摘要
目的:动态观察高频电针结合醒脑开窍法对脑梗死急性期的临床疗效。方法:选符合标准的患者150例,随机分为观察组与对照组。对照组治疗参照2014年《中国急性缺血性脑卒中诊治指南》,康复治疗采用Bobath技术;观察组在对照组治疗的基础上加用"高频电针结合醒脑开窍"法。观察两组在入组1、2、4、8周临床疗效、神经功能缺损评分、日常生活能力评分、抑郁的发生率。结果:两组患者治疗前后神经功能缺损程度均减轻(P<0.05),ADL均有提高(P<0.05),但观察组各时间点的各指标的改善明显优于对照组(P<0.05)。在疗效方面、PSD的发生率方面明显优于对照组(P<0.05)。结论:"高频电针结合醒脑开窍"法,能够提高临床疗效,改善神经功能损伤程度,提高日常生活能力,有效预防PSD的发生。
Objective： To observe the clinical efficacy of high frequency electroacupuncture plus the Xingnao Kaiqiao therapy on cerebral infarction dynamically. Methods： 150 patients were selected according to the standard and were randomly divided into the observation group and the control group. The control group was treated with reference to the 2014 guidelines for diagnosis and management of acute ischemic stroke in China, and received Bobath technique rehabilitation therapy; the observation group was treated by high frequency electroacupuncture plus the Xingnao Kaiqiao therapy more. The clinical efficacy, neurological deficit score, ADL score, the incidence of depression in two groups were observed in 1, 2, 4, 8 weeks. Results： The neurological deficits of patients in two groups were reduced after treatment （P〈0.05）, ADL were increased （P〈0.05）, but the improvement of the indexes in the observation group was significantly better than that in the control group at each time point （P〈0.05）. In terms of efficacy and the incidence rate of PSD in the observation group was significantly better than the control group （P〈0.05）. Conclusion： High frequency electroacupuncture plus the Xingnao Kaiqiao therapy could improve the clinical curative effect, relieve the degree of nerve function damage, enhance the ability of daily living, and effectively prevent from the occurrence of PSD.
出处
《中医临床研究》
2017年第27期34-36,共3页
Clinical Journal Of Chinese Medicine
关键词
脑梗死
醒脑开窍法
高频电针
Cerebral infarction
The Xingnao Kaiqiao therapy
High frequency electroacupuncture
