摘要
目的观察电针联合康复训练对急性缺血性脑卒中(acute ischemic stroke,AIS)患者神经功能康复的效果。方法将2017年1月—2018年2月于佛山市中医院神经内科住院的85例AIS患者随机分为观察组43例与对照组42例,对照组予单纯康复训练,观察组予电针联合康复训练,以2周为1个疗程。于治疗前、治疗后采用美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评定患者神经功能缺损程度,于治疗前、治疗后及随访第90天采用改良Rankin量表(Modified Rankin Scale,mRS)评定患者病残程度,并比较两组临床疗效。结果治疗前,两组NIHSS评分、mRS评分比较,差异无统计学意义(P>0.05);2周治疗后,两组NIHSS评分、mRS评分较同组治疗前降低(P<0.01),且观察组NIHSS评分、mRS评分改善程度优于对照组(P<0.05);随访第90天,观察组mRS评分改善程度优于对照组(P<0.01);观察组总有效率为97.67%(42/43)优于对照组80.95%(34/43)(P<0.05)。结论电针联合康复训练可显著改善AIS患者神经功能、减轻残障,且疗效优于单纯康复训练。
Objective To observe the effect of electroacupuncture(EA) combined with rehabilitation training(RT) on neurological recovery in patients with acute ischemic stroke(AIS).Methods Eighty-five patients with AIS admitted to the Department of Neurology,Foshan Hospital of Traditional Chinese Medicine from January 2017 to February 2018 were randomly assigned to an observation group of 43 patients and a control group of 42 patients.The patients in the control group were given RT alone,and the patients in the observation group were given EA combined with RT for 2 weeks as a course of treatment.The changes of neurological deficits before and after treatment were assessed by the National Institutes of Health Stroke Scale(NIHSS) and Modified Rankin Scale(mRS).Moreover,on the 90 th day of follow-up,the improvement of neurological function was assessed by mRS.The total effective rate of the two groups was also compared.Results Before treatment,there was no significant difference in NIHSS score or mRS score between the two groups(P>0.05).After 2 weeks of treatment,the NIHSS scores and mRS scores of the two groups were lower than those of the same group before treatment(P<0.01).After 2 weeks of treatment,the improvements of NIHSS score and mRS score in the observation group were better than those of the control group(P<0.05).On the 90 th day of follow-up,the improvements of mRS score in the observation group was better than that of the control group(P<0.01).The total effective rate of the observation group was better than that of the control group[97.67%(42/43) vs 80.95%(34/43),P<0.05].Conclusion EA combined with RT can significantly improve neurological function and reduce disability in AIS patients,and the curative effect is better than that of RT alone.
作者
詹杰
洪逸铭
谭峰
李广兴
金培群
周孝琨
林东雄
ZHAN Jie;HONG Yiming;TAN Feng;LI Guangxing;JIN Peiqun;ZHOU Xiaokun;LIN Dongxiong(Department of Rehabilitation,Guangdong Provincial Hospital of Chinese Medicine,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510000,Guangdong,China;Department of Neurology,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China)
出处
《辽宁中医杂志》
CAS
2021年第2期172-175,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81473470/81774423)
中医药部门公共卫生服务补助资金“中医康复服务能力规范化建设项目”。
关键词
电针
康复训练
缺血性脑卒中
神经功能
electroacupuncture
rehabilitation training
ischemic stroke
neurological function
