摘要
目的探讨靳三针结合镜像疗法对脑卒中上肢功能障碍患者上肢功能的即时疗效。方法选取脑卒中上肢功能障碍患者11例,针刺治疗取穴:患肢对侧颞三针,患侧上肢行肩三针、手三针,人中、百会;留针同时行镜像康复疗法30 min。治疗前后均进行静息态功能磁共振(f MRI)扫描T1加权图像和BOLD脑功能图像。分析局部一致性(Re Ho)和节点中心度(DC)有差异的脑区。结果相比治疗前,Reho值在尾状核、缘上回、前扣带回、内囊前肢、梭状回、枕叶外侧显著增强(体素簇体积>165且P<0.05)。DC在颞上回后坡、颞中回、颞下回、枕颞外侧显著增强(体素簇体积>165且P<0.05)。结论靳三针结合镜像疗法可能促进脑卒中上肢功能障碍患者相关区域的脑功能得到更好地重建。
Objective To investigate the real-time effect of JIN's three-needle combined with mirror therapy on upper limb function in patients with stroke and upper extremity dysfunction. Methods A total of 11 patients with stroke and upper extremity dysfunction were selected. Acupuncture treatment was performed in the following acupoints: three needles in the temple of opposite side of the affected limb,three needles in the shoulder and hand of the upper limbs of the affected side,Renzhong( GV26) and Baihui( GV20). While needling retention,mirror rehabilitation was performed for 30 min. Resting state functional magnetic resonance imaging( f MRI) scans of T1-weighted images and BOLD brain functional images were performed before and after treatment. Brain regions with differences in local consistency( Re Ho) and node centrality( DC) were analyzed. Results Compared with before treatment,Reho values were significantly enhanced in the caudate nucleus,superior temporal anterior cingulate gyrus,anterior cingulate anterior limb,fusiform gyrus,and lateral occipital lobe( voxel clustering volume > 165 and P < 0. 05). The DC was significantly enhanced on the back slope,the middle back,the lower back,and the outer side of the pillow( voxel clustering volume > 165 and P < 0. 05). Conclusion JIN's three-needle combined with mirror therapy may promote better reconstruction of brain function in patients with upper limb dysfunction in stroke.
引文
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