摘要
目的 :探讨醒脑开窍针刺法联合康复训练治疗卒中后假性球麻痹的临床效果。方法 :研究对象选自我院2016年5月—2018年4月收治的112例卒中后假性球麻痹患者,使用随机数字表法将这112例患者随机分成观察组(n=56)与对照组(n=56)。两组均给予康复训练,观察组在此基础上联合醒脑开窍针刺法治疗,所有患者均治疗4周后观察疗效。比较两组治疗前后血流变参数(全血黏度高切、全血黏度低切、血浆黏度)、神经功能[国立卫生研究院卒中量表(NIHSS)评分]、肌电图参数[脑干听觉诱发电位(BAEP)中Ⅲ、Ⅳ波潜伏期(PL)及Ⅲ～Ⅳ、Ⅰ～Ⅴ峰间潜伏期(IPL)]变化,并对比治疗后构音障碍疗效。结果 :两组治疗后全血黏度高切、全血黏度低切及血浆黏度和NIHSS评分均有明显降低(P<0.05),且观察组下降更明显(P<0.05)。两组治疗后BAEP中Ⅲ、Ⅳ波PL及Ⅲ～Ⅳ、Ⅰ～Ⅴ波IPL均较治疗前显著缩短(P<0.05),且观察组改善更明显(P<0.05)。治疗后,观察组构音障碍总有效率为96.43%(54/56),与对照组的80.36%(45/56)相比显著提高(P<0.05)。结论 :卒中后假性球麻痹实施醒脑开窍针刺法联合康复训练治疗能有效减轻患者神经功能缺损,促进脑干听觉传导功能的康复,改善构音障碍。
Objective:To explore the clinical efficacy of Xingnao Kaiqiao acupuncture combined with rehabilitation training on poststroke pseudobulbar paralysis.Methods:The subjects of this study,112 patients with poststroke pseudobulbar paralysis admitted in our hospital from May 2016 to April 2018,were divided into observation group(n=56)and control group(n=56)on the basis of random number table.Both groups were given rehabilitation training in addition to which the observation group was also treated with Xingnao Kaiqiao acupuncture.Changes of hemorheological parameters(high blood viscosity,low blood viscosity,plasma viscosity),neurological function[National Institutes of Health Stroke Scale(NIHSS)scores]and electromyography parameters[mediumⅢ,Ⅳpotential latency(PL)andⅢ-Ⅳ,Ⅰ-Ⅴinterpeak latency(IPL)of brainstem auditory evoked potential(BAEP)]before and after treatment,and the effect on dysarthria after treatment were compared between the two groups.Results:After treatment both groups saw a remarkable decrease in high blood viscosity,low blood viscosity,plasma viscosity and NIHSS scores(P<0.05),and the improvement the observation group witnessed was more significant(P<0.05).The mediumⅢ,ⅣPL andⅢ-Ⅳ,Ⅰ-ⅤIPL of BAEP of both groups after treatment got obviously shortened(P<0.05),and the observation group obtained a greater improvement than the control group did(P<0.05).After treatment,the overall effective rate on dysarthria of the observation group was 96.43%(54/56),much higher than 80.36%(45/56)(P<0.05).Conclusion:In treating poststroke pseudobulbar paralysis,the combination of Xingnao Kaiqiao acupuncture and rehabilitation training can significantly relieve neurological deficits in patients,promote the recovery of their brainstem auditory conduction,and improve dysarthria.
作者
缪辉宇
曲崇正
陈波燕
MIAO Huiyu;QU Chongzheng;CHEN Boyan(The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510407,Guangdong,China)
出处
《辽宁中医药大学学报》
CAS
2019年第6期199-202,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
醒脑开窍针刺法
康复训练
卒中后假性球麻痹
神经功能
肌电图
构音障碍
Xingnao Kaiqiao acupuncture
rehabilitation training
poststroke pseudobulbar paralysis
neurological function
electromyography
dysarthria
