摘要
目的:利用磁共振波谱技术(MRS)探讨不同方式头针干预脑梗死恢复期患者的疗效。方法:将40例脑梗死恢复期患者随机分为4组,每组各10例,A组采用于氏双侧头针结合康复训练,B组采用传统焦氏单患侧头针结合康复训练,C组采用于氏单患侧头针结合康复训练,D组采用单纯康复训练,各组均干预15 d。干预前后采用Fugl-Meyer评分量表(FMA)和MRS进行疗效评价。结果:治疗后FMA评分组间比较,A组均优于B组、C组(P<0.05),A组优于D组(P<0.01);各组N-乙酰天门冬氨酸(NAA)/肌酸(Cr)均较治疗前有所升高(P<0.01);A组和B组胆碱(Cho)/Cr均较治疗前明显下降(P<0.01,P<0.05);NAA/Cr组间比较,A组优于其他3组(P<0.01),B组、C组与D组比较,差异均有统计学意义(P<0.05);Cho/Cr组间比较,A组优于B组和C组(P<0.05),A组优于D组(P<0.01)。结论:于氏双侧头针结合康复训练能够改善患者的运动功能,其运动功能的恢复与脑部相应代谢产物发生变化有关。
Objective：To explore the effect of different methods of scalp acupuncture for hemiplegia patients in cerebral infarction recovery period by using the magnetic resonance spectroscopy（MRS）. Methods ：Forty patients with cerebral infarction were randomly divided into four groups,10 patients in each group,group A was treated by Yu＇s bilateral scalp acupuncture combined with rehabilitation training,group B,C and D were treated by the conventional Jiao＇s single ipsilateral scalp acupuncture combined with rehabilitation training,Yu＇s single ipsilateral scalp acupuncture combined with rehabilitation training and rehabilitation training respectively. Fugl-Meyer scores and MRS were used to evaluate the effect before and after the intervention of 15 days. Results：When comparing the difference in the Fugl-Meyer score within each group,group A was significantly better than group B and C（P〈0.05）; group A was obviously better than group D（P〈0.01）;the NAA/Cr of four groups were all increased with a significant difference（P〈0.01）;the Cho/Cr of group A and B was decreased evidently with statistical significance（P〈0.01,P〈0.05）. With the comparison between groups of the NAA/Cr after treatment,group A was better than the other three groups with a significant difference（P〈0.01）;there was a statistical difference between group B and D, or between group C and D,（P〈0.05）;with the comparison between groups of the Cho/Cr after treatment,group A was better than group B and C with a statistical significance（P〈0.05）;group A was better than group D with a evidently statistical significance（P〈0.01）. Conclusion：Yu＇s bilateral scalp acupuncture combined with rehabilitation training can improve the motor function and cause the changes of metabolism in the corresponding brain of patients. The changes of metabolism may be related to the recovery of the motor function of the patients.
出处
《康复学报》
2016年第1期10-14,共5页
Rehabilitation Medicine
基金
新疆维吾尔自治区科技支疆项目计划(指令性)项目(2013911126)
关键词
脑梗死
恢复期
磁共振波谱
头针
康复训练
cerebral infarction
recovery period
magnetic resonance spectroscopy
scalp acupuncture
rehabilitation training
