针刺四关穴对帕金森病的疗效及相关机制研究
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国家自然科学基金项目(31700960)——帕金森病合并轻度认知障碍不同亚型的脑影像和血液生化研究;广东省科学技术厅广东省中医药科学院联合科研专项(广东省中医药科学院出资部分)(2017A020213036)——针刺四关穴对帕金森病患者丘脑底核细胞放电信号影响的研究


Study on the Therapeutic Effects and Related Mechanisms of Acupuncture at Siguan Point on Parkinson's Disease
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    摘要:

    目的:探讨针刺四关穴对帕金森病(PD)临床疗效。方法:选取2017年12月至2019年1月宝安区中医院收治的PD患者60例进行回顾性分析,按照治疗方法不同分为对照组和观察组,每组30例。对照组予药物治疗联合脑深部电刺激治疗,观察组在对照组基础上加用针刺四关穴治疗,治疗8周。比较2组患者治疗前后氧化应激、帕金森综合量表评分(UPDRS评分)、生命质量测定简式量表(WHO-QOL-2)、肌电图震颤的差异及临床疗效。结果:1)治疗后2组患者精神、行为、情绪积分,日常活动积分、运动功能积分、运动并发症积分、UPDRS总评分、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、丙二醛(MDA)、固定姿势震颤的频率、强度和坐位静止震颤强度较治疗降低,生理、环境、独立性、社会关系、心理、WHO-QOL-2总评分、超氧化物歧化酶(SOD)、多巴胺(DA)较治疗前均升高(P<0.05),观察组优于对照组(P<0.05)。2)观察组显效率、总有效率为46.67%、86.67%,优于对照组的30%、73.33%,差异有统计学意义(P<0.05)。结论:针刺四关穴可改善PD病情,作用机制可能是抑制炎性反应和氧化应激反应有关。

    Abstract:

    To explore the clinical effects of acupuncture at Siguan point on Parkinson's disease.Methods:We conducted retrospective analysis on 60 PD patients admitted to Shenzhen Bao'an Traditional Chinese Medicine Hospital and randomly divided the patients into a study group(n=30)and a control group(n=30)according to different treatment.The control group was treated with drug therapy combined with deep brain stimulation,and the study group was treated with acupuncture at Siguan point on the basis of the control group for 8 weeks.The differences of oxidative stress,Parkinson's comprehensive scale(UPDRS score),quality of life scale(WHO-QOL-2),electromyographic tremor and clinical effects were compared between the 2 groups before and after treatment.Results:1)After treatment,the mental,behavioral and emotional scores,daily activity scores,motor function scores,motor complication scores,UPDRS total scores,interleukin-1 β(IL-1 β),IL-6,malondialdehyde(MDA),frequency and intensity of tremor in fixed position and resting tremor and in sitting position were lower than those in treatment group.Physiology,environment,independence,social relations,psychology,total score of WHO-QOL-2,superoxide dismutase(SOD)and dopamine(DA)were significantly higher than those before treatment.The observation group is better than the control group(P<0.05).2)the markedly effective rate and the total effective rate of the observation group were 46.67% and 86.67%,respectively,which were better than 30% and 73.33% of the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture at Siguan point can improve the condition of PD,and the mechanism may be related to the inhibition of inflammation and oxidative stress.

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骆振宇,毕尚青,王衍华.针刺四关穴对帕金森病的疗效及相关机制研究[J].世界中医药,2020,(18).

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  • 收稿日期:2019-09-17
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  • 在线发布日期: 2020-09-29
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