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

机译:经络电导在急性缺血性卒中中的应用:跨部门研究

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摘要

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 (P=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 (P < 0.05, P < 0.001, P < 0.001, and P < 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 (P=0.001 and P < 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.
机译:针灸被广泛用于改善中风后护理。了解经络状况可以帮助中医(TCM)为每个患者量身定制穴位。建立可用于未来针灸治疗和研究的急性缺血性中风的客观经络能量测量是中风辅助治疗的重要领域。在这项研究中,共招募了102名在发病后7天之内被诊断为急性缺血性中风的受试者,并使用子午线能量分析设备(MEAD)记录了十二个经络未受影响和受影响的子午线的电导率(MEC)值四肢。我们发现,患肢的十二个子午线的MEC值显着高于未患肢的十二个子午线的MEC值(P = 0.001)。与未受影响的四肢相比,肺经,心经,心包经和小肠经的患肢的MEC值较高,差异有统计学意义(P <0.05,P <0.001,P <0.001和P <0.05)。进一步的分析表明,患肢的阴和阳子午线的MEC值均显着高于未患肢的MEC值(分别为P = 0.001和P <0.05)。同时,急性缺血性卒中患者的交感神经平衡指数的平均值(5.49±4.21)高于正常范围(1-1.5),表明自主神经失调。这项研究的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卒中患者针灸的辅助诊断方法。

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