坐骨神经前叶针刺对脑梗塞后下肢瘫痪的影响:随机对照试验研究方案。

L I Menghan, Wang Yu, Ran Dawei, Yang Xinming, Deng Shizhe, Shi Lei, Meng Zhihong
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摘要

中风是中老年致残的主要原因。偏瘫,尤其是下肢瘫痪,往往导致生活自理能力丧失,并引发一系列继发性损伤。运动疗法是改善偏瘫肢体运动的主要方法,但康复治疗后仍有不少患者致残。针灸作为治疗中风的非药物疗法之一,其改善患者运动功能的作用已得到认可。在此,我们提出了一种新方法--坐骨神经前针刺法,它可以同时刺激股神经和坐骨神经。我们设计了这项研究,以确定这种方法对下肢运动功能的影响。我们将招募 60 名脑梗塞偏瘫患者,按 1:1 的比例随机分配到试验组和对照组。对照组将接受星脉开窍针刺,试验组将在此基础上接受坐骨神经前神经针刺。所有参与者每天接受一次针灸治疗,每周 6 次,持续 2 周。主要结果为 Fugl-Meyer 下肢评估,次要结果为改良阿什沃斯量表和改良巴特尔指数。将收集治疗前、治疗后 1 周和治疗后 2 周的数据,然后进行统计分析。本研究可初步验证针刺坐骨神经前束对改善脑梗死患者下肢运动功能的作用,为临床治疗偏瘫提供了一种可供选择的方法。
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Effects of anterior sciatic nerve acupuncture on lower limb paralysis after cerebral infarction: study protocol for a randomized controlled trial.

Stroke is the main cause of disability in the middle and old age. Hemiplegia, especially lower limb paralysis, often leads to the loss of self-care ability and a series of secondary injuries. The main method to improve hemiplegic limb movement is exercise therapy, but there are still many patients with disabilities after rehabilitation treatment. As one of the non-pharmacological therapies for stroke, acupuncture has been recognized to improve motor function in patients. Here, we propose a new method, anterior sciatic nerve acupuncture, which can stimulate both the femoral nerve and the sciatic nerve. We designed this study to determine the effect of this method on lower limb motor function. Sixty participants recruited with hemiplegia after cerebral infarction will be randomly assigned to the test group or control group in a 1:1 ratio. The control group will receive Xingnao Kaiqiao acupuncture, and the test group will receive anterior sciatic nerve acupuncture on this basis. All participants will get acupuncture treatment once a day, 6 times a week for 2 weeks. The primary outcome is Fugl-Meyer Assessment of Lower Extremity and the secondary outcomes are Modified Ashworth Scale and Modified Barthel Index. Data will be collected before treatment, 1 week after treatment, and 2 weeks after treatment, and then statistical analysis will be performed. This study can preliminarily verify the effect of anterior sciatic nerve acupuncture on improving lower limb motor function in patients with cerebral infarction, which may provide an alternative approach for clinical treatment of hemiplegia.

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