摘要
目的 观察巨刺联合推拿康复治疗基底节区脑出血的临床效果。方法 研究纳入徐州市肿瘤医院和徐州新健康医院90例基底节区脑出血患者(2021年6月—2022年9月收治)以随机数字表法分为两组,每组45例患者,对照组患者采取推拿康复治疗,巨刺组患者采取推拿康复治疗结合巨刺法治疗,各组数据对比:临床治疗效果、治疗前后中医证候(偏瘫、神识昏蒙、口舌歪斜、言语謇涩或不语、头痛眩晕等)积分变化、美国国立研究院卒中量表(national institute of stroke scale, NIHSS)以及格拉斯哥昏迷量表(Glasgow Coma scale, GCS)评分变化、简氏Fugl-Meyer量表评分及Beg量表评分变化、Barthel指数变化以及健康调查简表(SF-36)评分变化。结果 巨刺组患者治疗总有效率高于对照组患者,差异有统计学意义(P<0.05);各组患者治疗前中医证候(偏瘫、神识昏蒙、口舌歪斜、言语謇涩或不语、头痛眩晕等)积分、NIHSS与GCS量表评分、简氏Fugl-Meyer量表评分及Beg量表评分、Barthel指数及SF-36评分比较,P>0.05,治疗后各组患者中医证候(偏瘫、神识昏蒙、口舌歪斜、言语謇涩或不语、头痛眩晕等)积分、NIHSS与GCS量表评分、简氏Fugl-Meyer量表评分及Beg量表评分、Barthel指数及SF-36评分等指标均改善,巨刺组治疗后中医证候(偏瘫、神识昏蒙、口舌歪斜、言语謇涩或不语、头痛眩晕等)积分、NIHSS与GCS量表评分、简氏Fugl-Meyer量表评分及Beg量表评分、Barthel指数及SF-36评分改善均优于对照组患者,差异有统计学意义(P<0.05)。结论 巨刺联合推拿康复治疗基底节区脑出血的临床效果较好,患者疗效提升,恢复较好,且生活质量提升,值得应用。
Objective To observe the clinical effect of contralateral meridian needling combined with Tuina on basal ganglia cerebral hemorrhage.Methods A total of 90 patients with basal ganglia cerebral hemorrhage(admitted to Xuzhou Cancer Hospital and Xuzhou New Health Hospital from June 2021 to September 2022)were divided into two groups by random number table method,with 45 patients in each group.The patients in the control group received Tuina rehabilitation therapy,and those in the contralateral meridian needling group received Tuina rehabilitation therapy combined with contralateral meridian needling.The clinical treatment effect,the scores of TCM syndromes before and after treatment(hemiplegia,dizziness and confusion,deviated tongue,speech and silence,headache and vertigo,etc.),the scores of National Institute of Stroke Scale(NIHSS)and Glasgow Coma Scale(GCS),the scores of Jane's Fugl-Meyer Scale and Beg Scale and Barthel index changes and in the Health Survey Summary Form(SF-36)scores of two groups were compared.Results The total effective rate of the contralateral meridian needling group was higher than that of control group(P<0.05).The scores of TCM syndromes(hemiplegia,dizziness and confusion,deviated tongue,speech and silence,headache and vertigo,etc.),the scores of NIHSS and GCS scale,the scores of Jane's Fugl-Meyer Scale and Beg scale,Barthel Index and SF-36 scores before treatment in two groups had no significance(P>0.05).After treatment,the scores of TCM syndromes(hemiplegia,dizziness and confusion,deviated tongue,speech and silence,headache and vertigo,etc.),the scores of NIHSS and GCS scale,the scores of Jane's Fugl-Meyer Scale and Beg scale,Barthel index and SF-36 score were all improved.After treatment,the scores of TCM syndromes(hemiplegia,dizziness and confusion,deviated tongue,speech and silence,headache and vertigo,etc.),the scores of NIHSS and GCS scale,the scores of Jane's Fugl-Meyer scale and Beg scale,Barthel index and SF-36 score in the contralateral meridian needling group were better than those in control group(P<0.05).Conclusion The clinical effect of the contralateral meridian needling combined with Tuina in the treatment of basal ganglia cerebral hemorrhage is better.The curative effect is improved,the recovery is better,and the quality of life of the patients is improved.It is worthy of application.
作者
刘颖
刘学
王菊菊
李加加
LIU Ying;LIU Xue;WANG Juju;LI Jiajia(Department of Traditional Chinese Medicine,Xuzhou Tumor Hospital,Xuzhou 221005,Jiangsu,China)
出处
《辽宁中医杂志》
北大核心
2024年第5期155-158,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
江苏省青年医学重点人才资助课题项目(QNRC2016396)
关键词
基底节区脑出血
巨刺
推拿康复
中医证候
BARTHEL指数
NIHSS评分
basal ganglia cerebral hemorrhage
contralateral meridian needling
Tuina rehabilitation
TCM syndrome
Barthel index
NIHSS score
