者神经功能、肢体运动功能、平衡功能、日常生活能力,在治疗前后检测两组患者脑部血流动力学[大脑中动脉平均血流速度(Vm)、搏动指数(PI)]、血清神经递质水平[脑源性神经营养因子(BDNF)、多巴胺(DA)、5-羟色胺(5-HT)].结果:与对照组相比,观察组总有效率更高(P<0.05).与治疗前比较,两组 NIHSS 评分、搏动指数(PI)水平均降低(P<0.05),FMA、BBS、Barthel 评分、Vm、BDNF、DA、5-HT 水平均升高(P<0.05).与对照组相比,观察组治疗后 NIHSS 评分、PI 水平更低(P<0.05),FMA、BBS、Barthel 评分、Vm、BDNF、DA、5-HT 水平更高(P<0.05).结论:头体针巨刺疗法辅助高-低频 rTMS 可有效提高脑梗死偏瘫患者临床疗效,改善神经功能、肢体功能及平衡功能,促进血流动力学和神经递质释放.
Objective:To study the effect of head and body acupuncture combined with high-low frequency repetitive transcranial brain stimulation(rTMS)on nerve and limb function of hemiplegic patients with cerebral infarction.Methods:Eighty patients with hemiplegia due to cerebral infarction were selected as the research subjects and were all treated in the Department of Rehabilitation Medicine of Henan Provincial Veterans'Hospital from May 2022 to May 2024.The subjects were randomly and equally divided into the control group and the observation group.Both groups were given conventional medical treatment.The control group was treated with high-low frequency rTMS on the basis of the above,while the observation group was treated with head-body acupuncture and giant needling therapy+high-low frequency rTMS on the basis of conventional medical treatment.The clinical efficacy of the subjects was evaluated.The National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS),and activities of Daily Living(Barthel Index)were used to assess the neurological function,limb motor function,balance function,and activities of daily living of the subjects.The cerebral hemodynamics[mean blood flow velocity(Vm)of the middle cerebral artery,pulsatility index(PI)]and serum neurotransmitter levels[brain-derived neurotrophic factor(BDNF),dopamine(DA),5-hydroxytryptamine(5-HT)]of the subjects were detected before and after the treatment.Results:The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).Compared with before treatment,the levels of NIHSS score and pulse index(PI)were decreased(P<0.05),while the levels ofFMA,BBS,Barthel score,middle cerebral artery Vm,BDNF,DA and 5-HT were increased(P<0.05).Compared with the control group,the NIHSS score and PI level of the observation group were lower after treatment(P<0.05),while the FMA,BBS,Barthel scores,Vm,BDNF,DA,and 5-HT levels were higher(P<0.05).Conclusion:Head and body acupuncture combined with high-low frequency rTMS can effectively improve the clinical efficacy of patients with cerebral infarction hemiplegia,improve nerve function,limb function and balance function,promote hemodynamics and neurotransmitter release.
荣震;张玲玲;杨宁
河南省荣军医院康复医学科,河南 新乡 453000新乡医学院第一附属医院康复医学科,河南 新乡 453100郑州人民医院康复医学科,河南 郑州 450000
医药卫生
脑梗死偏瘫头体针巨刺疗法高-低频重复经颅脑刺激神经功能肢体功能
Cerebral infarctionHemiplegiaHead and body acupuncture giant acupuncture therapyHigh-low frequency repetitive transcranial stimulationNerve functionLimb function
《中医药学报》 2026 (6)
52-56,5
河南省医学科技攻关计划项目(LHGJ20230719)
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