中华中医药学刊

针刺联合Brunnstrom康复训练对脑梗死患者神经功能与运动功能恢复的回顾研究

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毛建凯 ¹ , 叶祥明 ² , 方诚冰 ¹

中华中医药学刊 | 国家项目点击 2026,44(8): 76-80

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中华中医药学刊 |国家项目点击 2026 , 44 (8) : 76 -80

针刺联合Brunnstrom康复训练对脑梗死患者神经功能与运动功能恢复的回顾研究

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毛建凯¹, 叶祥明², 方诚冰¹

作者信息

^1.浙江中医药大学附属省立同德医院，浙江　杭州　310012

^2.浙江省人民医院，浙江　杭州　310014

通讯作者:

叶祥明（1966-），男，浙江余姚人，主任医师，学士，研究方向：神经康复诊疗。E-mail：yexmdr@126.com。

作者简介:

毛建凯（1991-），男，浙江衢州人，主管技师，学士，研究方向：神经康复诊疗。

Randomized Controlled Study on Recovery of Neurological Function and Motor Function in Patients with Cerebral Infarction by Acupuncture Combined with Brunnstrom Rehabilitation Training

Jiankai MAO¹, Xiangming YE², Chengbing FANG¹

Affiliations

^1.Tongde Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou 310012, Zhejiang, China

^2.Zhejiang Provincial People's Hospital, Hangzhou 310014, Zhejiang, China

出版时间: 2026-08-10 doi: 10.13193/j.issn.1673-7717.2026.08.017

文章导航

摘要

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目的

探讨Brunnstrom康复训练联合针刺对脑梗死患者运动功能与神经功能恢复的作用。

方法

回顾性选取2023年1月—2024年9月符合本次研究要求的86例脑梗死住院患者为研究对象，根据治疗方案把患者均分为两组，对照组43例采用常规治疗及Brunnstrom康复训练，观察组43例采用针刺联合Brunnstrom康复训练进行治疗，对比两组治疗效果、中医症状评分、神经与运动功能及颅内血流动力学变化情况。

结果

疗效方面，观察组为95.35%（41/43），对照组是74.42%（32/43），两者比较观察组更高，差异有统计学意义（P<0.05）；治疗后观察组肢体麻木、口眼歪斜、感觉障碍、头晕头痛4项中医症状积分低于对照组，Fugl-Meryer运动功能量表（Fugl-Meyer assessment of motor function，FMA）、Berg平衡功能评定量表（Berg balance scale，BBS）两个量表评分方面，两组治疗后均有提高，但观察组提高更明显；NIHSS评分方面，观察组降低程度高于对照组，组间差异有统计学意义（P<0.05）；血流动力学方面，与对照组比较，观察组收缩期峰值流速（Peak systolic velocity，PSV）、大脑中动脉的平均血流速度（Mean flow velocity of middle cerebral artery，MFV）高于对照组，血管阻力指数（Resistance index，RI）则较对照组降低，组间差异有统计学意义（P<0.05）。

结论

对脑梗死患者予以针刺联合Brunnstrom康复训练有利于改善患者感觉障碍、肢体麻木等症状，促进上下肢肢体功能的恢复，提高平衡能力，改善颅内血流动力学，减轻患者神经功能缺损程度，对患者预后改善具有积极意义。

关键词

脑梗死 / 针刺 / Brunnstrom康复训练 / 神经功能 / 运动功能 / 颅内血流动力学 / 中西医结合治疗

Abstract

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Objective

To analyze the effect of acupuncture combined with Brunnstrom rehabilitation training on the recovery of neurological function and motor function in patients with cerebral infarction.

Methods

A retrospective analysis was conducted on 86 patients with cerebral infarction admitted to the Rehabilitation Department of the hospital between January 2023 and September 2024, who met the inclusion criteria of this study. The patients were equally divided into two groups based on their treatment plan: 43 patients in the control group received conventional treatment and Brunnstrom rehabilitation training, while the other 43 patients in the observation group received acupuncture combined with Brunnstrom rehabilitation training. The therapeutic effects, traditional Chinese medicine symptom scores, neurological function, motor function and changes in intracranial hemodynamics were compared between the two groups.

Results

In terms of the therapeutic effect, the effective rate of the observation group was 95.35% (41/43), while that of the control group was 74.42% (32/43). There was a statistically significant difference between the two groups (P<0.05). After treatment, the scores of four traditional Chinese medicine symptoms such as limb numbness, deviation of mouth and eyes, sensory disturbance, dizziness and headache in the observation group were lower than those in the control group. In terms of Fugl-Meyer Assessment of Motor Function (FMA) and Berg Balance Scale (BBS) scores, both groups improved after treatment, but the improvement in the observation group was more significant. In terms of National Institutes of Health Stroke Scale (NIHSS) scores, the decrease in the observation group was greater than that in the control group, and the difference between the groups was significant (P<0.05). In terms of hemodynamics, compared with the control group, the peak systolic velocity (PSV) and mean flow velocity (MFV) in the observation group were higher, and the resistance index (RI) was lower, with significant differences between the groups (P<0.05).

Conclusion

Acupuncture combined with Brunnstrom rehabilitation training for the patients with cerebral infarction is beneficial to improve symptoms such as sensory disturbance and limb numbness, promote the recovery of limb function of the upper and lower extremities, improve balance ability and intracranial hemodynamics, and reduce the degree of neurological deficit in patients, which has positive significance for the improvement of prognosis of the patients.

Key words

cerebral infarction / acupuncture / Brunnstrom rehabilitation training / neurological function / motor function / intracranial hemodynamics / integrated traditional Chinese and western medicine treatment

引用本文

毛建凯, 叶祥明, 方诚冰. 针刺联合Brunnstrom康复训练对脑梗死患者神经功能与运动功能恢复的回顾研究. 中华中医药学刊, 2026 , 44 (8) : 76 -80 . DOI: 10.13193/j.issn.1673-7717.2026.08.017

Jiankai MAO, Xiangming YE, Chengbing FANG. Randomized Controlled Study on Recovery of Neurological Function and Motor Function in Patients with Cerebral Infarction by Acupuncture Combined with Brunnstrom Rehabilitation Training[J]. Chinese Archives of Traditional Chinese Medicine, 2026 , 44 (8) : 76 -80 . DOI: 10.13193/j.issn.1673-7717.2026.08.017

基金

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国家重点研发计划项目(2017YFC1308500)
浙江省重点研发计划项目(2024C03040)

参考文献

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2026年第44卷第8期

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doi: 10.13193/j.issn.1673-7717.2026.08.017

首发时间：2026-10-20
出版时间：2026-08-10

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国家重点研发计划项目(2017YFC1308500)

浙江省重点研发计划项目(2024C03040)

作者信息

^1.浙江中医药大学附属省立同德医院，浙江　杭州　310012

^2.浙江省人民医院，浙江　杭州　310014

通讯作者:

叶祥明（1966-），男，浙江余姚人，主任医师，学士，研究方向：神经康复诊疗。E-mail：yexmdr@126.com。

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https://castjournals.cast.org.cn/joweb/zhzyyxk/CN/10.13193/j.issn.1673-7717.2026.08.017

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2种不同金属材料的力学参数

科 Family	属数 Number of genus	种数 Number of species	占总种数比例 Percentage of total species (%)	属 Genus	种数 Number of species	占总种数比例 Percentage of total species (%)
鹅膏菌科Amanitaceae	2	11	5.26	鹅膏菌属 Amanita	10	4.78
小菇科 Mycenaceae	2	12	5.74	丝盖伞属 Inocybe	5	2.39
多孔菌科 Polyporaceae	8	14	6.70	蜡蘑属 Laccaria	5	2.39
红菇科 Russulaceae	3	23	11.00	小皮伞属 Marasmius	6	2.87
				小菇属 Mycena	11	5.26
				光柄菇属 Pluteus	5	2.39
				红菇属 Russula	17	8.13
				栓菌属 Trametes	5	2.39

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