星状神经节阻滞联合穴位埋线治疗缺血性中风

目的：探讨联合星状神经节阻滞及穴位埋线治疗对缺血性中风后功能障碍康复的临床疗效性。方法将符合入选条件的缺血性中风恢复期患者252例随机分为4组，均接受常规康复训练及对症药物治疗，疗程共6周。对照组：对照3组给予常规治疗，对症药物治疗（基础疾病如控制血压、血糖、血脂等以及缺血性中风的二级预防）、常规康复训练及针灸治疗；对照2组在对照3组基础上增加穴位埋线治疗；对照1组在对照3组基础上增加星状神经节阻滞治疗；观察组：在对照3组治疗的基础上联合星状神经节阻滞术及穴位埋线治疗。4组患者在康复治疗前后均进行 Fugl-Meyer 运动功能评定、日常生活活动能力-ADL（改良 Barthel 指数）评定。结果4组治疗后均能提高 FMA 评分（P ＜0.05），且观察组优于3组对照组（P ＜0.05）；4组治疗后均能提高 MBI 评分，且观察组优于其他3组对照组（ P ＜0.05）；出院3月后评分，观察组明显优于出院时（ P ＜0.05），其他3组则差异无统计学意义（P ＞0.05）。结论联合星状神经节阻滞及穴位埋线治疗能更好地促进缺血性中风后功能障碍的改善。

Clinical Research of Stellate Ganglion Block(SGB)Combined Acupoint Catgut Embedding (ACE)for Treatment of Ischemic Stroke

objective To discuss the clinical efficiency of stellate ganglion block(SGB)combined acupoint catgut embedding( ACE)for treatment of dysfunction after ischemic stroke. Methods The 252 patients with ischemic stroke at recovery phase conformed to selected condition were randomly divided into 4 groups which were all received routine rehabilitation training and symptomatic medicine treatment with a 6-month treatment course. On basis of that, 65 cases of observation group were given SGB combined ACE for treatment;60 cases of control one group were given single SGB for treatment;64 cases of control two group were given single ACE for treatment;63 cases of control three group were given nothing except the above basic treatments. Patients of the 4 groups were all given Fugl-Meyer assess-ment and ADL(improved Barthel index)assessment before and after rehabilitation treatment. Results After treat-ment,FMA scores of the 4 groups were all improved(P < 0. 05),and observation group was more obviously than the 3 control groups(P < 0. 05);after treatment,MBI scores of the 4 groups were all improved,and observation group was more obviously than the 3 control groups(P < 0. 05). Aspects of the patients during hospitalization expense,the observation group was significantly lower than the other 3 groups(P < 0. 05),Discharge in March after the score,the observation group was significantly better than discharge(P < 0. 05),but no statistically significant differences in the other 3 groups(P > 0. 05). Conclusion SGB combined ACE can better promote improvement of dysfunction after ischemic stroke,and accelerate rehabilitation process,so it is worth of being popularized clinically.