摘要
目的:观察滋肾益髓针法配合康复训练对脑卒中后认知障碍患者日常生活能力、肢体运动功能的影响,评价其临床疗效。方法:将120例符合纳入标准的患者随机分为治疗组和对照组,每组患者60例。两组患者均接受康复训练,对照组在康复训练的基础上给予常规针刺治疗(合谷、尺泽、太冲、内关、足三里、三阴交、委中)。治疗组在康复训练的基础上给予滋肾益髓针法(大钟、涌泉、悬钟、百会、四神聪)。治疗8周后评估两组患者的日常生活能力(Barthel指数评分)、肢体运动功能(FMA量表评分)的变化,统计其临床疗效。结果:治疗后治疗组在Barthel指数评分、FMA量表评分高于对照组,比较有统计学意义(P<0.05)。治疗组和对照组中医症候疗效的总有效率分别为93.33%、80.00%,比较有显著性差异(P<0.05)。结论:滋肾益髓针法配合康复训练可以明显提高脑卒中后认知功能障碍患者的肢体运动功能和日常生活能力,从而提高了患者的生活质量。需要进一步动物实验研究探索其作用机制,同时需要大样本、多中心临床研究及推广应用。
Objective ： To observe the effect of nourishing kidney and marrow acupuncture combined with rehabilitation training in the treatment of cognitive impairment after stroke in patients with ADL, limb movement function, and to evaluate the clini- cal curative effect. Methods： 120 patients met the inclusion criteria were randomly divided into treatment group and controlled group, 60 cases in each group. Two groups of patients received rehabilitation training, the controlled group was given routine acu- puncture treatment （Hegu, Taichong, chize, Neiguan, Zusanli, Sanyinjiao, Venezuela） on the basis of rehabilitation training. The treatment group received nourishing kidney and marrow acupuncture on the basis of rehabilitation training （ bell, Yongquan, Xuanzhong, Baihui, Sishencong）. After 8 weeks of treatment, the changes of daily life ability （Barthel index score） and motor function （FMA scale） of the two groups were evaluated, and the clinical effect was evaluated. Results： After treatment, the treat- ment group was higher than the controlled group in the Barthel index score, FMA scale score, and there was statistical signifi- cance （P 〈 0. 05）. The total effective rate of the treatment group and the controlled group were 93. 33% and 80% respective- ly, and there were significant differences （P 〈 0. 05）. Conclusion ： Nourishing kidney and marrow acupuncture combined with rehabilitation training can improve post-stroke cognitive dysfunction in patients with limb motor function and ability of daily life, so as to improve the quality of life of patients. Further animal experiments are needed to explore the mechanism of action, and at the same time, large sample, multi center clinical research and application are needed.
出处
《四川中医》
2017年第4期164-167,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
2016年度河北省中医药管理局科学技术课题(No:2016230)
关键词
脑卒中
轻度认知障碍
滋肾益髓针法
康复训练
Stroke
Mild cognitive impairment
Nourishing kidney and marrow acupuncture
Rehabilitation training
