摘要
目的 探讨针刺联合高压氧治疗对脑出血患者神经功能与日常生活能力的影响.方法123例脑出血患者均为2014年1月至2017年6月武装警察河北省总队医院神经外科住院患者,随机分为3组：针刺组、针刺＋高压氧组（联合组）、治疗组,其中,针刺组在微创术后常规内科治疗的基础上给予针刺治疗;联合组微创术后在给予针刺治疗的同时给予高压氧治疗;对照组进行常规内科治疗,不进行任何特殊治疗.分别评定并比较各组入院时与入院第40天时的神经功能缺损评分、Fusl-Meyer运动功能评定量表评分、日常生活能力评分、认知功能评分、格拉斯哥昏迷量表评分,并评价临床疗效.结果治疗后对照组、针刺组和联合组的NHISS评分依次降低,Fusl-Meyer运动功能评定量表评分、日常生活能力评分、认知功能评分、格拉斯哥昏迷量表评分依次增高,差异均有统计学意义（F值分别为276.620、76.050、31.770、116.598、33.745,P均〈0.01）.对照组、针刺组和联合组的总有效率依次增高（61％、76％和90％）,差异有统计学意义（χ^2=18.547,P〈0.01）.结论对于脑出血患者进行针刺治疗可有效促进神经功能、日常生活能力及预后的改善,针刺联合高压氧治疗能获得更明显的治疗效果.
Objective To investigate the effect of acupuncture combined with hyperbaric oxygen therapy on neurological function and daily living ability of patients with cerebral hemorrhage. Methods From January 2014 to June 2017,one hundred and twenty-three patients with cerebral hemorrhage which hospitalized in the Department of Neurosurgery of Hebei Provincial Corps Hospital were selected and randomly divided into three groups： acupuncture group, acupuncture ＋ hyperbaric oxygen group （ combined group ） and control group. The acupuncture group was given acupuncture on the basis of routine medical treatment after minimally invasive surgery treatment; the combined group was treated with acupuncture treatment as well as hyperbaric oxygen therapy after minimally invasive surgery; the control group was only treated with conventional medical therapy without any special treatment. The scores of nerve function defect,Fusl-Meyer motor function assessment scale,daily living ability score,cognitive function score,Glasgow coma scale at the 40th day of admission were evaluated and compared respectively,and the clinical effect were evaluated as well. Results After treatment, the NHISS score of the control group,the acupuncture group and the combined group decreased in turn. The score of Fusl-Meyer exercise function rating scale, the daily living ability score, the cognitive function score and the Glasgow coma scale were increased in turn, and the differences were statistically significant （ F=276. 620, 76. 050,31. 770,116. 598,33. 745,P〈0. 01） . The total effective rate of the control group,acupuncture group and combined group increased sequentially （61%,76%,90%）,and the difference was statistically significant （χ2=18. 547,P〈0. 01） . Conclusion Acupuncture therapy for patients with cerebral hemorrhage can effectively promote the improvement of nerve function, daily living ability and prognosis. Acupuncture combined with hyperbaric oxygen can get more obvious therapeutic effect.
作者
李军
石磊
孟浩
付浩
陈冬
张西正
孙明林
Li Jun;Shi Lei;Meng Hao;Fu Hao;Chen Dong;Zhang Xizheng;Sun Minglin(Hebei Provincial Corps Hospital,Shijiazhuang 05000,China)
出处
《中国综合临床》
2018年第6期485-489,共5页
Clinical Medicine of China
基金
国家自然科学基金（11672332）
关键词
脑出血
针刺
高压氧
运动功能
生活自理能力
Cerebral hemorrhage
Acupuncture
Hyperbaric oxygen
Motor function
Self-careability
