Clinical Observation of Mind-Regulating and Meridians-Dredging Acupuncture Combined with Rehabilitation Training in Treating Limb Dysfunction in Recovery Period of Cerebral Infarction
10.13359/j.cnki.gzxbtcm.2025.01.011
- VernacularTitle:通督调神针刺结合康复训练治疗脑梗死恢复期肢体功能障碍的临床疗效观察
- Author:
Wen ZHANG
1
;
Shanbin SUN
;
Chong CHEN
;
Xiaoli SUN
;
Yanju LI
;
Ermei CAO
;
Yueguang LIANG
;
Sifang CHEN
;
Haowen TIAN
;
Yujie YANG
;
Panfu HAO
Author Information
1. 安徽中医药大学第二附属医院康复科,安徽合肥 230061
- Keywords:
mind-regulating and meridians-dredging acupuncture;
rehabilitation training;
cerebral infarction;
recovery period;
limb dysfunction;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(1):71-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of mind-regulating and meridians-dredging acupuncture combined with rehabilitation training in treating limb dysfunction in recovery period of cerebral infarction(CI).Methods A total of 110 cases of patients with limb dysfunction in recovery period of CI were randomly divided into observation group and control group,55 cases in each group,the control group was given routine rehabilitation training,and the observation group was treated with mind-regulating and meridians-dredging acupuncture on the basis of intervention of the control group,the course of treatment covered two consecutive weeks.After two weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes of scores of traditional Chinese medicine(TCM)syndrome,Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS)and Modified Barthel Index(MBI)before and after treatment of patients in the two groups were observed.The changes of electromyographic signal before and after treatment were compared between the two groups.And the safety and the occurrence of adverse reactions in the two groups were evaluated.Results(1)The total effective rate was 98.18%(54/55)in the observation group and 87.27%(48/55)in the control group.The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the TCM syndrome scores of patients in the two groups were significantly improved(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,with a statistically significant difference(P<0.05).(3)After treatment,the FMA scores of patients in the two groups improved significantly(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(4)After treatment,the BBS scores and MBI scores of the patients in the two groups improved significantly(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(5)After treatment,the root mean square value(RMS)of biceps brachii muscle elbow flexion and triceps brachii muscle elbow extention of the two groups of patients improved significantly(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(6)During the treatment,there were no obvious adverse reactions occurred in both groups.Conclusion Mind-regulating and meridians-dredging acupuncture combined with rehabilitation training in treating limb dysfunction in recovery period of CI can significantly improve the motor ability of patients,and adjust the electromyographic signals of the affected limbs,with high safety.