针灸辅助治疗脑卒中后遗症的临床效果(1)
[摘要]目的 探討针灸辅助康复训练治疗脑卒中后遗症的临床效果。方法 选取我院2015年1月～2017年12月收治的脑卒中后遗症患者121例，按照随机数字表法分为对照组(n=60)与观察组(n=61)。对照组患者接受单纯康复训练，观察组在康复训练基础上给予针灸治疗。比较两组患者的治疗效果、治疗前后的神经功能缺损评分、日常生活能力评分及脑灌注情况。结果 观察组的治疗总有效率为88.52%，显著高于对照组的73.33%，差异有统计学意义(P<0.05)。治疗后，观察组的美国国立卫生研究院卒中量表(NIHSS)评分低于对照组，改良Barthel指数评分高于对照组，差异有统计学意义(P<0.05)。两组患者治疗前的小脑皮质、丘脑核团、枕叶、额叶、顶叶脑灌注脑血流量(CBF)值比较，差异无统计学意义(P>0.05)。治疗后，观察组的额叶、顶叶脑灌注CBF值显著高于对照组，差异有统计学意义(P<0.05)。结论 针灸辅助康复训练治疗脑卒中后遗症具有较好的效果，可有效降低神经功能缺损评分，提高日常生活能力，提高脑组织的血流灌注量。
[关键词]针灸;康复训练;脑卒中后遗症;脑灌注
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721(2019)2(c)-0114-04
[Abstract] Objective To explore the clinical effect of acupuncture and moxibustion assisting rehabilitation training treating sequelae of stroke. Methods All of 121 patients with sequelae of stroke treated in our hospital from January 2015 to December 2017 were selected and they were randomly divided into the control group (n=60) and the observation group (n=61)according to the random number table method. Patients in the control group received simple rehabilitation training， while the observation group received acupuncture and moxibustion treatment on the basis of rehabilitation training. The treatment effect， neurological deficit score， daily living ability score and cerebral perfusion before and after treatment were compared in patients between the two groups. Results The total effective rate of the observation group was 88.52%， which was significantly higher than of the control group (73.33%)， and the difference was statistically significant (P<0.05). After treatment， the National Institute of Health stroke scale (NIHSS) score of observation group was lower than that of control group， and the modified Barthel index score was higher than that of control group， and the differences were statistically significant (P<0.05). There was no significant difference in cerebral blood flow (CBF) values of cerebral perfusion in incerebellar cortex， thalamic nucleus， occipital lobe， frontal lobe and parietal lobe before treatment between the two groups (P>0.05). After treatment， the CBF values of cerebral perfusion in frontal lobe and parietal lobe of the observation group were significantly higher than those in the control group， and the differences were statistically significant (P<0.05). Conclusion Acupuncture and moxibustion assisting rehabilitation training has a good effect treating sequelae of stroke. It can effectively reduce the neurological deficit score， improve the ability of daily living， and increase the blood perfusion volume of brain tissue., http://www.100md.com(王伟 吕细华 谢石穿 周杰 王甄)
[关键词]针灸;康复训练;脑卒中后遗症;脑灌注
[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721(2019)2(c)-0114-04
[Abstract] Objective To explore the clinical effect of acupuncture and moxibustion assisting rehabilitation training treating sequelae of stroke. Methods All of 121 patients with sequelae of stroke treated in our hospital from January 2015 to December 2017 were selected and they were randomly divided into the control group (n=60) and the observation group (n=61)according to the random number table method. Patients in the control group received simple rehabilitation training， while the observation group received acupuncture and moxibustion treatment on the basis of rehabilitation training. The treatment effect， neurological deficit score， daily living ability score and cerebral perfusion before and after treatment were compared in patients between the two groups. Results The total effective rate of the observation group was 88.52%， which was significantly higher than of the control group (73.33%)， and the difference was statistically significant (P<0.05). After treatment， the National Institute of Health stroke scale (NIHSS) score of observation group was lower than that of control group， and the modified Barthel index score was higher than that of control group， and the differences were statistically significant (P<0.05). There was no significant difference in cerebral blood flow (CBF) values of cerebral perfusion in incerebellar cortex， thalamic nucleus， occipital lobe， frontal lobe and parietal lobe before treatment between the two groups (P>0.05). After treatment， the CBF values of cerebral perfusion in frontal lobe and parietal lobe of the observation group were significantly higher than those in the control group， and the differences were statistically significant (P<0.05). Conclusion Acupuncture and moxibustion assisting rehabilitation training has a good effect treating sequelae of stroke. It can effectively reduce the neurological deficit score， improve the ability of daily living， and increase the blood perfusion volume of brain tissue., http://www.100md.com(王伟 吕细华 谢石穿 周杰 王甄)