早期应用醒脑开窍针法结合康复训练治疗高血压脑出血术后病入疗效观察

目的：观察早期醒脑开窍针法结合康复治疗对高血压脑出血术后病人的临床疗效。方法：将42例高血压脑出血术后患者随机分为治疗组及对照组,治疗组在常规药物治疗基础上,术后314天加醒脑开窍针法及康复治疗,对照组术后单纯予常规药物治疗。评定治疗前后神经功能缺损评分,进行临床疗效评定。比较治疗前后Glasgow昏迷评分（GCS）、简化Fugl-Meyer肢体运动功能评分（FMA）及日常生活活动能力评分（ADL）改良Barthel指数（MBI）等,进行功能评价。结果：早期采用醒脑开窍针法结合康复治疗能明显改善患者的临床疗效及神经功能,临床疗效治疗组总有效率为90.48%,对照组总有效率为52.39%,经统计学处理（P〈0.05）,两组间差异有显著性意义。治疗后治疗组GCS、FMA、BI均有明显改善,与对照组比较,有明显差异（P〈0.05）。结论：早期采用醒脑开窍针法结合康复治疗高血压脑出血术后病人,疗效更好。

Clinical Observation on Effect of Xingnao Kaiqiao Acupuncture Combined with Rehabilitation on Patients after Operation of Hypertensive Cerebral Hemorrhage in the Early Stage

Objective：To observe the curative effectiveness of Xingnao Kaiqiao acupuncture combined with rehabilitation on the patients after operation of hypertensive cerebral hemorrhage in early stage.Methods：42 cases were randomly divided into a treatment group and a control group,21 cases in each group.The control group were treated by routine western medicine,and the treatment group by the medication of the control group and Xingnao Kaiqiao acupuncture combined with rehabilitation 314 days after operation.The Glasgow coma scale（GCS）,Fugl-Meyer Assessment（FMA）,nervous function defect scale and the Modified Barthel index of ADL scale（MBI）were evaluated in both groups before and after the treatment for assessment of therapeutic effects.Results：The therapeutic effect of the treatment group is better than that of the control group.The total effective rate was 90.48% in the treatment group and 52.39% in the control group with a significant difference between the two groups（P〈0.05）.The GCS,FMA and MBI scores in both groups were improved as compared with those before treatment（P〈0.05）,those in the treatment group were significantly improved as compared with the compared group（P〈0.01）.Conclusion：Xingnao Kaiqiao acupuncture combined with rehabilitation can improve GCS,nervous function defect,FMA and MBI significantly in the patients after operation of hypertensive cerebral hemorrhage in early stage.