文章摘要
谢育龙,王辉,彭艳,等.针灸治疗脑卒中的GPS定位循经探究[J].浙江中医药大学学报,2020,44(12):1183-1189.
针灸治疗脑卒中的GPS定位循经探究
Study on GPS Positioning Meridians-following Method of Acupuncture Therapy for Stroke
投稿时间:2020-03-30  
DOI:10.16466/j.issn1005-5509.2020.12.008
中文关键词: 经络  GPS定位  大脑皮层功能区  循经感传  脑卒中  针灸  功能  疗效
英文关键词: meridians  GPS positioning  cerebral cortex functional areas  meridians-following transmission  stroke  acupuncture  function  curative effect
基金项目:
作者单位E-mail
谢育龙 象山县康复医院 浙江象山 315700  
王辉 象山县康复医院 浙江象山 315700  
彭艳 沈阳体育学院 1445724999@qq.com 
董云霞 保山安利医院  
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中文摘要:
      [目的]将导航定位系统(global positioning system,GPS)原理和中医经络理论相关联,通过针灸治疗脑卒中来探究GPS定位循经的可行性。[方法]参考GPS原理,应用3Dbody软件和神经解剖方法将大脑皮层功能分区和经络穴位相互对应,以象山县康复医院30例脑卒中患者为试验对象,随机分为对照组和试验组,每组各15例,对照组给予常规针灸治疗,试验组按照大脑皮质功能分区和经络穴位对应表进行穴位选取后针灸治疗,通过运动功能Fugl-Meyer量表(Fugl-Meyer assessment,FMA)、洼田饮水试验、简易精神状态检查(mini-mental state examination,MMSE)量表和汉语失语成套测试(aphasia battery of Chinese,ABC),比较两组患者治疗4周后运动功能、感觉功能、认知功能、吞咽功能和情绪障碍的评分差异,讨论GPS定位循经的可行性。[结果]治疗前两组患者的各项评分差异无统计学意义(P>0.05);应用GPS定位循经的方法对脑卒中患者进行4周针灸治疗后,试验组感觉功能评分、运动功能评分、吞咽功能评分、听理解和口语表达评分明显优于对照组,差异具有统计学意义(P<0.05);在阅读和书写评分、简易精神状态评分和不良事件方面,两组患者治疗后差异无统计学意义(P>0.05);试验组治疗后总有效率高于对照组,两组比较差异有统计学意义(P<0.01)。[结论]应用GPS定位循经指导针灸治疗脑卒中,相比常规针灸治疗疗效更显著,证明GPS定位循经的可行性和临床实用价值。
英文摘要:
      [Objective] To explore the feasibility of global positioning system(GPS) positioning meridians-following method through acupuncture and moxibustion treatment of stroke by connecting the principle of GPS with meridian theory of traditional Chinese medicine(TCM). [Methods] Apply 3Dbody software and neuroanatomy methods, cerebral cortex function partition and meridian acupoints corresponded to each other, thirty stroke patients in Xiangshan Rehabilitation Hospital were randomly divided into control group and experimental group, each group had 15 cases. Patients in control group were given routine acupuncture treatment, and patients in experimental group were given acupuncture treatment after acupoint selection according to cerebral cortex function partition and meridian acupoint correspondence table. After 4 weeks of treatment, the differences of motor function, sensory function, cognitive function, swallowing function and emotional disorders score between the two groups were compared with motor function Fugl-Meyer assessment(FMA), water swallow test, simple intelligent mental state scale mini-mental state examination(MMSE) and aphasia battery of Chinese(ABC), and the feasibility of GPS positioning meridians-following method was discussed. [Results]There was no significant difference in scores between the two groups before treatment(P>0.05).The sensory function score, motor function score, swallowing function score, listening comprehension score and oral expression score of experimental group were significantly better than those of control group after 4 weeks of treatment using GPS positioning and meridian-following method(P<0.05). There was no differences in reading and writing score, simple intelligent mental state score and adverse events between the two groups after treatment(P>0.05). The total effective rate of experimental group was higher than that of control group after treatment, and the difference between the two groups was statistically significant(P<0.01).[Conclusion] The results show that acupuncture and moxibustion guided by GPS positioning meridians-following method is more effective than conventional acupuncture in the treatment of stroke, and it also proves the feasibility and clinical practical value of GPS positioning meridians-following method.
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