Based on the understanding of lower limb numbness after stroke in Zhuang medicine, this study makes diagnosis and treatment of lower limb numbness after stroke from the clinical differentiation and treatment ideas of ...Based on the understanding of lower limb numbness after stroke in Zhuang medicine, this study makes diagnosis and treatment of lower limb numbness after stroke from the clinical differentiation and treatment ideas of "numbness due to Shaoyang (lesser Yang)" through Zhuang Medicine Meridian Tendon Therapy. The triple therapy of meridian tendon Tuina+acupuncture+cupping originally created by Zhuang medicine and head bloodletting by Zhuang medicine were used to improve the numbness symptoms of patients. This provides a new thinking mode for acupuncture and moxibustion treatment of lower limb numbness after stroke.展开更多
目的分析壮医经筋疗法联合桂枝加黄芪汤加减对肩周炎风寒湿痹证患者表面肌电信号及预后的影响。方法纳入2022年1月—2022年12月收治的114例肩周炎风寒湿痹证患者,使用简单随机法分别纳入联合组和对照组各57例。两组均接受壮医经筋疗法治...目的分析壮医经筋疗法联合桂枝加黄芪汤加减对肩周炎风寒湿痹证患者表面肌电信号及预后的影响。方法纳入2022年1月—2022年12月收治的114例肩周炎风寒湿痹证患者,使用简单随机法分别纳入联合组和对照组各57例。两组均接受壮医经筋疗法治疗,联合组加用桂枝加黄芪汤加减治疗,两组治疗均持续1个月。检测两组患者治疗前后肩关节功能评分、三角肌表面肌电信号等指标变化,评估两组预后。结果两组治疗后CMS量表疼痛、肌力、肩关节活动、功能活动评分均较治疗前升高;联合组治疗后Constant-Murley肩关节功能评分(Constant-Murley shoulder function score,CMS)量表疼痛、肌力、肩关节活动、功能活动评分均高于对照组,差异有统计学意义(P<0.05)。两组治疗后患侧三角肌表面积分肌电值(Integrated electromyography,iEMG)均较治疗前升高,疼痛视觉模拟评分(Visual analog score,VAS)评分均较治疗前下降;联合组治疗后患侧三角肌表面iEMG均高于对照组,其VAS评分低于对照组,差异有统计学意义(P<0.05)。联合组治疗后临床总有效率为97.40%(75/77),较对照组的86.67%(65/75)显著较高,差异有统计学意义(P<0.05)。结论在壮医经筋疗法的基础上联合桂枝加黄芪汤加减治疗,能够进一步改善肩周炎风寒湿痹证患者表面肌电信号、促进肩关节功能恢复及疼痛减轻,从而提高预后质量。展开更多
基金Supported by Key Laboratory of Virus Disease Research of Zhuang Medicine in Guangxi University of Chinese Medicine(Gui Jiao Ke Yan[2022]No.10)The Key Discipline Zhuang Medicine Meridian Tendon Tuina of Traditional Chinese Medicine in Guangxi Zhuang Medicine(GZXK-Z-20-61)+1 种基金Gui School of Traditional Chinese Medicine Master Physician Project(Gui Zhong Yi Yao Ke Jiao Fa[2022]No.6)Research and Application of Key Techniques for Prevention and Treatment of Lumbago and Leg Pain in Zhuang Medicine(Guike AB21196035).
文摘Based on the understanding of lower limb numbness after stroke in Zhuang medicine, this study makes diagnosis and treatment of lower limb numbness after stroke from the clinical differentiation and treatment ideas of "numbness due to Shaoyang (lesser Yang)" through Zhuang Medicine Meridian Tendon Therapy. The triple therapy of meridian tendon Tuina+acupuncture+cupping originally created by Zhuang medicine and head bloodletting by Zhuang medicine were used to improve the numbness symptoms of patients. This provides a new thinking mode for acupuncture and moxibustion treatment of lower limb numbness after stroke.
文摘目的分析壮医经筋疗法联合桂枝加黄芪汤加减对肩周炎风寒湿痹证患者表面肌电信号及预后的影响。方法纳入2022年1月—2022年12月收治的114例肩周炎风寒湿痹证患者,使用简单随机法分别纳入联合组和对照组各57例。两组均接受壮医经筋疗法治疗,联合组加用桂枝加黄芪汤加减治疗,两组治疗均持续1个月。检测两组患者治疗前后肩关节功能评分、三角肌表面肌电信号等指标变化,评估两组预后。结果两组治疗后CMS量表疼痛、肌力、肩关节活动、功能活动评分均较治疗前升高;联合组治疗后Constant-Murley肩关节功能评分(Constant-Murley shoulder function score,CMS)量表疼痛、肌力、肩关节活动、功能活动评分均高于对照组,差异有统计学意义(P<0.05)。两组治疗后患侧三角肌表面积分肌电值(Integrated electromyography,iEMG)均较治疗前升高,疼痛视觉模拟评分(Visual analog score,VAS)评分均较治疗前下降;联合组治疗后患侧三角肌表面iEMG均高于对照组,其VAS评分低于对照组,差异有统计学意义(P<0.05)。联合组治疗后临床总有效率为97.40%(75/77),较对照组的86.67%(65/75)显著较高,差异有统计学意义(P<0.05)。结论在壮医经筋疗法的基础上联合桂枝加黄芪汤加减治疗,能够进一步改善肩周炎风寒湿痹证患者表面肌电信号、促进肩关节功能恢复及疼痛减轻,从而提高预后质量。
