摘要
目的探讨头皮针对脑梗死后偏瘫患者神经功能缺损情况、平衡及步行能力的临床研究。方法将医院2016年4月-2018年4月脑梗死后偏瘫患者92例,分为两组,对照组采用常规康复治疗;在此基础上,观察组采用头皮针治疗,每次留针30 min,每日1次,治疗4周为1个疗程。比较两组患者的临床疗效,治疗前后测定神经功能缺损评分(National Institute of Health stroke scale,NIHSS)、Berg平衡量表(Berg balance scale,BBS)及功能性步行量表(functional ambulation category,FAC),采用经颅彩超测定脑血流动力学参数。结果对照组有效率78.26%(36/46)低于观察组93.48%(43/46),差异有统计学意义(P<0.05)。治疗后对照组和观察组NIHSS评分为(8.02±3.31)分、(5.24±2.87)分,BBS量表为(32.25±8.14)分、(41.61±8.27)分,FAC量表为(3.39±0.59)分、(4.13±0.61)分,ACA血流速度为(40.05±2.22)cm/s、(41.89±2.34)cm/s,ACA搏动指数为(0.91±0.23)、(0.74±0.21),MCA血流速度为(38.61±1.68)cm/s、(39.86±1.71)cm/s,MCA搏动指数为(0.96±0.24)、(0.79±0.21),对照组和观察组上述指标比较,差异有统计学意义(P<0.05)。观察组出现3例皮下血肿,热敷后消失,对研究无影响。结论头皮针对脑梗死后偏瘫患者的疗效显著,有助于改善患者神经功能缺损、平衡及步行能力,提高脑血流动力学,且患者可耐受,是一种有效的治疗方案。
Objective To investigate the clinical effect of scalp acupuncture on neurological defect,balance and walking ability of hemiplegic patients after cerebral infarction.Methods Ninety-two patients with hemiplegia after cerebral infarction in our hospital from April 2016 to April 2018 were divided into two groups.The control group received routine rehabilitation therapy.The observation group additionally receivedscalp acupuncture,30 minutes for each time,once a day and two groups were treated for 4 weeks as a course of treatment.The clinical efficacy was compared between the two groups.The National Institute of Health stroke scale(NIHSS),Berg balance scale(BBS)and functional ambulation category(FAC)were measured before and after treatment.The cerebral hemodynamic parameters were measured by transcranial color Doppler ultrasound.Results The effective rate of the control group(78.26%,36/46)was lower thanthat of the observation group(93.48%,43/46)(P<0.05).After treatment,the NIHSS scores of the control group and the observation group were(8.02±3.31)points and(5.24±2.87)points,respectively.The scores of BBS of the control group and the observation group were(32.25±8.14)points and(41.61±8.27)points,respectively.The scores of FAC of the control group and the observation group were(3.39±0.59)points and(4.13±0.61)points,respectively.Thelevels of ACA of the control group and the observation groupwere(40.05±2.22)cm/s and(41.89±2.34)cm/s,respectively.The PI scores of ACA of the control group and the observation group were(0.91±0.23)and(0.74±0.21),respectively.The levels of MCA of the control group and the observation groupwere(38.61±1.68)cm/s and(39.86±1.71)cm/s,respectively.The PI scores of MCA were(0.96±0.24)and(0.79±0.21),respectively and there wereall statistical significance between the control group and the observation group(P<0.05).The observation group had 3 subcutaneous hematomas and disappeared after hot compress,which had no effect on the observation.Conclusion Scalp acupuncture is an effective treatment for hemiplegia after cerebral infarction,which is helpful to improve neurological deficit,balance and walking ability,and improve cerebral hemodynamics.
作者
汪瑛
汪节
江六顺
WANG Ying;WANG Jie;JIANG Liushun(The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230000,Anhui,China)
出处
《中华中医药学刊》
CAS
北大核心
2020年第8期242-245,共4页
Chinese Archives of Traditional Chinese Medicine
基金
安徽省自然科学基金(1808085MH278)。
关键词
头皮针
脑梗死后偏瘫
神经功能缺损
平衡
步行能力
脑血流动力学参数
scalp acupuncture
hemiplegia after cerebral infarction
neurological impairment
balance
walking ability
cerebral hemodynamic parameters
