[1]庞乐,曹雪,蒲秀玲,等.通脉舒络汤加减结合头体针透刺治疗脑卒中后手功能障碍临床研究[J].西部中医药,2025,38(07):154-157.[doi:10.12174/j.issn.2096-9600.2025.07.31]
　PANG Le,CAO Xue,PU Xiuling,et al.Clinical Study on Modified Tongmai Shuluo Tang Combined with Scalp and Body Acupuncture in the Treatment of Hand Dysfunction after Stroke[J].Western Journal of Traditional Chinese Medicine,2025,38(07):154-157.[doi:10.12174/j.issn.2096-9600.2025.07.31]
点击复制

通脉舒络汤加减结合头体针透刺治疗脑卒中后手功能障碍临床研究()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年07期
页码:
154-157
栏目:
特色医疗
出版日期:
2025-07-15

文章信息/Info

Title:
Clinical Study on Modified Tongmai Shuluo Tang Combined with Scalp and Body Acupuncture in the Treatment of Hand Dysfunction after Stroke
作者:
庞乐1, 曹雪1, 蒲秀玲1, 赵欢2
1.咸阳市中心医院，陕西 咸阳 712000
2.陕西中医药大学附属医院,陕西 咸阳 712000
Author(s):
PANG Le1, CAO Xue1, PU Xiuling1, ZHAO Huan2
1.Xianyang Central Hospital, Xianyang 712000, China
2.Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China
关键词:
脑卒中; 手功能障碍; 加减通脉舒络汤; 头体针; 透刺治疗
Keywords:
stroke; hand dysfunction; modified; scalp and body acupuncture; point-through-point therapy
分类号:
R255.2
DOI:
10.12174/j.issn.2096-9600.2025.07.31
文献标志码:
B
摘要:
目的观察加减通脉舒络汤结合头、体针透刺治疗脑卒中后手功能障碍的临床疗效。 方法将120例脑卒中后手功能障碍患者随机分为对照组和观察组，每组各60例，对照组予内科常规治疗和基础康复治疗，观察组在对照组治疗基础上予通脉舒络汤加减和头、体针透刺治疗，两组均治疗6周。治疗后采用Broetz手功能量表评估两组患者手功能；采用改良巴氏指数量表评估日常生活能力（activities of daily living，ADL）；采用上肢肌电图评估上肢神经传导速度。 结果治疗前两组患者Broetz手功能量表评分、ADL评分、上肢神经传导速度比较，差异无统计学意义（P＜0.05）；治疗后两组患者Broetz手功能量表评分降低（P＜0.05），ADL评分升高（P＜0.05），上肢神经传导速度加快（P＜0.05），且观察组以上指标改善均优于对照组（P＜0.05）。 结论加减通脉舒络汤结合头、体针透刺治疗能改善脑卒中后手功能障碍患者手功能，提高日常生活能力及上肢神经传导速度。
Abstract:
ObjectiveTo observe clinical effects of modified Tongmai Shuluo Tang joined with scalp and body acupuncture in the treatment of hand dysfunction after stroke. MethodsAll 120 patients were randomized into the control group and the observation group with 60 cases in each group, the control group accepted conventional therapy of internal medicine and basic rehaibilitation therapy, and the observation group was treated with modified Tongmai Shuluo Tang, and scalp and body acupuncture based on the therapy the control group accepted, and both groups were treated for six weeks. After the treatment, Broetz hand test was adopted to assess the patients’ hand function in the two groups; modified Barthel Index (MBI) was utilized to evalue ALD; upper limb electromyography was applied to assess nerve conduction velocity of upper limb. ResultsThe difference had no statistical meaning in Broetz hand test, ADL scores and nerve conduction velocity of upper limb between both groups before the treatment (P<0.05); after the treatment, the scores of Broetz hand test were lowered in the two groups (P<0.05), ADL scores were increased (P<0.05), and nerve conduction velocity of upper limb was gained (P<0.05), and the observation group was better than the control group in the improvements of the indexes (P<0.05). ConclusionModified Tongmai Shuluo Tang joined with scalp and body acupuncture could improve hand function after stroke, ADL and nerve conduction velocity of upper limb.

相似文献/References:

[1]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
　LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(07):100.
[2]李西兄.早期康复介入对急性脑卒中偏瘫患者运动功能的影响[J].西部中医药,2013,26(07):107.
　LI Xixiong.Effects of Early Rehabilitation Intervention on Motor Function of Hemiplegic Patients with Acute Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(07):107.
[3]王莉,唐春莲,杨冬梅△.脑卒中患者多重耐药菌感染调查与护理干预[J].西部中医药,2014,27(11):138.
[4]陆霞,石志敏.顺时养生护理措施对脑卒中患者日常生活活动能力的影响[J].西部中医药,2015,28(02):113.
[5]杨春林,巩婷,李清花,等.基于子午流注研究时间护理模式在缺血性脑卒中偏瘫患者康复中的应用[J].西部中医药,2015,28(05):124.
[6]赵红梅,李宝娥,贺艳霞,等.护理干预在脑卒中后吞咽障碍治疗中的应用价值[J].西部中医药,2015,28(06):133.[doi:2015/6/16 0:00:00]
[7]杨琦先,梁程,黄学宽.强肾活血疗法联合拜阿司匹林治疗急性缺血性脑卒中40例[J].西部中医药,2015,28(08):106.
[8]张晓凌,毛忠南.脑卒中后肩手综合征中西医治疗现状[J].西部中医药,2015,28(08):180.
[9]张成新,艾则孜·木沙江.中西医结合卒中单元模式对维、汉两民族急性脑卒中患者血脂、血清内脂素和脂联素的影响[J].西部中医药,2015,28(10):1.
[10]张中华.正交实验优选归芪无糖颗粒剂的水提工艺[J].西部中医药,2015,28(10):56.

备注/Memo

备注/Memo:
庞乐（1982—），男，硕士学位，副主任医师。研究方向：神经系统疾病的中西医结合诊治。国家自然科学基金青年基金项目（81901270）。 陕西省科技厅科技攻关项目（2019SF-293）；咸阳市科技局社会发展科技重点研发计划（2019K02-92）。
更新日期/Last Update: 2025-07-15