• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Tuina along the meridians combined with Chinese medicine for motor functions and activities of daily living in patients with post-stroke upper limb spasticity

    2015-05-18 10:14:50HanShukai韓淑凱MaZhiwei馬志偉ZhangNa張娜ChenCaiping陳彩平RenZhanchang任占昌
    關(guān)鍵詞:張娜痙攣上肢

    Han Shu-kai (韓淑凱), Ma Zhi-wei (馬志偉), Zhang Na (張娜), Chen Cai-ping (陳彩平), Ren Zhan-chang (任占昌)

    1 Wangdu County Hospital of Chinese Medicine, Hebei 072450, China

    2 Wangdu County Hospital, Hebei 072450, China

    Clinical Study

    Tuina along the meridians combined with Chinese medicine for motor functions and activities of daily living in patients with post-stroke upper limb spasticity

    Han Shu-kai (韓淑凱)1, Ma Zhi-wei (馬志偉)1, Zhang Na (張娜)2, Chen Cai-ping (陳彩平)1, Ren Zhan-chang (任占昌)1

    1 Wangdu County Hospital of Chinese Medicine, Hebei 072450, China

    2 Wangdu County Hospital, Hebei 072450, China

    Objective:To observe the effect of combining Chinese medicine and tuina along the meridians on motor function and activities of daily living (ADL) in patient with post-stroke upper limb spasticity.

    Tuina; Massage; Drugs, Chinese Herbal; Spasm; Post-stroke Syndrome; Activities of Daily Living; Rehabilitation

    Stroke has high incidence, mortality and relapse rates in China. Spasticity is commonly seen in post-stroke patients, often manifesting as increased muscle tone, restricted joint motion or even joint contracture and malformation. Spasticity affects patients’ physical activities, and physical inactivity worsens spasticity. As a result, it greatly affects patient’s quality of life, family care and social cost. More than 80% of daily activities are performed by upper limbs and normal quality of life depends on upper limb functions. It’s therefore of great significance to alleviate upper limb spasticity, control abnormal motion pattern and enhance isolated movement in stroke patients. We’ve treated this condition with tuina along the meridians and self-made Chinese medicine. The results are now summarized as follows.

    1 Clinical Materials

    1.1 Diagnostic criteria

    This was based on theKey Diagnostic Points for Cerebrovascular Diseases[1]and diagnostic criteria for cerebral infarction and hemorrhage made at the 4th National Conference of Chinese Medical Association, coupled with CT scan or MRI examination.

    The diagnosis for upper limb spasticity was based on the criteria inPhysical Medicine and Rehabilitation, Clinical Diagnosis and Treatment Guidelines[2]: increased resistance during passive movement of upper limbs, severe muscle spasticity manifests as joint rigidity at a certain angle of flexion or extension; local joint and muscle pain, long-time spasticity may cause muscle or tendon contracture; tendon hyperreflexia of the spastic upper limb; and impaired upper limb motor function and activities of daily living (ADL).

    1.2 Inclusion criteria

    Those who met the diagnostic criteria; aged between 47 and 80 years, having stable vital signs and clear consciousness; muscle tone ≥1 but ≤4 according to the modified Ashworth scale (MAS); II, III and V stage by Brunnstrom approach; having a duration of less than 3 months; willing to participate in this trial and signed the informed consent.

    1.3 Exclusion criteria

    Those with critical or acute unstable conditions, coupled with unconsciousness or cognitive impairment; having severe complications of heart, lung, liver and kidney diseases, diabetes or bleeding tendency; and those who have recently taken sedatives or muscle relaxants.

    1.4 Statistical method

    Statistical analysis was performed with SPSS version 14.0 software. Measurement data were expressed withThet-test was used for inter-group and intra-group (paired data) differences before and after treatment. The Chi-square test was used for grouped data and rank sum test for ranked data. APvalue of less than 0.05 indicates a statistical significance.

    1.5 General data

    A total of 220 eligible cases (156 inpatients and 64 outpatients) treated in Acupuncture and Cerebrovascular Departments, Wangdu County Hospital of Chinese Medicine were recruited in this study. They were randomly allocated into a treatment group (n=110) and a control group (n=110). Cases in the treatment group aged between 45 and 72 years and their disease duration lasted from 7 d to 2 months. Cases in the control group aged between 47 and 81 years old and their disease duration lasted from 6 d to 2.1 months. There were no significant between-group differences in baseline data (P>0.05), indicating that the two groups were comparable (Table 1).

    Table 1. Between-group comparison of baseline data

    2 Treatment Methods

    Patients in both groups received treatment after their conditions were stabilized.

    2.1 Treatment group

    2.1.1 Tuina along the meridians

    According to the interior-exterior connection of meridians, the meridians on the upper limb were classified into three groups: the Lung Meridian and the Large Intestine Meridian; the Pericardium Meridian and the Triple Energizer Meridian; the Heart Meridian and the Small Intestine Meridian. First, the practitioner applied heavy fast Gun-rolling (Figure 1) and Na-grasping (Figure 2) manipulations to the three yin meridians of Hand from the shoulder joint towards the wrist; then applied gentle slow Rou-kneading (Figure 3) and Ca-rubbing (Figure 4) manipulations to the three yang meridians of hand from the wrist towards the shoulder joint. The practitioner was supposed to increase the force gradually until the patient felt soreness, numbness, distension and mild pain. Lasting, forceful and even force were especially focused on the Five Shu-Transmitting points and Luo-Connecting points. The treatment was done 15 min each time, twice a day.

    Figure 1. Gun-rolling manipulation

    Figure 2. Na-grasping manipulation

    Figure 4. Ca-rubbing manipulation

    2.1.2 Chinese medicine

    Patients took spasticity-alleviating and meridianunblocking formula orally.

    Ingredients: 10 g ofJiang Can(Bombyx Batryticatus),Quan Xie(Scorpion),Dang Gui(Radix Angelicae Sinensis) andBai Shao(Radix Paeoniae Alba) respectively,Shui Zhi(Hirudo) 3 g, and 15 g ofHuang Qi(Radix Astragali) andSheng DiHuang(Radix Rehmanniae) respectively.

    Method: The above ingredients were ground into fine powder and stored in a bottle after filtration by a 100-mesh sieve. Patients took 15 g with warm water for each dose, 3 doses a day.

    2.2 Control group

    Patients in the control group received anti-spasticity rehabilitation training once a day. The training includes good limb position, maintaining of joint range of motion, alleviation of spasticity around body movement control points, static muscle stretching, and passive movement and passage.

    The therapeutic efficacies in the two groups were observed after 3 weeks of treatment.

    3 Treatment Results

    3.1 Observation indices

    3.1.1 Upper limb motor function assessment

    Simplified Fugl-Meyer assessment scale (FMA) for the upper extremity was used to assess the upper limb motor function[3]. A total of 60 points indicate grade-5 muscle strength and completely normal upper limb motor function, whereas a zero point indicates grade-0 muscle strength.

    3.1.2 ADL assessment

    The modified Barthel index (MBI) was used for assessment of patients’ ADL[4]. Total scores range from 0 to 100, with higher scores indicating greater independence.

    3.1.3 Muscle tone assessment

    The modified Ashworth Scale (MAS) was used to assess muscle hypertonia (shoulder intortor, elbow flexors and wrist flexors)[5].

    MAS grading includes 0 (0 point), 1 (1 point), 1+(2 points), 2 (3 points), 3 (4 points) and 4 (5 points), with higher scores indicating increased hypertonia.

    3.2 Results

    3.2.1 Between-group comparison on FMA score

    Before treatment, there was no significant betweengroup difference in FMA score (P>0.05). After treatment, the FMA scores in both groups were increased (P<0.05) and there was a significant between-group difference (P<0.05). This indicates that the upper limb motor functions were improved in both groups but it was more significant in the treatment group than that in the control group (Table 2).

    Table 2. Between-group comparison on FMA scores before and after treatment, point)

    Table 2. Between-group comparison on FMA scores before and after treatment, point)

    Note: Intra-group comparison before and after treatment, 1) P<0.05; compared with the control group after treatment, 2) P<0.05

    ?

    3.2.2 Between-group comparison of MBI score

    Before treatment, there was no significant betweengroup difference in MBI score (P>0.05). After treatment, the MBI scores in both groups were increased (P<0.05) and there was a significant between-group difference (P<0.05). This indicates that the ADL were improved in both groups but the improvement was more significant in the treatment group than that in the control group (Table 3).

    3.2.3 Between-group comparison of MAS score

    Before treatment, there were no between-group statistical significances in MAS scores (P>0.05). After treatment, the MAS scores in both groups were increased (P<0.05) and there was a between-group statistical significance (P<0.05). This indicates that the MAS scores were decreased in both groups but the decrease was more significant in the treatment group than that in the control group (Table 4).

    Table 3. Between-group comparison on MBI scores before and after treatment (point)

    Table 3. Between-group comparison on MBI scores before and after treatment (point)

    Note: Intra-group comparison before and after treatment, 1) P<0.05; compared with the control group after treatment, 2) P<0.01

    ?

    Table 4. Between-group comparison on MAS scores before and after treatment (, point)

    Table 4. Between-group comparison on MAS scores before and after treatment (, point)

    Note: Intra-group comparison before and after treatment, 1) P<0.05; compared with the control group after treatment, 2) P<0.05

    ?

    4 Discussion

    Post-stroke hemiplegic spasticity occurs when the high-level neural center fails to control involuntary motor function and low-level center (spinal cord) takes over and thus abnormal motor pattern emerges. This often manifests as spasticity of the flexor muscles in the upper limb and flaccidity of the extensor muscles. Patients may present with abnormal elbow flexion, wrist flexion, forearm pronation and finger flexion, etc. hypermyotonia or persistent spasticity may affect remodeling of normal motor pattern. Consequently, it’s of great significance to alleviate spasticity, control abnormal motor pattern and promote isolated movement for the recovery of stroke patients.

    In Chinese medicine, this condition falls under the category of ‘wind stroke’ and ‘spasticity syndrome’. Based upon its clinical manifestations, the pathogenesis of post-stroke upper limb spasticity can be described as qi deficiency with phlegm retention, blockage of meridians, malnourishment of muscles and tendons and yin-yang imbalance. The treatment strategies are therefore to reinforce qi, unblock meridians, circulate blood, resolve stasis, remove wind and resolve phlegm. Of major ingredients in the spasticity-alleviating and meridian-unblocking formula,Huang Qi(Radix Astragali) tonifies qi and lifts yang,Shui Zhi(Hirudo) circulates blood and resolves stasis, andJiang Can(Bombyx Batryticatus) unblocks meridians. Modern pharmacological studies have shown thatHuang Qi(Radix Astragali) can significantly dilate peripheral, coronary, cerebral, intestinal and renal vessels, improve microcirculation, increase capillary resistance, prevent capillary fragility and permeability induced by physical and chemical factors and alleviate inflammation[6].Shui Zhi(Hirudo) can break blood and resolve stasis.Jiang Can(Bombyx Batryticatus) is pungent in taste and enters the Liver and Lung Meridians. It can alleviate spasticity, remove wind, resolve phlegm-dampness, unblock meridians, and balance yin and yang.Dang Gui(Radix Angelicae Sinensis) can nourish and circulate blood, resolve stasis and unblock meridians.Bai Shao(Radix Paeoniae Alba) andSheng Di Huang(Radix Rehmanniae) can reinforce qi, nourish yin and prevent yin from being damaged by dryness. In summary, the formula can reinforce qi, resolve stasis, circulate blood, unblock meridians and harmonize yin and yang[7-8].

    Applying to specific body points, tuina therapy can regulate physiological or pathological state, unblock meridians, harmonize qi and blood, reinforce healthy qi, remove pathogenic factors, and balance yin and yang.

    Tuina along the meridians is based on the theories on Zang-fu organs and meridians. The twelve regular meridians are associated with internal Zang-fu organs. Yin meridians are associated with the Zang organs (interior), whereas yang meridians are associated with the Fu organs (exterior). Physiologically, the interior-exteriorly connected meridians are connected. Pathologically, they can be mutually affected. Patients with post-stroke upper limb spasticity present with spasticity of the flexor muscles and flaccidity of the extensor muscles, i.e., yin-yang imbalance. The treatment strategies of tuina therapy are to reinforce healthy qi and remove pathogenic factors. Reducingtuina manipulation along the three hand yin meridians can relax muscles and tendons, regulate the functions of Zang-fu organs and meridians, coordinate different parts of the body and balance excitability and inhibition. At the same time, reinforcing tuina manipulation along the three hand yang meridians can activate upper limb nerve, improve neurotrophy, boost nerve tissue metabolism and thus increase nerve excitability and help recovery of the impaired nerve. On the other hand, it can circulate blood and increase muscle tone. To sum up, tuina along the meridians can alleviate spasticity by inhibiting nerve excitability through stimulating dominant muscle groups and increase muscle tone by activating nerve/muscle excitability through stimulating non-dominant muscle groups. This can further activate muscle proprioceptor to maintain and coordinate normal muscle tone and motor function and result in isolated movement[9-11].

    This study has proven that tuina along the meridians combined with Chinese medicine can substantially reduce hypertonia of spastic upper limb, increase ADL and upper limb motor function. On one hand, this combined method can reinforce yang meridians, unblock meridians and harmonize qi and blood. On the other hand, it can reduce yin meridians, remove wind, resolve phlegm and alleviate spasticity. Combining external tuina therapy and internal regulation can regulate meridians and Zang-fu organs and restore homeostasis of the body.

    Conflict of Interest

    There was no conflict of interest in this article.

    Acknowledgments

    This work was supported by Scientific Research Fund Project of Hebei Provincial Administration Bureau of Traditional Chinese Medicine (河北省中醫(yī)藥管理局科研基金資助項(xiàng)目, No. 2013145).

    Statement of Informed Consent

    Informed consent was obtained from all individual participants included in this study.

    Received: 15 March 2015/Accepted: 23 April 2015

    [1] Chinese Neuroscience Society, Chinese Neurosurgical Society. Key diagnostic points for cerebrovascular diseases. Zhonghua Shenjingke Zazhi, 1996, 29(6): 379-380.

    [2] Chinese Medical Association. Clinical Diagnosis and Treatment Guidelines: Fascicle of Physical Medicine and Rehabilitation. Beijing: People’s Medical Publishing House, 2005: 11-14.

    [3] Zhu YL. Neurology. Beijing: People’s Medical Publishing House, 2001: 151-153.

    [4] Shen T. Research advance on acupuncture for hypermyotonia following stroke. Gansu Zhongyi, 2003, 16(10): 6.

    [5] Yan TB, Dou ZL. Practical Paralysis Rehabilitation. Beijing: People’s Medical Publishing House, 1999: 112.

    [6] Shen YJ. Chinese Pharmacology. Shanghai: Shanghai Scientific and Technical Publishers, 1997: 165.

    [7] Zuo YF, Han SK, Cao WJ, Ma HJ, Yang WH. Influence ofBuqi Huatan Tongluodecoction and acupuncture therapy of exterior-interior related meridian points on the quality of life in patients with shoulder-hand syndrome after stroke. Zhongxiyi Jiehe Xinnaoxueguanbing Zazhi, 2011, 9(7): 807-808.

    [8] Sun WG, Han SK, Cao WJ, Sun ZY, Liu JH, Zuo YF, Wang Y. Influence ofBuqi Huatan Tongluodecoction and acupuncture therapy of exterior-interior related meridian points on the depression in patients with shoulder-hand syndrome after stroke. Zhongyiyao Daobao, 2012, 18(3): 16-18.

    [9] Mao GY, Xu JR. Acupoint massage with meridians for shoulder periarthritis. Shanghai Zhongyiyao Zazhi, 2004, 38(2): 49-50.

    [10] Xie GY, Wang HM. Hemiparalysis in different stages treated with collateral massage combined with acupuncture. Zhejiang Zhongyiyao Daxue Xuebao, 2006, 30(4): 408-409.

    [11] Tang JL, Han SK. Observation on curative effect of patients with upper extremity spasm after cerebral apoplexy treated with Chinese traditional manipulation along the meridians. Huli Yanjiu, 2011, 25(7): 1839-1840.

    Translator: Han Chou-ping (韓丑萍)

    循經(jīng)推拿加中藥對(duì)腦卒中后上肢痙攣患者運(yùn)動(dòng)功能和日常生活活動(dòng)能力的影響

    目的:觀察循經(jīng)推拿結(jié)合中藥對(duì)腦卒中后上肢痙攣患者運(yùn)動(dòng)功能和日常生活活動(dòng)能力(activities of daily living, ADL)的影響。方法:將220例腦卒中后上肢痙攣患者采用隨機(jī)數(shù)字表法隨機(jī)分為治療組和對(duì)照組, 每組110例, 治療組給予循經(jīng)推拿結(jié)合止痙通絡(luò)中藥口服治療, 對(duì)照組給予常規(guī)康復(fù)治療, 共治療3星期。于治療前后分別采用簡(jiǎn)式Fugl-Meyer量表(Fugl-Meyer assessment scale, FMA)、改良Barthel指數(shù)(modified Barthel index, MBI)和改良Ashworth痙攣量表(modified Ashworth scale, MAS)評(píng)定患者的運(yùn)動(dòng)功能、ADL和肌張力。結(jié)果:治療組患者FMA評(píng)分、MBI評(píng)分、肩內(nèi)旋肌、屈肘肌及腕屈肌肌張力評(píng)分及對(duì)照組均較治療前明顯改善(P<0.05), 并且上述指標(biāo)均以治療組患者的改善程度較顯著, 與對(duì)照組間差異均具有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論:循經(jīng)推拿法結(jié)合止痙通絡(luò)方能明顯緩解患側(cè)屈肌肌張力, 從而顯著提高患者的運(yùn)動(dòng)功能和日常生活活動(dòng)能力。

    推拿; 按摩; 中草藥; 痙攣; 中風(fēng)后遺癥; 日常生活活動(dòng); 康復(fù)

    R244.1 【

    】A

    Author: Han Shu-kai, vice chief physician.

    E-mail: hanshukai1975@163.com

    Methods:A total of 220 patients with post-stroke upper limb spasticity were randomly allocated into a treatment group (n=110) and a control group (n=110). Patients in the treatment group received tuina along the meridians combined with spasticity-alleviating and collateral-unblocking Chinese medicine, whereas patients in the control group received routine rehabilitation therapy. Patients in both groups were treated for 3 weeks. Then the patients’ motor function, ADL and muscle tone were evaluated before and after treatment using the Fugl-Meyer assessment scale (FMA), modified Barthel index (MBI) and modified Ashworth scale (MAS).

    Results:After treatment, the FMA scores, MBI scores, and muscle (shoulder intortor, elbow flexors and wrist flexors) tones were significantly improved (P<0.05), but the improvement was more significant in the treatment group than that in the control group (P<0.05).

    Conclusion:Tuina along the meridians combined with spasticity-alleviating and collateral-unblocking Chinese medicine can substantially alleviate muscle tone on the affected side and remarkably improve the patients’ motor function and ADL.

    猜你喜歡
    張娜痙攣上肢
    動(dòng)作不可少(下)
    動(dòng)作不能少(上)
    凝心固本 引智聚力 創(chuàng)新開(kāi)拓
    基于慣性傳感器的上肢位置跟蹤
    錯(cuò)誤姿勢(shì)引發(fā)的上肢問(wèn)題
    陰道痙攣應(yīng)用手法按摩聯(lián)合仿生物電刺激
    侗醫(yī)用木頭接骨保住傷者上肢66年1例報(bào)道
    松樹(shù)梢
    機(jī)器絞軋致上肢毀損傷成功保肢1例
    根管治療意外治愈面肌痙攣1例
    午夜老司机福利片| 女性生殖器流出的白浆| h视频一区二区三区| 女人高潮潮喷娇喘18禁视频| 丰满饥渴人妻一区二区三| 欧美日韩黄片免| 在线观看舔阴道视频| 久久久久网色| 麻豆成人av在线观看| 国产精品熟女久久久久浪| 久久精品亚洲精品国产色婷小说| 啦啦啦中文免费视频观看日本| 18禁黄网站禁片午夜丰满| 青草久久国产| 国产精品秋霞免费鲁丝片| 国产精品成人在线| 久久久久久久精品吃奶| 亚洲精品中文字幕一二三四区 | 亚洲天堂av无毛| 欧美乱妇无乱码| 18禁黄网站禁片午夜丰满| 色综合欧美亚洲国产小说| 国产成人欧美在线观看 | 免费看十八禁软件| 视频在线观看一区二区三区| 成人黄色视频免费在线看| 国产精品亚洲av一区麻豆| 精品国产乱子伦一区二区三区| 国产精品亚洲一级av第二区| 亚洲,欧美精品.| 一边摸一边抽搐一进一小说 | 曰老女人黄片| av视频免费观看在线观看| 国产成人精品无人区| 国产精品亚洲av一区麻豆| 精品久久久精品久久久| 午夜福利欧美成人| 狠狠狠狠99中文字幕| 18禁裸乳无遮挡动漫免费视频| 亚洲av片天天在线观看| 免费看a级黄色片| 欧美激情极品国产一区二区三区| aaaaa片日本免费| 啦啦啦视频在线资源免费观看| 久久久久久免费高清国产稀缺| 1024香蕉在线观看| 久久久久久久久久久久大奶| 国产精品一区二区在线不卡| 999精品在线视频| 人妻一区二区av| 汤姆久久久久久久影院中文字幕| 久久国产精品人妻蜜桃| 蜜桃国产av成人99| 99国产精品免费福利视频| 黄片大片在线免费观看| 亚洲精品av麻豆狂野| 国产一区二区三区视频了| 美女高潮喷水抽搐中文字幕| 久久午夜亚洲精品久久| 高潮久久久久久久久久久不卡| 久久久精品区二区三区| 啦啦啦 在线观看视频| 欧美日韩视频精品一区| 日日摸夜夜添夜夜添小说| 每晚都被弄得嗷嗷叫到高潮| 色94色欧美一区二区| 女警被强在线播放| 一本久久精品| 在线观看一区二区三区激情| 1024视频免费在线观看| 青青草视频在线视频观看| 999久久久精品免费观看国产| 国产精品免费一区二区三区在线 | 性少妇av在线| av电影中文网址| 欧美精品高潮呻吟av久久| 黄频高清免费视频| 国产片内射在线| 少妇 在线观看| 欧美变态另类bdsm刘玥| 欧美日韩视频精品一区| 丰满少妇做爰视频| 成年动漫av网址| 久久久久久久久久久久大奶| 午夜免费鲁丝| 亚洲伊人色综图| 亚洲九九香蕉| 国产精品 欧美亚洲| 一二三四在线观看免费中文在| 久久精品国产亚洲av香蕉五月 | 黄色视频不卡| 99久久精品国产亚洲精品| 日韩有码中文字幕| 亚洲性夜色夜夜综合| 久久中文字幕一级| 日韩大码丰满熟妇| 欧美精品人与动牲交sv欧美| 亚洲一区二区三区欧美精品| 国产精品秋霞免费鲁丝片| 大码成人一级视频| 亚洲欧洲日产国产| 人人妻人人添人人爽欧美一区卜| 亚洲av片天天在线观看| 伦理电影免费视频| 看免费av毛片| www日本在线高清视频| 亚洲va日本ⅴa欧美va伊人久久| 国产亚洲一区二区精品| 日韩欧美一区二区三区在线观看 | 国产精品99久久99久久久不卡| 999久久久精品免费观看国产| 18禁观看日本| 亚洲精品国产区一区二| 丝袜喷水一区| 叶爱在线成人免费视频播放| 久久午夜亚洲精品久久| 18禁裸乳无遮挡动漫免费视频| 最新美女视频免费是黄的| 黄色视频在线播放观看不卡| 国产男靠女视频免费网站| 涩涩av久久男人的天堂| 亚洲精品国产精品久久久不卡| 18禁美女被吸乳视频| 日本wwww免费看| 亚洲精品久久午夜乱码| 两性午夜刺激爽爽歪歪视频在线观看 | xxxhd国产人妻xxx| 757午夜福利合集在线观看| 国产精品一区二区精品视频观看| 国产精品1区2区在线观看. | 美国免费a级毛片| 水蜜桃什么品种好| 精品一区二区三区视频在线观看免费 | 欧美午夜高清在线| 日韩欧美一区视频在线观看| 国产精品免费一区二区三区在线 | 久久久国产欧美日韩av| 欧美+亚洲+日韩+国产| 久久精品国产亚洲av香蕉五月 | 老司机福利观看| 国产亚洲av高清不卡| 美女高潮喷水抽搐中文字幕| 老司机午夜福利在线观看视频 | 免费女性裸体啪啪无遮挡网站| 免费久久久久久久精品成人欧美视频| 女人被躁到高潮嗷嗷叫费观| 久久久久久久精品吃奶| 久久国产精品人妻蜜桃| 欧美av亚洲av综合av国产av| 这个男人来自地球电影免费观看| 真人做人爱边吃奶动态| 亚洲精品久久成人aⅴ小说| 欧美亚洲 丝袜 人妻 在线| 精品少妇久久久久久888优播| www.自偷自拍.com| 一边摸一边抽搐一进一小说 | 老熟妇仑乱视频hdxx| 成在线人永久免费视频| 久久久久国产一级毛片高清牌| av免费在线观看网站| www.999成人在线观看| 人人妻人人澡人人看| 精品高清国产在线一区| av欧美777| 在线观看免费日韩欧美大片| 中文字幕av电影在线播放| 日本五十路高清| 男女下面插进去视频免费观看| 国产精品一区二区免费欧美| 欧美在线黄色| 免费在线观看黄色视频的| 国产在视频线精品| 他把我摸到了高潮在线观看 | 日韩成人在线观看一区二区三区| 国产精品成人在线| 五月天丁香电影| 亚洲伊人色综图| 免费观看人在逋| 亚洲精品国产色婷婷电影| 飞空精品影院首页| 国产精品 国内视频| 久久青草综合色| 涩涩av久久男人的天堂| 亚洲天堂av无毛| 亚洲自偷自拍图片 自拍| 一进一出好大好爽视频| 国产麻豆69| 国产精品1区2区在线观看. | 亚洲精品自拍成人| 99国产精品99久久久久| 国产不卡av网站在线观看| 精品国产一区二区久久| 黄色视频在线播放观看不卡| 19禁男女啪啪无遮挡网站| 一本色道久久久久久精品综合| 午夜两性在线视频| 黄频高清免费视频| 日日爽夜夜爽网站| 亚洲成人国产一区在线观看| 成人国语在线视频| 亚洲精品在线美女| av网站免费在线观看视频| 久久99热这里只频精品6学生| 国产在线观看jvid| 国产精品秋霞免费鲁丝片| 亚洲欧美精品综合一区二区三区| 国产一区二区三区在线臀色熟女 | 一本色道久久久久久精品综合| 亚洲欧美激情在线| 纵有疾风起免费观看全集完整版| 丝袜美足系列| 亚洲久久久国产精品| 国产区一区二久久| 日韩一区二区三区影片| 欧美在线一区亚洲| 国产亚洲精品一区二区www | 久久久精品国产亚洲av高清涩受| 国产日韩欧美视频二区| 亚洲性夜色夜夜综合| 国产人伦9x9x在线观看| 亚洲国产看品久久| 最新在线观看一区二区三区| 亚洲专区中文字幕在线| 久久性视频一级片| 国产精品久久久久久精品电影小说| 啦啦啦 在线观看视频| 免费久久久久久久精品成人欧美视频| 91成人精品电影| 日本av免费视频播放| 无限看片的www在线观看| 国产伦理片在线播放av一区| 国产精品 欧美亚洲| 乱人伦中国视频| 亚洲人成电影观看| 午夜激情av网站| 人人妻人人澡人人爽人人夜夜| 国产人伦9x9x在线观看| 男女无遮挡免费网站观看| bbb黄色大片| 欧美精品亚洲一区二区| 欧美日韩亚洲综合一区二区三区_| 欧美久久黑人一区二区| 欧美变态另类bdsm刘玥| 欧美成人免费av一区二区三区 | 国产不卡一卡二| 精品国产乱码久久久久久小说| 黄色成人免费大全| 性色av乱码一区二区三区2| 色视频在线一区二区三区| 啦啦啦免费观看视频1| 在线观看免费午夜福利视频| 日本黄色视频三级网站网址 | 国产精品久久电影中文字幕 | 国产av一区二区精品久久| 一区二区av电影网| 久久久久久久大尺度免费视频| 久久免费观看电影| 激情在线观看视频在线高清 | 十分钟在线观看高清视频www| 久久国产精品影院| 日韩欧美免费精品| 久久精品国产综合久久久| 男女床上黄色一级片免费看| 久久久精品94久久精品| 极品少妇高潮喷水抽搐| 亚洲天堂av无毛| 亚洲专区国产一区二区| 啪啪无遮挡十八禁网站| 又黄又粗又硬又大视频| 日韩视频一区二区在线观看| 啦啦啦中文免费视频观看日本| 少妇被粗大的猛进出69影院| 免费久久久久久久精品成人欧美视频| 搡老岳熟女国产| bbb黄色大片| 日本黄色视频三级网站网址 | av一本久久久久| 欧美精品高潮呻吟av久久| 女警被强在线播放| 午夜视频精品福利| 十八禁人妻一区二区| 老司机亚洲免费影院| 90打野战视频偷拍视频| 高潮久久久久久久久久久不卡| 久久久精品免费免费高清| 成人国产av品久久久| 久久午夜亚洲精品久久| 亚洲中文字幕日韩| 午夜福利在线免费观看网站| 欧美另类亚洲清纯唯美| 水蜜桃什么品种好| 国产亚洲欧美在线一区二区| 成年女人毛片免费观看观看9 | 国产精品欧美亚洲77777| 亚洲精品成人av观看孕妇| 日本黄色日本黄色录像| bbb黄色大片| 女性被躁到高潮视频| 1024香蕉在线观看| 黄色片一级片一级黄色片| 不卡av一区二区三区| 午夜福利一区二区在线看| 国产熟女午夜一区二区三区| 亚洲av片天天在线观看| 午夜福利欧美成人| 国产精品偷伦视频观看了| 成人精品一区二区免费| 精品一区二区三卡| 成年人黄色毛片网站| 手机成人av网站| 免费观看人在逋| 亚洲国产欧美网| 99在线人妻在线中文字幕 | 丰满饥渴人妻一区二区三| 老鸭窝网址在线观看| 在线十欧美十亚洲十日本专区| 黑丝袜美女国产一区| 亚洲精品av麻豆狂野| 99精品欧美一区二区三区四区| 熟女少妇亚洲综合色aaa.| 波多野结衣av一区二区av| 亚洲人成伊人成综合网2020| 嫩草影视91久久| 免费观看a级毛片全部| 国产日韩欧美视频二区| 一区二区三区精品91| 97人妻天天添夜夜摸| 在线看a的网站| 亚洲国产av影院在线观看| 老司机靠b影院| 中文欧美无线码| 亚洲精品成人av观看孕妇| 老鸭窝网址在线观看| 美女国产高潮福利片在线看| 亚洲av第一区精品v没综合| 香蕉久久夜色| 性色av乱码一区二区三区2| 欧美乱码精品一区二区三区| 国产有黄有色有爽视频| 国产精品久久久久成人av| 国产精品av久久久久免费| 亚洲中文日韩欧美视频| 人人妻人人澡人人爽人人夜夜| 中文字幕av电影在线播放| 国产欧美日韩精品亚洲av| 久久影院123| 久久天堂一区二区三区四区| 久久人妻av系列| 亚洲第一青青草原| 亚洲情色 制服丝袜| 国产91精品成人一区二区三区 | 国产在线免费精品| 美女福利国产在线| 国产男女超爽视频在线观看| 亚洲欧美一区二区三区久久| 叶爱在线成人免费视频播放| 中文字幕高清在线视频| 大陆偷拍与自拍| 精品国产国语对白av| 精品久久久久久久毛片微露脸| 真人做人爱边吃奶动态| 日韩视频一区二区在线观看| 又黄又粗又硬又大视频| 国产成人精品久久二区二区91| 女性被躁到高潮视频| 久久99一区二区三区| 成年人午夜在线观看视频| 国产成人精品无人区| 色老头精品视频在线观看| 久久99一区二区三区| 在线 av 中文字幕| 久久天躁狠狠躁夜夜2o2o| 国产精品1区2区在线观看. | 操美女的视频在线观看| 亚洲欧美色中文字幕在线| 欧美一级毛片孕妇| 久久久精品免费免费高清| 成人18禁在线播放| 亚洲第一青青草原| 亚洲 欧美一区二区三区| 亚洲精品美女久久av网站| 久久青草综合色| 日韩三级视频一区二区三区| 热re99久久国产66热| 欧美日韩中文字幕国产精品一区二区三区 | 精品一区二区三区视频在线观看免费 | 十八禁高潮呻吟视频| 日本vs欧美在线观看视频| 精品亚洲成国产av| 成人三级做爰电影| 精品人妻在线不人妻| 久久久精品94久久精品| 欧美黑人欧美精品刺激| 99精品在免费线老司机午夜| videosex国产| 欧美 亚洲 国产 日韩一| 久久99一区二区三区| 老司机在亚洲福利影院| 嫁个100分男人电影在线观看| 在线观看www视频免费| 成年人黄色毛片网站| 12—13女人毛片做爰片一| 欧美人与性动交α欧美精品济南到| 老司机靠b影院| 18禁黄网站禁片午夜丰满| 人人妻,人人澡人人爽秒播| 亚洲伊人久久精品综合| 巨乳人妻的诱惑在线观看| 老司机福利观看| 两个人免费观看高清视频| 91大片在线观看| 精品人妻熟女毛片av久久网站| 亚洲色图综合在线观看| 精品久久久久久久毛片微露脸| av电影中文网址| 在线看a的网站| 国产精品一区二区精品视频观看| 国产精品成人在线| 欧美+亚洲+日韩+国产| e午夜精品久久久久久久| 在线观看一区二区三区激情| 成人18禁在线播放| 日韩视频在线欧美| 亚洲免费av在线视频| 韩国精品一区二区三区| 一本一本久久a久久精品综合妖精| 又大又爽又粗| 国产区一区二久久| 国产日韩欧美亚洲二区| 视频区图区小说| 亚洲国产成人一精品久久久| 一区在线观看完整版| 超碰97精品在线观看| 成人黄色视频免费在线看| 日本黄色视频三级网站网址 | 欧美精品一区二区大全| 久久精品国产综合久久久| 亚洲熟妇熟女久久| xxxhd国产人妻xxx| 啪啪无遮挡十八禁网站| 黄色毛片三级朝国网站| 人人妻人人爽人人添夜夜欢视频| 久久ye,这里只有精品| 午夜福利一区二区在线看| 午夜久久久在线观看| 啦啦啦免费观看视频1| 亚洲免费av在线视频| 亚洲av成人不卡在线观看播放网| 国产成人av教育| 午夜精品国产一区二区电影| 国产欧美日韩综合在线一区二区| 国产高清视频在线播放一区| 久久香蕉激情| 久久久久久人人人人人| 成年人黄色毛片网站| 一区二区三区激情视频| 最新的欧美精品一区二区| 欧美日韩av久久| 狠狠狠狠99中文字幕| 91九色精品人成在线观看| 性高湖久久久久久久久免费观看| 美女福利国产在线| 性高湖久久久久久久久免费观看| 精品国内亚洲2022精品成人 | 亚洲少妇的诱惑av| av片东京热男人的天堂| 国产精品影院久久| 国产成人一区二区三区免费视频网站| 午夜精品国产一区二区电影| 99热国产这里只有精品6| 国产无遮挡羞羞视频在线观看| 在线观看免费日韩欧美大片| 亚洲中文字幕日韩| 香蕉国产在线看| 久久久久久免费高清国产稀缺| 91国产中文字幕| 一区二区三区激情视频| 91国产中文字幕| 动漫黄色视频在线观看| 国产黄频视频在线观看| 久久国产精品影院| 亚洲精品自拍成人| 黄色成人免费大全| 一级,二级,三级黄色视频| 成年版毛片免费区| 啪啪无遮挡十八禁网站| 欧美 亚洲 国产 日韩一| 亚洲性夜色夜夜综合| 99国产精品99久久久久| 亚洲精品粉嫩美女一区| xxxhd国产人妻xxx| 91精品三级在线观看| 久久人人爽av亚洲精品天堂| a级片在线免费高清观看视频| 午夜两性在线视频| 国产免费av片在线观看野外av| av有码第一页| 怎么达到女性高潮| 亚洲精品一二三| 久久影院123| 精品乱码久久久久久99久播| 2018国产大陆天天弄谢| 乱人伦中国视频| 久久久久视频综合| 国产精品久久久av美女十八| 亚洲第一欧美日韩一区二区三区 | 亚洲视频免费观看视频| 法律面前人人平等表现在哪些方面| 国产精品影院久久| 后天国语完整版免费观看| 12—13女人毛片做爰片一| 又大又爽又粗| 97人妻天天添夜夜摸| 99精国产麻豆久久婷婷| 黑人欧美特级aaaaaa片| h视频一区二区三区| 老司机福利观看| 无遮挡黄片免费观看| 国产成人免费观看mmmm| 悠悠久久av| 久久天躁狠狠躁夜夜2o2o| 黄色成人免费大全| tocl精华| 国产深夜福利视频在线观看| 精品久久久久久电影网| 亚洲精品一卡2卡三卡4卡5卡| 中文字幕人妻丝袜制服| 色婷婷久久久亚洲欧美| 51午夜福利影视在线观看| 在线 av 中文字幕| 亚洲七黄色美女视频| 亚洲国产欧美网| 捣出白浆h1v1| 精品高清国产在线一区| 午夜福利免费观看在线| 国产成+人综合+亚洲专区| 亚洲av第一区精品v没综合| 久久精品亚洲精品国产色婷小说| 中文字幕另类日韩欧美亚洲嫩草| 王馨瑶露胸无遮挡在线观看| 国产av精品麻豆| 久久精品国产综合久久久| 狠狠狠狠99中文字幕| av不卡在线播放| 国产精品久久久久久人妻精品电影 | 老熟女久久久| 一本色道久久久久久精品综合| 极品少妇高潮喷水抽搐| 成年女人毛片免费观看观看9 | 国产高清视频在线播放一区| 视频区图区小说| 少妇精品久久久久久久| 免费久久久久久久精品成人欧美视频| 国产精品香港三级国产av潘金莲| 成人三级做爰电影| a级片在线免费高清观看视频| 脱女人内裤的视频| 国产精品九九99| 丝袜美足系列| 精品免费久久久久久久清纯 | 国产一区二区三区视频了| 欧美人与性动交α欧美精品济南到| 少妇粗大呻吟视频| 亚洲色图 男人天堂 中文字幕| 国产无遮挡羞羞视频在线观看| 精品国产乱码久久久久久小说| av线在线观看网站| 国产成人免费观看mmmm| 在线观看一区二区三区激情| 色尼玛亚洲综合影院| 久久毛片免费看一区二区三区| 日本av手机在线免费观看| 欧美激情极品国产一区二区三区| 在线观看舔阴道视频| 亚洲av欧美aⅴ国产| 欧美亚洲日本最大视频资源| 亚洲色图 男人天堂 中文字幕| av线在线观看网站| 久久久久视频综合| 日韩欧美一区视频在线观看| 一级毛片女人18水好多| 日韩三级视频一区二区三区| 91精品国产国语对白视频| 视频区欧美日本亚洲| 国产成人精品久久二区二区免费| 日韩熟女老妇一区二区性免费视频| 啦啦啦在线免费观看视频4| 十八禁网站免费在线| 中文字幕高清在线视频| 女性生殖器流出的白浆| 中文字幕高清在线视频| 免费观看人在逋| 亚洲专区国产一区二区| 欧美成狂野欧美在线观看| 亚洲专区中文字幕在线| 99热网站在线观看| 精品一区二区三卡| 国产高清国产精品国产三级| 久久久久精品人妻al黑| 搡老熟女国产l中国老女人| 欧美在线一区亚洲| 丰满饥渴人妻一区二区三| 热99re8久久精品国产| 日韩成人在线观看一区二区三区| 丰满人妻熟妇乱又伦精品不卡| 国产在线视频一区二区| 一本久久精品| 中国美女看黄片| 亚洲全国av大片| av网站在线播放免费| 欧美黑人欧美精品刺激| 一本大道久久a久久精品| 这个男人来自地球电影免费观看| 亚洲av成人不卡在线观看播放网| 国产成人啪精品午夜网站|