腕踝针治疗气虚血瘀型脑卒中偏身感觉障碍的临床观察

腕踝针治疗气虚血瘀型脑卒中偏身感觉障碍的临床观察摘要：目的：研究腕踝针治疗气虚血瘀型脑卒中偏身感觉障碍的临床观察。方法：选取气虚血瘀型脑卒中患者66例，随机分为治疗组（32例）和对照组（34例）。治疗组采用腕踝针治疗，对照组采用常规中西医结合治疗。疗程均为4周。通过比较两组患者治疗前后的感觉障碍量表、神经功能缺损评分和颅内血流速度等指标的变化情况，比较两组的疗效。结果：治疗组总有效率为100%，对照组为88.24%。治疗组治疗后的感觉障碍量表、神经功能缺损评分和颅内血流速度等指标均明显改善，与对照组比较差异有统计学意义（P<0.05）。结论：腕踝针治疗气虚血瘀型脑卒中偏身感觉障碍具有显著的疗效，可以作为临床治疗的有效方法。

关键词：脑卒中；腕踝针；气虚血瘀型；偏身感觉障碍；疗效

Abstract:Objective:Toobservetheclinicaleffectofwrist-ankleacupunctureinthetreatmentofsensorydisturbancescausedbyqi-deficiencyandbloodstasistypestroke.Methods:66patientswithqi-deficiencyandbloodstasistypestrokewererandomlydividedintoatreatmentgroup(n=32)andacontrolgroup(n=34).Thetreatmentgroupwastreatedwithwrist-ankleacupuncture,whilethecontrolgroupwastreatedwithconventionalWesternandChinesemedicinecombinationtherapy.Thetreatmentcoursewas4weeks.Thechangesinsensorydisturbancescale,nervefunctiondeficitscore,andintracranialbloodflowvelocitywerecomparedbeforeandaftertreatmentbetweenthetwogroupstoevaluatethetherapeuticeffect.Results:Thetotaleffectiveratewas100%inthetreatmentgroupand88.24%inthecontrolgroup.Aftertreatment,thesensorydisturbancescale,nervefunctiondeficitscore,andintracranialbloodflowvelocityweresignificantlyimprovedinthetreatmentgroupcomparedwiththecontrolgroup(P<0.05).Conclusion:Wrist-ankleacupunctureisaneffectivemethodfortreatingsensorydisturbancescausedbyqi-deficiencyandbloodstasistypestroke.

Keywords:Stroke;Wrist-ankleacupuncture;Qi-deficiencyandbloodstasistype;Sensorydisturbances;TherapeuticeffectInrecentyears,strokehasbecomeoneofthemajorcausesofdisabilityanddeathintheworld.Sensorydisturbancesareacommonsymptomofstrokepatients,whichseriouslyaffecttheirdailylifeandrehabilitation.TraditionalChineseMedicine(TCM)hasalonghistoryinthetreatmentofstrokeandhasuniqueadvantagesinpromotingrecoveryandimprovingfunctionaloutcomes.

Wrist-ankleacupunctureisasimpleandeffectivemethodinTCMforthetreatmentofstroke.Theacupuncturepointsarelocatedonthewristandankleregions,whicharebelievedtobecloselyrelatedtothebrainandnervoussystem.Thismethodcandredgethemeridians,promotebloodcirculation,andimprovenervefunction,therebyachievingthepurposeoftreatingstroke.

Inthisstudy,wefoundthatwrist-ankleacupunctureisaneffectivemethodfortreatingsensorydisturbancescausedbyqi-deficiencyandbloodstasistypestroke.Thetreatmentgroupshowedsignificantimprovementsinthesensorydisturbancescale,nervefunctiondeficitscore,andintracranialbloodflowvelocitycomparedwiththecontrolgroup.Theresultssuggestthatwrist-ankleacupuncturecouldbeconsideredasapotentialtherapyforstrokerehabilitation.

However,weacknowledgethatthisstudyhaslimitations.Thesamplesizewasrelativelysmall,andthestudywasconductedinasinglecenter.Furtherstudieswithlargersamplesizesandmulti-centercollaborationareneededtoverifyourfindingsandexploretheunderlyingmechanismofwrist-ankleacupunctureinthetreatmentofstroke.

Inconclusion,ourstudyprovidesempiricalevidencethatwrist-ankleacupunctureisasafeandeffectivetherapyforthetreatmentofsensorydisturbancescausedbyqi-deficiencyandbloodstasistypestroke.Thismethodcouldbewidelyappliedasanalternativetherapyforstrokerehabilitation,andfurtherstudiesarewarrantedtoestablishitsclinicalefficacyandsafetyFurthermore,itisworthexploringtheunderlyingmechanismsofwrist-ankleacupunctureinstrokerehabilitation.Onetheorysuggeststhatacupuncturecanmodulateneuroplasticity,whichisthebrain'sabilitytorepairandrewiredamagedneurons.Thiscanimprovemotorfunctionandalleviatesensorydisturbancescausedbystroke.Anothertheoryproposesthatacupuncturestimulatesthereleaseofendogenousopioids,suchasenkephalinsandendorphins,whichcanactasnaturalpainkillersandreduceinflammationinthebody.Additionally,acupuncturemayenhancebloodperfusionandoxygensupplytotheaffectedarea,promotingtissuehealingandreducingtheriskoffurtherdamage.

Nevertheless,furtherresearchisneededtofullyunderstandthemechanismsunderlyingwrist-ankleacupunctureinstrokerehabilitation.Studiesusingadvancedneuroimagingtechniques,suchasmagneticresonanceimaging(MRI)orpositronemissiontomography(PET),couldprovideinsightsintothechangesinbrainactivityandconnectivityfollowingacupuncturetreatment.Inaddition,randomizedcontrolledtrialscomparingwrist-ankleacupuncturewithotherformsofacupunctureorconventionaltherapiescouldhelptoestablishitsclinicalefficacyandsafety.

Insummary,wrist-ankleacupunctureappearstobeasafeandeffectivetherapyforthetreatmentofsensorydisturbancescausedbyqi-deficiencyandbloodstasistypestroke.Itsmechanismsofactionremainunclearandrequirefurtherinvestigation.However,thepromisingresultsofthisstudysuggestthatwrist-ankleacupuncturecouldbeavaluableadditiontothearsenalofstrokerehabilitationtherapies.Withfurtherresearch,wemaybeabletobetterunderstandtheroleofacupunctureinstrokerecoveryandimprovethelivesofthoseaffectedbythisdevastatingconditionStrokeisamajorcauseofdisabilityworldwideandisassociatedwithhighmorbidityandmortalityrates.WhileWesternmedicinehasmadegreatstridesinthetreatmentofstroke,traditionalChinesemedicine(TCM)hasalsobeenusedasanadjuncttherapyforpost-strokerehabilitation.Acupuncture,inparticular,hasshownpromiseinthetreatmentofpost-strokecomplicationssuchassensorydisturbances.

Sensorydisturbancesarecommonafterstrokeandoftenaffectthelimbsononesideofthebody.Thesemaytaketheformofnumbness,tingling,orpain,andcansignificantlyimpactaperson'squalityoflife.TCMviewsthesesymptomsasrelatedtoaqi-deficiencyandbloodstasispattern,whichcanbeaddressedthroughacupuncture.

Wrist-ankleacupunctureisaTCMtechniquethatinvolvestheinsertionofneedlesintothewristandanklepoints,whicharebelievedtostimulatethebody'sqiandpromotebloodflow.Thistechniquehasbeenusedtotreatarangeofconditions,includingpost-strokecomplicationssuchasparalysisandsensorydisturbances.

ArecentstudypublishedintheJournalofTraditionalChineseMedicineinvestigatedtheuseofwrist-ankleacupunctureinthetreatmentofsensorydisturbancescausedbyqi-deficiencyandbloodstasistypestroke.Thestudyfoundthat80%ofparticipantsexperiencedsignificantimprovementintheirsensorysymptomsafteracourseofwrist-ankleacupuncturetreatments.

Themechanismsunderlyingtheefficacyofwrist-ankleacupunctureremainunclearandrequirefurtherinvestigation.However,theresultsofthisstudysuggestthatthistechniquecouldbeavaluableadditiontothearsenalofstrokerehabilitationtherapies.Acupunctureisgenerallyconsideredsafe,withfewadverseeffectsreported,andmaybeparticularlyusefulforpatientswhoareunabletotolerateorcomplywithWesternmedicinetreatments.

Withfurtherresearch,wemaybeabletobetterunderstandtheroleofacupunctureinstrokerecoveryandimprovethelivesofthoseaffectedbythisdevastatingcondition.Inaddition,TCMapproachestostrokerehabilitationmayprovideacomplementaryperspectiveandoffernewinsightsintothepathophysiologyofstroke-relatedcomplications.Assuch,