摘要
目的:探寻提高治疗脑血栓形成恢复期临床疗效的最佳方法。方法:采用随机单盲对照的方法,将90例脑血栓形成恢复期偏瘫患者随机分为3组:头针组(A组)、康复治疗组(B组)、头针结合康复治疗组(C组)。A组采用头针治疗,穴取健侧顶颞前斜线、顶颞后斜线;B组采用现代康复医学疗法,进行肢体功能治疗;C组采用A组与B组疗法相结合治疗。观察患者的神经功能缺损和日常生活能力(ADL)改善情况及临床疗效。结果:C组治疗后神经功能缺损评分(6.14±0.36)显著低于A组(8.94±0.56)和B组(8.64±0.49)(P<0.05);且C组ADL能力评分(88.39±10.02)和临床疗效(90.0%)均显著高于A组(74.19±12.12,76.7%)和B组(72.29±11.52,73.3%)(均P<0.05)。结论:头针结合康复治疗对脑血栓形成恢复期偏瘫患者运动功能的改善具有协同治疗作用,是治疗脑血栓形成恢复期的较佳疗法。
Objective To search for the best way to elevate the clinical therapeutic effect in the hemiplegic patient of cerebral thrombosis at convalescent period. Methods Adopting single-blind, randomized controlled method, 90 eases of cerebral thrombosis at convalescent period were assigned to 3 groups： a scalp acupuncture group （group A）, a rehabilitation therapy group （group B） and a scalp acupuncture combined with rehabilitation therapy group （group C）. Group A were treated with scalp acupuncture at the anterior oblique line of vertex-temporal and the posterior oblique line of vertex-temporal on the healthy side; group B were treated with modern rehabilitation medical therapy, making limb function treatment; group C were treated with the scalp acupuncture in the group A combined with the rehabilitation therapy in the group B. Improvement of neural function defect and activity of daily life （ADL）, and clinical therapeutic effect were observed. Results After treatment, the scores of neural function defect of 6. 14±0. 36 in the group C was significantly lower than 8. 94±0.56 in the group A and 8. 64±0. 49 in the group B （P〈0.05） ; the score of ADL of 88. 39±10. 02 and clinical therapeutic effect of 90. 0% in the group C were significantly higher than 74. 19±12.12 and 76.7% in the group A and 72.29±11.52 and 73.3% in the group B （P〈0. 05）. Conclusion The scalp acupuncture and rehabilitation therapy have synergistic action in improving motor function for the hemiplegic patient of cerebral thrombosis at convalescent period, and it is a better method for cerebral thrombosis at the convalescent stage.
出处
《中国针灸》
CAS
CSCD
北大核心
2008年第8期573-575,共3页
Chinese Acupuncture & Moxibustion
关键词
中风后遗症
颅内栓塞和血栓形成
偏瘫
头针
针灸疗法
Poststroke Syndrome
Intracranial Embolism and Thrombosis
Hemiplegia
Scalp Acupuncture
Acup Mox Therapy
