| 田苗，李花，陈斌，游芳，许济，李仕林.眼针联合电针、运动功能训练治疗缺血性卒中偏瘫患者的临床研究[J].南京中医药大学学报(社会科学版),2021,37(4):497-502. |
| 眼针联合电针、运动功能训练治疗缺血性卒中偏瘫患者的临床研究 |
| Efficacy of Eye Acupuncture Combined with Electroacupuncture and Motor Function Training in Patients with Ischemic Stroke Hemiplegia and Study in Their Magnetic Resonance Diffusion Tensor Imaging |
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| DOI： |
| 中文关键词: 关键词：缺血性脑卒中 眼针 电针 运动功能训练 磁共振弥散张量成像 |
| 英文关键词: ischemic stroke eye acupuncture electroacupuncture motor function training magnetic resonance diffusion tensor imaging |
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| 中文摘要: |
| 目的 探究眼针联合电针、运动功能训练治疗缺血性卒中偏瘫患者的疗效及其磁共振弥散张量成像特征变化。方法 选择2018年3月至2020年3月我院收治缺血性卒中偏瘫患者180例，采用随机数字表法分为对照组（n=90）和观察组（n=90），对照组采用电针联合运动功能训练，观察组采用眼针、电针联合运动功能训练。观察2组患者的临床疗效及血液流变学指标、日常生活能力、神经功能缺损情况、运动功能、生活质量以及神经传导功能变化情况。结果 治疗后，观察组总有效率、中风病总有效率高于对照组（P<0.05~0.01）；2组血浆黏度、纤维蛋白原（FIB）、红细胞压积（HCT）水平均明显降低（P<0.01），观察组优于对照组（P<0.01）；2组Barthel指数评分、Fugl-Meyer运动评测量表（FMA）评分明显升高（P<0.01），美国国立卫生研究院卒中量表（NIHSS）评分明显降低（P<0.01），观察组优于对照组（P<0.01）；2组内囊后肢、大脑脚区域FA值明显升高（P<0.01），观察组优于对照组（P<0.05）；2组生活质量量表（SF-36）各评分均明显升高（P<0.01），观察组优于对照组（P<0.01）。结论 在电针及运动功能训练的基础上联合眼针治疗缺血性卒中偏瘫，可有效缓解患者症状，减轻患者神经功能损伤程度，改善血液循环，提高机体运动功能和日常生活能力，具有较好的临床疗效。 |
| 英文摘要: |
| OBJECTIVE To investigate the efficacy of eye acupuncture combined with electroacupuncture and motor function training in patients with ischemic stroke hemiplegia and the characteristic changes of their magnetic resonance diffusion tensor imaging.METHODS 180 patients with ischemic stroke hemiplegia admitted to 3201 Hospital from March 2018 to March 2020 were selected and divided into the control group and the observation group with 90 cases each in accordance with the random number table. The control group used electroacupuncture together with motor function training while the observation group used eye acupuncture and electroacupuncture combined with motor function training. In this study， we observed the clinical efficacy， hemodynamic indexes， activity of daily living， defect severity of neural function， motor function， living quality and nerve conduction function in the two groups.RESULTS After treatment， the total effective rate and the total effective rate of traditional Chinese medicine syndrome in the observation group were significantly higher than those in the control group (P<0.05， P<0.01). The levels of plasma viscosity， fibrinogen (FIB)， and hematocrit (HCT) were significantly reduced in the two groups (P<0.01)， which in the observation group were significantly better than those in the control group (P<0.01). The scores of Barthel index， Fugl-Meyer Motor Assessment Scale (FMA) were significantly increased (P<0.01) while the score of National Institutes of Health Stroke Scale (NIHSS) in the two groups were significantly reduced (P<0.01)， which in the observation group was better than that in the control group (P<0.01). The FA values of the posterior limb of internal capsule and the region of pedunculus cerebri were significantly increased in the two groups (P<0.01)， which in the observation group were better than those in the control group (P<0.05， P<0.01). The scores of each index in the Quality of Life Scale (SF-36) were significantly increased in the two groups (P<0.01)， which in the observation group were better than those in the control group (P<0.01). CONCLUSION The combination of electroacupuncture and motor function training combined with eye acupuncture in the treatment of ischemic stroke hemiplegia can effectively relieve patients' symptoms， reduce the degree of nerve injury， improve blood circulation， as well as enhance the motor function and the activities of daily living function. |
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