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经络电导在急性缺血性脑卒中中的应用:一项横断面研究。

Application of Meridian Electrical Conductance in the Setting of Acute Ischemic Stroke: A Cross-Sectional Study.

作者信息

Chang Shih-An, Weng Yi-Xiang, Cheng Shu-Chen, Chang Yeu-Jhy, Lee Tsong-Hai, Chang Chien-Hung, Chang Ting-Yu, Huang Kuo-Lun, Liu Chi-Hung, Hsu Chung-Yuan

机构信息

Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Stroke Center and Department of Neurology, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University College of Medicine, Taoyuan, Taiwan.

出版信息

Evid Based Complement Alternat Med. 2019 Aug 14;2019:3098095. doi: 10.1155/2019/3098095. eCollection 2019.

Abstract

Acupuncture is widely used for improving poststroke care. Knowing the condition of meridian can help traditional Chinese medicine (TCM) doctors make a tailored choice of acupoints for every patient. The establishment of an objective meridian energy measurement for acute ischemic stroke that can be used for future acupuncture treatment and research is an important area in stroke-assisted therapy. In this study, a total of 102 subjects diagnosed with acute ischemic stroke within 7 days of onset were recruited, and the meridian energy analysis device (MEAD) was used to record the meridian electrical conductance (MEC) values of twelve meridians on unaffected and affected limbs. We found that the MEC value of the twelve meridians on the affected limbs was significantly higher than that on the unaffected limbs (=0.001). Compared with the unaffected limbs, there was a higher value of MEC on the affected limbs of the lung meridian, heart meridian, pericardium meridian, and small intestine meridian, with significant differences ( < 0.05, < 0.001, < 0.001, and < 0.05, respectively). Further analysis revealed that the MEC values of both Yin and Yang meridians of the affected limbs were significantly higher than those of the unaffected limbs (=0.001 and < 0.05, respectively). Meanwhile, the mean of the index of sympathovagal balance in patients with acute ischemic stroke (5.49 ± 4.21) was higher than the normal range (1-1.5), indicating autonomic imbalance. The results of this study are consistent with TCM theory as well as clinical observation and pathological mechanisms, suggesting that the measurement of MEC values may be used as a supplementary diagnostic method for acupuncture in patients with acute ischemic stroke.

摘要

针灸被广泛用于改善中风后的护理。了解经络状况有助于中医医生为每位患者量身选择穴位。建立一种可用于未来针灸治疗和研究的急性缺血性中风客观经络能量测量方法是中风辅助治疗的一个重要领域。在本研究中,共招募了102名在发病7天内被诊断为急性缺血性中风的受试者,并使用经络能量分析仪(MEAD)记录未受影响和受影响肢体上十二条经络的经络电导(MEC)值。我们发现,受影响肢体上十二条经络的MEC值显著高于未受影响肢体上的MEC值(=0.001)。与未受影响肢体相比,肺经、心经、心包经和小肠经受影响肢体上的MEC值较高,差异有统计学意义(分别为<0.05、<0.001、<0.001和<0.05)。进一步分析显示,受影响肢体的阴经和阳经的MEC值均显著高于未受影响肢体的MEC值(分别为=0.001和<0.05)。同时,急性缺血性中风患者的交感神经与迷走神经平衡指数平均值(5.49±4.21)高于正常范围(1-1.5),表明自主神经失衡。本研究结果与中医理论以及临床观察和病理机制一致,表明MEC值的测量可作为急性缺血性中风患者针灸的辅助诊断方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ff/6710765/7a878a5c5610/ECAM2019-3098095.001.jpg

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