文献类型：期刊文献

中文题名：靳三针联合经皮穴位电刺激治疗脑卒中后偏瘫临床研究

英文题名：Clinical Study on JIN's Three-Needle Technique Combined with Transcutaneous Electrical Acupoint Stimulation for Post-Stroke Hemiplegia

作者：王健[1];李威威[1]

机构：[1]绍兴文理学院附属新昌医院,浙江绍兴312500

年份：2025

卷号：57

期号：14

起止页码：111

中文期刊名：新中医

外文期刊名：New Chinese Medicine

基金：绍兴市级医卫类科技计划项目(2020A13098)。

语种：中文

中文关键词：脑卒中后偏瘫;靳三针;经皮穴位电刺激;运动功能;神经功能;日常生活活动能力;第二信使

外文关键词：Post-stroke hemiplegia;JIN's three-needle technique;Transcutaneous electrical acupoint stimulation;Motor function;Neurological function;Activities of daily living;Second messenger

中文摘要：目的:观察靳三针联合经皮穴位电刺激(TEAS)治疗脑卒中后偏瘫的临床疗效。方法:选取2022年1月—2023年12月在绍兴文理学院附属新昌医院治疗的100例脑卒中后偏瘫患者,采用简单随机分组法分为联合组和TEAS组各50例。TEAS组给予TEAS治疗,联合组在TEAS组基础上给予靳三针治疗。2组均治疗2周。比较2组临床疗效以及治疗前后Fugl-Meyer运动功能评分法(FMA)、改良Ashworth量表(MAS)、美国国立卫生研究院卒中量表(NIHSS)、改良Barthel指数(MBI)评分和第二信使[血清环鸟苷酸(cGMP)、环腺苷酸(cAMP)、三磷酸肌醇(IP3)]水平。结果:治疗后,联合组总有效率94.00%(47/50),高于TEAS组76.00%(38/50),差异有统计学意义(P<0.05)。2组FMA、MBI评分均较治疗前升高,联合组FMA、MBI评分均高于TEAS组,差异均有统计学意义(P<0.05)。2组MAS、NIHSS评分均较治疗前降低,联合组MAS、NIHSS评分均低于TEAS组,差异均有统计学意义(P<0.05)。2组血清cAMP水平均较治疗前升高,联合组血清cAMP水平高于TEAS组,差异均有统计学意义(P<0.05)。2组血清IP3、cGMP水平均较治疗前降低,联合组血清IP3、cGMP水平均低于TEAS组,差异均有统计学意义(P<0.05)。结论:靳三针联合TEAS治疗脑卒中后偏瘫有利于患者运动功能和神经功能恢复,提高日常生活活动能力和治疗效果。

外文摘要：Objective:To observe the clinical efficacy of JIN's three-needle technique combined with transcutaneous electrical acupoint stimulation(TEAS)in the treatment of post-stroke hemiplegia.Methods:A total of 100 patients with post-stroke hemiplegia admitted to Xinchang Hospital Affiliated to Shaoxing University from January 2022 to December 2023 were selected and divided into the combination group and the TEAS group according to the simple randomization method,with 50 cases in each group.The TEAS group received TEAS treatment,and the combination group received JIN's three-needle technique on the basis of the TEAS group.The two groups were all treated for two weeks.The Clinical efficacy,changes in Fugl-Meyer Assessment(FMA)scores,Modified Ashworth Scale(MAS)scores,National Institutes of Health Stroke Scale(NIHSS)scores,Modified Barthel Index(MBI)scores,and second messenger levels[serum cyclic guanosine monophosphate(cGMP),cyclic adenosine monophosphate(cAMP),and inositol triphosphate(IP3)]between the two groups were compared before and after treatment.Results:After treatment,the total effective rate in the combination group was 94.00%(47/50),higher than that of 76.00%(38/50)in the TEAS group(P<0.05).The scores of FMA and MBI in the two groups were increased when compared with those before treatment,and the scores of FMA and MBI in the combination group were higher than those in the TEAS group(P<0.05).The scores of MAS and NIHSS in the two groups were decreased when compared with those before treatment,and the scores of MAS and NIHSS in the combination group were lower than those in the TEAS group(P<0.05).The levels of serum cAMP in the two groups were increased when compared with those before treatment,and the level of serum cAMP in the combination group was higher than that in the TEAS group(P<0.05).The levels of serum IP3 and cGMP in the two groups were decreased when compared with those before treatment,and the levels of serum IP3 and cGMP in the combination group were lower than those in the TEAS group(P<0.05).Conclusion:JIN's three-needle technique combined with TEAS enhances motor function,neurological recovery,activities of daily living,and overall therapeutic efficacy in patients with post-stroke hemiplegia.