针灸联合十八段锦治疗对中风偏瘫患者运动功能影响

目的:研究针灸联合十八段锦治疗对中风偏瘫患者运动功能的影响。方法:选择2017年1月~2019年12月我院中医科针灸门诊针灸治疗的201例中风偏瘫患者,随机分为两组。对照组采用常规治疗,观察组采用针灸联合十八段锦治疗。治疗前后,比较两组的血清基质金属蛋白酶-9 (Matrix metalloproteinases-9,MMP-9)、促红细胞生成素(Erythropoietin,EPO)、同型半胱氨酸(Homocysteine,Hcy)水平、Tinetti步态评估量表(Tinetti gait assessment,TGA)以及功能性步行量表(functional ambulation category,FAC)评分。结果:观察组中风偏瘫患者的有效率明显高于对照组(P<0.05);治疗后,两组的血清MMP-9、EPO、Hcy水平均明显降低(P<0.05),FAC分级和TGA评分均明显升高(P<0.05),且观察组上述指标低于对照组(P<0.05)。结论:针灸联合十八段锦治疗能明显改善中风偏瘫患者的运动功能,提高疗效,其机制可能与降低血清MMP-9、EPO、Hcy水平有关,值得进行推广。

The Effect of Acupuncture Combined with Eighteen Section Brocade on the Motor Function of Apoplectic Hemiplegia Patients

ABSTRACT Objective: To investigate the effect of acupuncture combined with eighteen section brocade on the motor function of apoplectic hemiplegia patients. Methods: Selected 201 cases of patients with apoplectic hemiplegia who were treated in our hospital from January 2017 to December 2019, divided into two groups randomly. The control group was treated with routine therapy, and the observation group was treated with acupuncture combined with eighteen section brocade. Before and after treatment, the serum levels of matrix metalloproteinases-9 (MMP-9), erythropoietin (EPO), homocysteine (Hcy), Tinetti gait assessment scale (TGA) and functional walking scale (FAC) were compared between the two groups. Results: The effective rate of the observation group was Acupuncture exercise therapy higher than control group (P<0.05). After treatment, the serum MMP-9, EPO and Hcy levels of the two groups were significantly reduced (P<0.05), FAC classification and TGA score were significantly increased (P<0.05), and the above indicators in the observation group were lower than the control group (P<0.05). Conclusion: Acupuncture combined with eighteen section brocade can significantly improve the motor function and improve the curative effect of stroke hemiplegic patients. The mechanism may be related to the reduction of serum MMP-9, EPO and Hcy levels, and it is worthy of promotion.