夹脊穴为主的针刺疗法联合早期康复训练治疗脑卒中疗效

目的探讨以夹脊穴为主的针刺疗法联合早期康复训练对脑卒中患者生活能力及运动功能的影响。方法选取医院2017年4月—2018年6月收治的68例脑卒中患者作为研究对象。应用随机数字表法将患者分为研究组和对照组,每组均为34例,后研究组脱落3例,对照组脱落4例,两组患者均给予脑卒中常规治疗,包括溶栓,降压、降脂、降血糖等治疗。在此基础上,给予对照组早期康复训练,研究组在对照组基础上给予华佗夹脊穴、督脉针刺治疗。比较两组患者综合疗效;改良Ashworth痉挛评定量表(MAS);美国国立卫生研究院卒中量表:神经功能缺损评估(NIHSS);日常生活活动能力评定量表(ADL);简化Fugl-Meyer运动功能评分量表(FMA);Berg平衡量表(BBS);满意度。结果两组患者一般资料差异无统计学意义(P>0.05);两组患者治疗后综合疗效有显著差异,且研究组总有效率明显高于对照组(P<0.05);两组患者治疗后MAS评分较治疗前均明显降低,且研究组下降更明显(P<0.05);两组患者治疗后1个月和治疗后4个月NIHSS评分较治疗前均明显降低,且研究组下降更明显(P<0.05);两组患者治疗后ADL评分较治疗前均显著升高,且研究组上升更明显(P<0.05);两组患者治疗后FMA评分较治疗前均明显升高,且研究组上升更明显(P<0.05);两组患者治疗后BBS评分较治疗前均明显升高,且研究组上升更明显(P<0.05);研究组患者满意率明显高于对照组(P<0.05)。结论华佗夹脊穴为主的针刺疗法联合早期康复训练可显著降低脑卒中患者肌张力,改善神经功能,提高患者日常生活和运动能力,安全性高,具有较高的临床应用价值。

Effect of Jiaji Point-based Acupuncture Therapy Combined with Early Rehabilitation Training on Stroke Patients

Objective To investigate effect of Huatuo Jiaji point-based acupuncture therapy combined with early rehabilitation training on living ability and motor function of stroke patients.Methods Sixty-eight stroke patients admitted to our hospital from April 2017 to June 2018 were selected and divided into study group and control group by random number table method,each with 34 cases,while 3 cases in the study group and 4 cases in the control group were lost to follow up.Both groups received the routine treatment,including thrombolysis,antihypertensive therapy,lipid-lowering therapy and hypoglycemic therapy.Based on this,31 patients in the study group,received the Huatuo Jiaji point-based acupuncture therapy combined with early rehabilitation training.Meanwhile,30 patients in the control group,received the early rehabilitation training.Then various indexes were compared between groups,including comprehensive efficacy,scores of modified Ashworth Spasm Scale(MAS),National Institutes of Health Stroke Scale(NIHSS),Activity of Daily Life(ADL),Simplified Fugl-Meyer Assessment(FMA),and Berg Balance Scale(BBS)as well as the satisfaction degree.Results The general data had no significant difference between the two groups(P>0.05).The total effective rate of the study group was significantly higher than that of the control group(P<0.05).The scores the MAS and NIHSS were decreased 1 and 4 months after treatment,and the scores were lower in the study group than those in the control group(P<0.05).The scores of the ADL,FMA and BBS were increased after treatment,and the scores were higher in the study group than those in the control group(P<0.05).The satisfaction rate of the study group was significantly higher than that of the control group(P<0.05).Conclusion The application of the Huatuo Jiaji point-based acupuncture therapy combined with early rehabilitation training is an effective and safe way to reduce muscle tension,ameliorate the neurological function,daily life and exercise capacity of patients with stroke.