| 林定艺,毛显禹,刘海飞,周英,吴梦婷,支英豪.针刺联合呼吸运动想象疗法对气虚血瘀型脑卒中患者的临床疗效观察[J].浙江中西医结合杂志,2026,36(4): |
| 针刺联合呼吸运动想象疗法对气虚血瘀型脑卒中患者的临床疗效观察 |
| Clinical observation of acupuncture combined with respiratory motor imagery therapy on stroke patients with qi deficiency and blood stasis type |
| 投稿时间：2025-03-18 修订日期：2026-03-17 |
| DOI： |
| 中文关键词: 运动想象疗法 中风 气虚血瘀 针刺 |
| 英文关键词:motor imagery therapy Sequelae of stroke Qi deficiency and blood stasis acupuncture |
| 基金项目:温州市科技计划项目(Y20220256),（YC20250133） |
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| 中文摘要: |
| 摘要：目的：观察针刺联合呼吸运动想象疗法（Motor imagery，MI)对气虚血瘀型脑卒中患者的临床疗效。方法：本研究纳入2024年1月至2024年12月期间本院康复科收治的80例气虚血瘀型中风患者，采用随机分组方法将其分为两组。对照组：针刺治疗；观察组：针刺中行呼吸MI。两组患者在住院期间的药物使用及其他治疗方案一致，对照组接受常规针刺治疗，观察组在针刺治疗基础上联合呼吸MI。治疗周期为60天。在治疗开始和结束对患者进行如下评估：简化Fugl-Meyer运动功能评定（FMA），Berg平衡量表（BBS），简易精神状态检查（MMSE），胸锁乳突肌、肋间肌、膈肌、腹直肌、竖脊肌积分肌电（iEMG）值，改良Barthel指数(MBI)评分。结果：治疗结束后，统计分析显示，两组患者的FMA评分、BBS评分、各肌肉iEMG值及MBI评分均较治疗前显著提高（p＜0.05），且观察者优于对照组。结论：针刺结合呼吸MI对于气虚血瘀型中风后遗患者主要呼吸肌肌力、运动功能、认知功能、日常生活活动能力（ADL）的改善优于单纯的针刺治疗。 |
| 英文摘要: |
| Abstract: Objective: To observe the clinical efficacy of acupuncture combined with motor imagery therapy (MI) in patients with stroke of qi deficiency and blood stasis type. Method: This study included 80 patients with Qi deficiency and blood stasis type stroke admitted to the Rehabilitation Department of our hospital from January 2024 to December 2024. They were randomly divided into two groups. Control group: Acupuncture treatment; Observation group: Respiratory MI during acupuncture. The medication use and other treatment plans of the two groups of patients during hospitalization were consistent. The control group received routine acupuncture treatment, while the observation group received a combination of acupuncture treatment and respiratory MI. The treatment period is 60 days. At the beginning and end of treatment, patients were evaluated using the Simplified Fugl Meyer Motor Function Assessment (FMA), Berg Balance Scale (BBS), Mini Mental State Examination (MMSE), Integrated Electromyography (iEMG) values of the sternocleidomastoid, intercostal, diaphragmatic, rectus abdominis, and erector spinae muscles, and Modified Barthel Index (MBI) score. Result: After treatment, statistical analysis showed that the FMA score, BBS score, iEMG values of each muscle, and MBI score of both groups of patients were significantly improved compared with before treatment (p<0.05), and the observers were better than the control group. Conclusion: Acupuncture combined with respiratory MI is superior to acupuncture alone in improving respiratory muscle strength, motor function, cognitive function, and activities of daily living (ADL) in patients with post-stroke sequelae of qi deficiency and blood stasis type. |
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