《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (09): 1087-1090.

• 基础研究 • 上一篇    下一篇

“三位一体” 针法治疗缺血性脑卒中偏瘫的效果

杜小正 1，王金海 2，秦晓光 1，毛忠南 3，王元昭 3，何天有 3
  

  1. 作者单位：1.甘肃中医药大学，甘肃兰州市 730000；2.兰州大学第二医院，甘肃兰州市 730030；3.甘肃中医药大学附属医院，甘肃兰州市730000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-09-25 发布日期:2015-09-25

Effects of Three-in-one Acupuncture on Hemiplegia after Ischemic Stroke

DU Xiao-zheng1, WANG Jin-hai2, QIN Xiao-guang1, MAO Zhong-nan3,WANG yuan-zhao3, HE tian-you3
  

  1. 1.Department of Acu-Moxibustion and Tuina, Gansu College of Chinese Medicine, Lanzhou, Gansu 730000, China; 2. The Second Hospital of Lanzhou University; Lanzhou, Gansu 730030, China; 3. The Affiliated Hospital of Gansu College of Chinese Medicine, Lanzhou, Gansu 730000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-09-25 Online:2015-09-25

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摘要： 目的 观察 “三位一体” 针法治疗缺血性脑卒中偏瘫的疗效。方法 146例患者随机分为试验组(n=73)和对照组(n=73)。试验组采用 “三位一体” 针法治疗，对照组采用康复训练，共4周。治疗前，治疗后7 d、14 d、21 d和28 d采用临床神经功能缺损程度评分(NDS)、功能综合评定量表(FCA)和Barthel指数(BI)进行评定，1年后电话随访。结果 试验组治疗后7 d，NDS较治疗前下降(P<0.05)，对照组治疗后 21 d开始下降(P<0.05)；治疗后 7 d和 14 d，试验组 NDS低于对照组(P<0.05)。治疗后 21 d和28 d，两组 FCA评分均较治疗前升高(P<0.05)，两组间各时间点均无显著性差异(P>0.05)。治疗后 14 d起，两组 BI较治疗前升高(P<0.05)，两组间各时间点均无显著性差异(P>0.05)。试验组有效率 87.9%，对照组 84.1%，无显著性差异(P>0.05)。1年后试验组复发率11.54%，低于对照组25.49% (P<0.05)。结论 “三位一体” 针法治疗缺血性脑卒中的疗效与康复训练相当，在神经功能缺损恢复方面起效快，复发率低。

关键词: 脑卒中, 缺血, 偏瘫, “三位一体” 针法, 神经功能, 日常生活活动能力, 康复

Abstract: Objective To observe the effects of Three-in-one Acupuncture on hemiplegia after ischemic stroke. Methods 146 patients with hemiplegia after ischemic stroke were randomly allocated into trial group (n=73) and control group (n=73). The trial group accepted Three-in-one Acupuncture, while the control group accepted rehabilitation, for 4 weeks. They were assessed with Neurological Deficit Score (NDS), Functional Comprehensive Assessment (FCA) and Barthel Index (BI) before and 7, 14, 21 and 28 days after treatment. They were followed up for a year. Results The NDS decreased since 7 days after treatment in the trial group (P<0.05), while it decreased since 21 days in the control group (P<0.05). The NDS was less in the trial group than in the control group 7 and 14 days after treatment (P<0.05). The FCA score increased since 21 days after treatment in both groups, and the BI score increased since 14 days after treatment in both groups (P< 0.05). There was no significant difference between the trial group and the control group (P>0.05). The rate of improvement was 87.9% in the trial group, similar with 84.1% in the control group (P>0.05). The recurrence rate was 11.54% in the trial group, less than 25.49% in the control group in a year (P<0.05). Conclusion Three-in-one Acupuncture is as effective as rehabilitation on hemiplegia after ischemic stroke, more quickly and with less recurrence.

Key words: stroke, ischemia, hemiplegia, Three-in-one Acupuncture, neural function, activities of daily living, rehabilitation