| 何经忠,程卫科,章旭专,李文丽.醒神通经导气针法联合连续性康复训练治疗脑梗死后偏瘫的疗效及机制研究[J].中国康复,2026,41(8):468-472 |
| 醒神通经导气针法联合连续性康复训练治疗脑梗死后偏瘫的疗效及机制研究 |
| Efficacy and mechanism of Xingshen Tongjing Daoqi acupuncture combined with continuous rehabilitation training in the treatment of post-cerebral infarction hemiplegia |
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| DOI：10.3870/zgkf.2026.08.004 |
| 中文关键词: 醒神通经导气针法 脑梗死后偏瘫 等速-平衡-减重连续性康复训练 运动功能 平衡功能 血清炎性因子 |
| 英文关键词: Xingshen Tongjing Daoqi acupuncture post-cerebral infarction hemiplegia isokinetic-balance-weight loss continuous rehabilitation training motor function balance function serum inflammatory factors |
| 基金项目:2022年度安徽省卫生健康科研项目（AHWJ2022b092） |
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| 中文摘要: |
| 目的：探讨醒神通经导气针法联合等速-平衡-减重连续性康复训练治疗脑梗死（CI）后偏瘫的疗效及对患者运动、平衡功能、血清炎性因子水平的影响。方法：选取90例CI后偏瘫患者，采用随机数字表法分为训练组与针灸组各45例。2组均给予抗血小板聚集、控制血压血糖等基础治疗，训练组单纯采用等速-平衡-减重连续性康复训练，针灸组在训练组基础上加用醒神通经导气针法，2组疗程均为4周。比较2组治疗前后运动功能［Fugl-Meyer运动功能（FMA）评分］、平衡功能［Berg平衡量表（BBS）］及降钙素原（PCT）、C-反应蛋白（CRP）水平，比较2组治疗后的临床疗效，同时记录不良反应发生情况。结果：治疗4周后，2组FMA、BBS评分均较治疗前显著升高，血清PCT、CRP水平均较治疗前显著降低，且针灸组上述指标改善幅度均显著优于训练组（P＜0.05）；针灸组总有效率（93.33%）显著高于训练组（73.33%）（P＜0.05）；针灸组不良反应发生率（8.89%）与训练组（4.44%）相比差异无统计学意义。结论：醒神通经导气针法联合等速-平衡-减重连续性康复训练可显著提升CI后偏瘫患者的临床疗效，有效改善患者运动及平衡功能，降低血清炎性因子水平，且安全性良好。 |
| 英文摘要: |
| Objective: To explore the efficacy of Xingshen Tongjing Daoqi acupuncture combined with isokinetic-balance-weight loss continuous rehabilitation training in the therapy of post-cerebral infarction (CI) hemiplegia, and its influences on the motor function, balance function and serum inflammatory factor levels of patients. Methods: A total of 90 patients with post-CI hemiplegia were selected and separated into the training group (45 cases) and the acupuncture group (45 cases) by the random number table method. Both groups were given basic therapy such as anti-platelet aggregation and control of blood pressure and blood glucose. The training group simply adopted isokinetic-balance-weight loss continuous rehabilitation training, while the acupuncture group was given the Xingshen Tongjing Daoqi acupuncture additionally on the basis of training group. The therapy courses of both groups were 4 weeks. The clinical efficacy of the two groups was compared, the motor function ［Fugl-Meyer assessment (FMA) score］, balance function ［Berg balance scale (BBS)］, and the levels of serum procalcitonin (PCT), C-reactive protein (CRP) were compared before and after therapy. Meanwhile, the incidence of adverse reactions was recorded. Results: The total effective rate of the acupuncture group (93.33%) was prominently higher than that of the training group (73.33%) (P<0.05). After 4 weeks of therapy, the FMA and BBS scores of both groups were prominently raised compared with those before therapy, and the levels of serum PCT and CRP were prominently decreased compared with those before therapy. Moreover, the improvement amplitudes of the above indicators in the acupuncture group were prominently greater than those in the training group (P<0.05). The incidence of adverse reactions in the acupuncture group (8.89%) was not prominently different from that in the training group (4.44%). Conclusion: Xingshen Tongjing Daoqi acupuncture combined with isokinetic-balance-weight loss continuous rehabilitation training can prominently improve the clinical efficacy of patients with post-CI hemi-plegia, effectively improve the motor and balance functions of patients, reduce serum inflammatory factors, and has good safety. |
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