醒神通经导气针法联合运动想象疗法对气虚血瘀型脑卒中偏瘫患者关节活动度、生活能力的影响OA
The Effects of Xingshen Tongjing Daoqi Acupuncture Combined with Motor Imagery Therapy on Joint Range of Motion and Activities of Daily Living in Post-stroke Hemiplegia Patients with Qi Deficiency and Blood Stasis
目的:探讨醒神通经导气针法联合运动想象疗法(MIT)治疗气虚血瘀型脑卒中偏瘫(HAS)的临床疗效.方法:选取2022年12月~2025年6月南京市秦淮区中医医院收治的80例气虚血瘀型HAS患者,采用随机数字表法分为联合疗法组和MIT组,每组40例.两组均接受基础药物及常规康复训练,MIT组在此基础上予MIT治疗,1次/日,30 min/次,6次/周;联合疗法组在MIT组基础上联合醒神通经导气针法治疗,留针30 min,隔日1次,3次/周.两组均连续干预4周,比较两组患者治疗前后中医证候积分、Fugl-Meyer运动功能量表(FMA)评分、Berg平衡量表(BBS)评分、腕/踝关节主动活动度(AROM)、大脑中动脉(MCA)平均血流速度(Vm)及峰值流速(Vp)、改良Barthel指数(MBI)及临床疗效.结果:治疗后,两组中医证候积分均较治疗前降低,且联合疗法组低于MIT组(P<0.05);两组FMA、BBS、MBI评分及腕/踝关节背伸角度、MCA-Vm、MCA-Vp均较治疗前升高,且联合疗法组高于MIT组(P<0.05).联合疗法组总有效率为95.00%,显著高于MIT组的77.50%(P<0.05).结论:醒神通经导气针法联合MIT治疗可显著改善气虚血瘀型HAS患者肢体运动功能及平衡能力,扩大关节活动范围,优化脑血流动力学,提升日常生活活动能力,临床疗效优于单一MIT治疗.
Objective:To investigate the clinical efficacy of Xingshen Tongjing Daoqi acupuncture combined with motor imagery therapy(MIT)in treating hemiplegia after stroke(HAS)with qi deficiency and blood stasis syndrome.Methods:A total of 80 patients with HAS of qi deficiency and blood stasis syndrome,admitted to Nanjing Qinhuai District Hospital of Traditional Chinese Medicine from December 2022 to June 2025,were randomly divided into a combination therapy group and an MIT group by the random number table method,with 40 cases in each group.Both groups received conventional medication and rehabilitation training.The MIT group was additionally given MIT once daily(30 min per session,6 sessions per week).The combination therapy group received Xingshen Tongjing Daoqi acupuncture(30 min of needle retention,once every other day,3 sessions per week)on the basis of MIT.Both groups were treated for 4 weeks.The traditional Chinese medicine(TCM)syndrome scores,Fugl-Meyer Assessment(FMA)score,Berg Balance Scale(BBS)score,active range of motion(AROM)of the wrist and ankle joints,mean blood flow velocity(Vm)and peak velocity(Vp)of the middle cerebral artery(MCA),Modified Barthel Index(MBI),and clinical efficacy were compared between the two groups before and after treatment.Results:After treatment,the TCM syndrome scores in both groups decreased compared with those before treatment,and the scores in the combination therapy group were lower than those in the MIT group(P<0.05).The FMA,BBS,and MBI scores,dorsiflexion angles of the wrist and ankle joints,MCA-Vm,and MCA-Vp in both groups increased compared with those before treatment,and the above indicators in the combination therapy group were higher than those in the MIT group(P<0.05).The total effective rate of the combination therapy group was 95.00%,significantly higher than 77.50%in the MIT group(P<0.05).Conclusion:Xingshen Tongjing Daoqi acupuncture combined with MIT can significantly improve limb motor function and balance ability,expand joint range of motion,optimize cerebral hemodynamics,and enhance activities of daily living in HAS patients with qi deficiency and blood stasis syndrome,with superior clinical efficacy compared to MIT alone.
徐国栋;马罕怿;於佳红
南京市秦淮区中医医院,江苏 南京 210000南京市秦淮区中医医院,江苏 南京 210000南京市秦淮区中医医院,江苏 南京 210000
医药卫生
脑卒中偏瘫气虚血瘀醒神通经导气针法运动想象疗法日常生活活动能力
strokehemiplegiaqi deficiency and blood stasisXingshen Tongjing Daoqi acupuncturemotor imagery therapyactivities of daily living
《中医康复》 2026 (10)
8-14,7
南京市基层名老中医专家传承工作室建设项目(宁卫中医[2025]3号)
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