| 郭晓敏,周佳慧,吴良恒.经颅磁刺激联合十二井穴放血治疗急性缺血性脑卒中患者肢体功能障碍的临床研究[J].中国康复,2025,40(6):354-357 |
| 经颅磁刺激联合十二井穴放血治疗急性缺血性脑卒中患者肢体功能障碍的临床研究 |
| Clinical study on transcranial magnetic stimulation combined with Twelve Jing-Well points bleedletting for limb dysfunction in patients with acute ischemic stroke |
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| DOI：10.3870/zgkf.2025.06.006 |
| 中文关键词: 急性缺血性脑卒中 十二井穴放血 经颅磁刺激 肢体功能 |
| 英文关键词: acute ischemic stroke twelve Jing-Well points bleeding transcranial magnetic stimulation limb function |
| 基金项目:武穴市中医医院面上课题（2023A001） |
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| 中文摘要: |
| 目的: 评价经颅磁刺激联合十二井穴放血治疗急性缺血性脑卒中患者肢体功能障碍的临床疗效。方法: 将90例急性缺血性脑卒中患者随机分为经颅磁组、井穴放血组和联合组，每组各30例。在常规治疗的基础上，经颅磁组给予经颅磁刺激治疗，井穴放血组采取十二井穴放血治疗，联合组采用经颅磁刺激联合十二井穴放血治疗，共治疗2周。观察3组患者治疗前后的Fugl-Meyer评定量表评分（FMA）、Barthel指数（BI）、美国国立卫生研究院卒中量表评分（NNIHSS）。结果：治疗后，3组的FMA及BI评分明显高于治疗前(P<0.01)，NIHSS评分明显低于治疗前(均P<0.05)，且联合组的FMA、BI、NIHSS评分均优于经颅磁组和井穴放血组(均P<0.05)，经颅磁组与井穴放血组比较差异无统计学意义。结论:经颅磁刺激联合十二井穴放血可以有效改善急性缺血性脑卒中患者的肢体功能，促进神经功能恢复。 |
| 英文摘要: |
| Objective: To investigate the clinical efficacy of transcranial magnetic stimulation(TMS) combined with Twelve Jing-Well points bleedletting in treating limb dysfunction in patients with acute ischemic stroke. Methods: Ninety patients with acute ischemic stroke were randomly assigned to three groups: the TMS group, the bloodletting group, and the combined treatment group, with 30 patients in each group. In addition to routine treatment, the TMS group received TMS, the bloodletting group underwent bloodletting at the Twelve Jing-Well points, and the combined group received both interventions. All patients were treated for two weeks. The Fugl-Meyer Assessment (FMA), Barthel Index (BI), National Institutes of Health Stroke Scale (NIHSS) were assessde before and after treatment, Results: Following treatment, FMA and BI scores significantly increased, while NIHSS scores significantly decreased in all three groups compared to baseline (P<0.05). The combined group demonstrated higher FMA, BI, and NIHSS scores than the TMS and bloodletting groups (P<0.05). Conclusion: TMS combined with Twelve Jing-Well points bleedletting effectively improves limb function and promotes neurological recovery in patients with acute ischemic stroke. |
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