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本文引用的文献

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Targeted neurorehabilitation strategies in post-stroke aphasia.脑卒中后失语症的靶向神经康复策略。
Restor Neurol Neurosci. 2023;41(3-4):129-191. doi: 10.3233/RNN-231344.
2
Design and Analysis of an Upper Limb Rehabilitation Robot Based on Multimodal Control.基于多模态控制的上肢康复机器人设计与分析。
Sensors (Basel). 2023 Oct 29;23(21):8801. doi: 10.3390/s23218801.
3
China stroke surveillance report 2021.中国卒中监测报告 2021。
Mil Med Res. 2023 Jul 19;10(1):33. doi: 10.1186/s40779-023-00463-x.
4
Social play behavior shapes the development of prefrontal inhibition in a region-specific manner.社会玩耍行为以特定于区域的方式塑造前额叶抑制的发展。
Cereb Cortex. 2023 Jul 24;33(15):9399-9408. doi: 10.1093/cercor/bhad212.
5
[ acupuncture combined with acupuncture for post-stroke fatigue: a randomized controlled trial].针刺联合针刺治疗中风后疲劳:一项随机对照试验
Zhongguo Zhen Jiu. 2022 Oct 12;42(10):1089-93. doi: 10.13703/j.0255-2930.20211104-0002.
6
Stress hyperglycemia ratio and long-term prognosis in patients with acute coronary syndrome: A multicenter, nationwide study.应激性高血糖比值与急性冠状动脉综合征患者的长期预后:一项多中心、全国性研究。
J Diabetes. 2023 Jul;15(7):557-568. doi: 10.1111/1753-0407.13400. Epub 2023 May 3.
7
Relationship between stress hyperglycemia ratio and allcause mortality in critically ill patients: Results from the MIMIC-IV database.危重症患者应激性高血糖比值与全因死亡率的关系:来自 MIMIC-IV 数据库的结果。
Front Endocrinol (Lausanne). 2023 Apr 3;14:1111026. doi: 10.3389/fendo.2023.1111026. eCollection 2023.
8
Cortical hemodynamic response during cognitive Stroop test in acute stroke patients assessed by fNIRS.通过功能近红外光谱技术评估急性中风患者在认知斯特鲁普测试期间的皮质血流动力学反应。
NeuroRehabilitation. 2023;52(2):199-217. doi: 10.3233/NRE-220171.
9
The Angular Gyrus as a Hub for Modulation of Language-related Cortex by Distinct Prefrontal Executive Control Regions.角回作为通过不同前额叶执行控制区域调节语言相关皮质的枢纽。
J Cogn Neurosci. 2022 Nov 1;34(12):2275-2296. doi: 10.1162/jocn_a_01915.
10
Xingnao Kaiqiao Acupuncture Combined with Butylphthalide Sodium Chloride Injection in the Treatment of Acute Cerebral Infarction and Its Effect on the Levels of Serum Malondialdehyde, Superoxide Dismutase, and Glutathione Peroxidase.醒脑开窍针刺联合丁苯酞氯化钠注射液治疗急性脑梗死及其对血清丙二醛、超氧化物歧化酶和谷胱甘肽过氧化物酶水平的影响
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针刺联合上肢康复机器人辅助训练对脑卒中患者神经可塑性及功能恢复的疗效:一项基于功能近红外光谱技术的前瞻性队列研究

Efficacy of acupuncture combined with upper limb rehabilitation robot-assisted training for neuroplasticity and functional recovery of patients with stroke: a prospective cohort study based on functional near-infrared spectroscopy technology.

作者信息

Jianfei Song, Zhengyuan Qin, Xinlu G U, Yan Zhang, Xingrui L I

机构信息

Center for Rehabilitation Assessment and Therapy, Zhejiang Rehabilitation Medical Center (Rehabilitation Hospital Affiliated to Zhejiang Chinese Medical University), Hangzhou 310052, China.

出版信息

J Tradit Chin Med. 2025 Aug;45(4):860-866. doi: 10.19852/j.cnki.jtcm.2025.04.015.

DOI:10.19852/j.cnki.jtcm.2025.04.015
PMID:40810232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12340582/
Abstract

OBJECTIVE

To investigate the effects of acupuncture combined with upper limb rehabilitation robot on neural remodeling and functional recovery in post-stroke patients.

METHODS

There were 50 stroke patients were randomly divided into an experimental group (acupuncture combined with upper limb rehabilitation robot assisted training) and a control group (upper limb rehabilitation robot assisted training). Various assessments were conducted to compare the effects of the two treatments on neural remodeling and functional recovery. Functional near-infrared spectroscopy technology was used to assess the effects of different treatments on neural plasticity and their impact on upper limb function and activities of daily living.

RESULTS

The experimental group showed significantly higher concentrations of oxygenated hemoglobin and total hemoglobin in specific brain regions compared to the control group ( 0.05). Additionally, the experimental group had significantly lower concentrations of deoxygenated hemoglobin ( 0.05). After treatment, both groups showed improvements in various measures, but the experimental group had significantly greater improvements ( 0.05).

CONCLUSION

Acupuncture combined with upper limb rehabilitation robot can effectively improve upper limb function and neural remodeling in stroke patients. This study supports the integration of Traditional Chinese and Western Medicine in improving limb dysfunction post-stroke.

摘要

目的

探讨针刺联合上肢康复机器人对脑卒中患者神经重塑及功能恢复的影响。

方法

将50例脑卒中患者随机分为实验组(针刺联合上肢康复机器人辅助训练)和对照组(上肢康复机器人辅助训练)。进行各项评估以比较两种治疗方法对神经重塑和功能恢复的效果。采用功能近红外光谱技术评估不同治疗方法对神经可塑性的影响及其对上肢功能和日常生活活动的影响。

结果

与对照组相比,实验组特定脑区的氧合血红蛋白和总血红蛋白浓度显著更高(P<0.05)。此外,实验组的脱氧血红蛋白浓度显著更低(P<0.05)。治疗后,两组各项指标均有改善,但实验组的改善更为显著(P<0.05)。

结论

针刺联合上肢康复机器人可有效改善脑卒中患者的上肢功能和神经重塑。本研究支持中西医结合改善脑卒中后肢体功能障碍。