| 引用本文:谢青1，龙佳佳1，黄金艳1，李秋佳2.头针联合背俞穴毫火针点刺对脑梗死偏瘫患者肢体功能恢复的影响[J].世界中医药,2023,(18):. |
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| 头针联合背俞穴毫火针点刺对脑梗死偏瘫患者肢体功能恢复的影响 |
| Effect of Scalp Acupuncture Combined with Filiform Fire Needling at Back Transport Points on Limb Function Recovery in Hemiplegia Patients Due to Cerebral Infarction |
| 投稿时间：2023-02-21 |
| DOI：10.3969/j.issn.1673-7202.2023.18.017 |
| 中文关键词: 头针 背俞穴 毫火针点刺 脑梗死偏瘫 疗效 肢体功能 神经营养因子 生命质量 |
| English Keywords:Scalp acupuncture Back transport points Filiform fire needling Hemiplegia due to cerebral infarction Efficacy Limb function Neurotrophic factors Quality of life |
| 基金项目:广西壮族自治区中医药管理局自筹经费项目（GZZC2020514） |
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| 中文摘要: |
| 目的：探究头针联合背俞穴毫火针点刺对脑梗死偏瘫患者肢体功能恢复的影响。方法：选取2020年1月至2022年5月广西壮族自治区民族医院收治的脑梗死偏瘫患者120例作为研究对象，按照随机数字表法随机分为对照组和观察组，每组60例。所有患者均给予常规康复训练，对照组进行头针治疗，观察组进行头针联合背俞穴毫火针点刺治疗，2组患者治疗30 d，评估疗效、肢体功能[Fugl-Meyer运动功能量表（FMA）、Barthel指数（BI）评分]、生命质量[脑卒中专用生命质量量表（SS-QOL）]及安全性，检测神经营养因子[神经生长因子（NGF）、脑源性神经营养因子（BDNF）、神经营养素-3（NT-3）]、静脉血流峰速度。结果：观察组总有效率为93.33%，显著高于对照组的80.00%（P<0.05）；治疗后，2组患者FMA上肢、FMA下肢、BI评分及血清NGF、BDNF、NT-3水平显著升高（P<0.05），且观察组高于对照组（P<0.05）；2组患者肱静脉、桡静脉、股总静脉血流峰速度显著增加（P<0.05），且观察组大于对照组（P<0.05）；观察组治疗15、30 d的SS-QOL评分均显著高于对照组同时间点（P<0.05）；2组患者均无明显不良反应。结论：头针联合背俞穴毫火针点刺治疗脑梗死偏瘫疗效确切，可促进患者肢体功能恢复，提高生命质量。 |
| English Summary: |
| To explore the effect of scalp acupuncture combined with filiform fire needling at back transport points on limb function recovery in hemiplegia patients due to cerebral infarction.Methods:A total of 120 hemiplegia patients due to cerebral infarction who were treated in Guangxi Hospital for Nationalities from January 2020 to May 2022 were selected and divided into control group and observation group by random number table，with 60 cases in each group.All patients were given routine rehabilitation training.The control group was treated with scalp acupuncture，while the observation group received scalp acupuncture combined with filiform fire needling at back transport points.The treatment lasted for 30 d.The efficacy and limb function [Fugl-Meyer Assessment(FMA)，Barthel Index(BI)]，quality of life [Stroke Specific Quality of Life(SS-QOL)] and safety were evaluated，and the levels of neurotrophic factors [nerve growth factor(NGF)，brain-derived neurotrophic factor(BDNF)，neurotrophin-3(NT-3)] and peak venous blood flow velocity were detected.Results:The total effective rate in observation group was 93.33%，higher than 80.00% in control group(P<0.05).After treatment，the FMA upper limb score，FMA lower limb score，BI score and serum levels of NGF，BDNF and NT-3 in both groups were increased(P<0.05)，and the above scores and levels in observation group were higher than those in control group(P<0.05).The peak blood flow velocities of brachial vein，radial vein and femoral vein were enhanced in the two groups(P<0.05)，and the velocities in observation group were greater than those in control group(P<0.05).The SS-QOL scores in observation group after 15 and 30 d of treatment were higher than those in control group(P<0.05).There were no obvious adverse reactions in both groups.Conclusion:Scalp acupuncture combined with filiform fire needling at back transport points has an exact effect in the treatment of hemiplegia due to cerebral infarction，which can promote the limb function recovery of patients and enhance their quality of life. |
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