调神畅气联动针法治疗脑卒中后感觉障碍临床研究
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R743.3

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广东省科学技术厅项目(2024A1111120019);广东省中医院院内专项(YN2023MS06)


Clinical Study on Mind-Regulating and Qi-Soothing Linked Acupuncture in the Treat⁃ ment of Post-Stroke Sensory Disorders
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    摘要:

    目的:观察调神畅气联动针法治疗脑卒中后感觉障碍的临床疗效。方法:选取2024 年6 月— 2025年2月广东省中医院康复科诊治的脑卒中伴感觉障碍患者共66例,采用随机数字表法分为对照组和治疗 组,每组各33例。治疗过程中对照组脱落2例,因病情变化中止1例,最终纳入30例;治疗组脱落2例,最 终纳入31例。2组均给予基础治疗,对照组加用常规针刺治疗,治疗组加用调神畅气联动针法治疗。2组均治 疗2周。比较2组感觉功能[改良诺丁汉感觉功能评价量表(reNSA) 评分]、麻木/疼痛分数[视觉模拟评分法 (VAS) 评分]、日常生活活动能力[改良Barteh 指数(MBI) 评分]、生活质量[脑卒中专用生活质量量表 (SS-QOL) 评分]、不良反应发生情况。结果:治疗后,2组reNSA评分均较治疗前升高(P<0.05),且治疗组 高于对照组(P<0.05)。治疗后,2组VAS评分均较治疗前降低(P<0.05),且治疗组低于对照组(P<0.05)。 治疗后,2组MBI评分均较治疗前升高(P<0.05),而2组间比较,差异无统计学意义(P>0.05)。治疗后, 2组SS-QOL评分均较治疗前升高(P<0.05),且治疗组高于对照组(P<0.05)。2组治疗过程中均未出现过 敏、晕针、感染等不良反应。结论:调神畅气联动针法可有效改善脑卒中后感觉障碍患者的感觉功能,减轻肢 体疼痛或麻木程度,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of mind-regulating and qi-soothing linked acupuncture in the treatment of post-stroke sensory disorders. Methods:A total of 66 patients with stroke and sensory disorders who were diagnosed and treated in the Department of Rehabilitation of Guangdong Provincial Hospital of Chinese Medicine from June 2024 to February 2025 were selected. They were divided into the control group and the treatment group by a random number table method, with 33 cases in each group. During the treatment, 2 cases were lost to follow-up and 1 case discontinued due to disease progression in the control group,resulting in a final inclusion of 30 cases;2 cases were lost to follow-up in the treatment group,resulting in a final inclusion of 31 cases. Both groups received basic treatment. The control group was additionally given conventional acupuncture,while the treatment group was additionally treated with mind-regulating and qi-soothing linked acupuncture. Both groups received treatment for two weeks. The sensory function [Revised Nottingham Sensory Assessment(reNSA)score],numbness/pain score [Visual Analogue Scale(VAS)score], activities of daily living [Modified Barthel Index(MBI)score], quality of life [Stroke-Specific Quality of Life Scale (SS-QOL) score], and incidence of adverse reactions were compared between the two groups. Results: After treatment,the reNSA scores in both groups were increased when compared with those before treatment(P<0.05),and the reNSA score in the treatment group was higher than that in the control group(P<0.05). After treatment,the VAS scores in both groups were decreased when compared with those before treatment(P<0.05),and the VAS score in the treatment group was lower than that in the control group(P<0.05). After treatment,the MBI scores in both groups were elevated when compared with those before treatment(P<0.05),while there being no significant difference between the two groups(P>0.05). After treatment,the SS-QOL scores in both groups were increased when compared with those before treatment(P<0.05), and the SS-QOL score in the treatment group was higher than that in the control group(P<0.05). No adverse reactions such as allergy,needle phobia during acupuncture,or infection occurred in either group during the treatment. Conclusion: Mind-regulating and qi-soothing linked acupuncture can effectively improve the sensory function of patients with post-stroke sensory disorders, reduce the degree of limb pain or numbness,and enhance quality of life.

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张诗奇,任佳庆,梁昕儒,潘锐焕.调神畅气联动针法治疗脑卒中后感觉障碍临床研究[J].新中医,2025,57(22):107-112

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  • 在线发布日期: 2025-11-26
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