摘要
目的观察轻点刺络法联合早期康复治疗对脑卒中后偏身感觉障碍的临床疗效并探讨其作用机制。方法160例患者随机分为对照组和试验组各80例。入院后给予调整血糖、血压、血脂及改善循环、营养神经等基础内科治疗,对照组给予早期康复训练,试验组在上述基础上加用轻点刺络法,4周为1个疗程,均连续治疗2个疗程。应用改良Fugl-Meyer感觉功能评定量表评价感觉功能,应用Fugl-Meyer运动功能量表(FMA)评价患肢运动功能障碍程度,应用改良Barthel指数(MBI)评估日常生活能力,比较临床疗效。结果治疗前,两组感觉障碍评分比较,差异无统计学意义(P>0.05)。两组治疗4、8周后浅感觉、本体觉、皮质觉评分与治疗前比较,均明显升高(均P<0.05);试验组浅感觉、本体觉、皮质觉评分与同时间对照组比较,均明显较高(均P<0.05)。两组治疗前FMA、MBI评分比较,差异无统计学意义(均P>0.05)。两组治疗4、8周后FMA、MBI评分与治疗前比较,均明显升高(均P<0.05);且试验组FMA、MBI评分与同时间对照组比较,均明显较高(均P<0.05)。治疗8周后,试验组治疗总有效率85.00%高于对照组的68.75%(P<0.01)。两组治疗期间均未出现不良反应,肝肾功能、造血系统等亦未见不良反应。结论轻点刺络法联合早期康复是治疗脑卒中后偏身感觉障碍一种有效方法。
Objective:To investigate the clinical effect of mild collateral puncture combined with early rehabilitation on hemianesthesia after stroke.Methods:160 patients were randomly divided into the control group and the experimental group,80 cases in each.After admission,basic medical treatments were given,such as adjusting blood sugar,blood pressure,blood lipid,improving circulation and nourishing nerve.The control group received early rehabilitation training;the experimental group was added mild collateral puncture.4 weeks was a course of treatment;2 courses of treatment were continuous.Modified Fugl-Meyer Sensory Function Scale was used to evaluate sensory function,FMA to evaluate the degree of motor dysfunction of affected limbs,and MBI to evaluate the ability of daily living,and the clinical effects were compared.Results:Compared with before treatment,the scores of superficial sensation,proprioception and cortex sensation in both groups increased after 4 and 8 weeks of treatment(P<0.05);the scores of FMA and MBI increased(P<0.05).Compared with the control group at the same time point,the scores of shallow sensation,proprioception and cortical sensation in the experimental group were higher(P<0.05),and the scores of FMA and MBI were higher(P<0.05).After 8 weeks of treatment,the effective rate of the control group was 68.75%,and that of the experimental group was 85.00%.There was statistical significance(P<0.01).Conclusion:Mild collateral puncture combined with early rehabilitation is an effective method to treat hemianesthesia after stroke,worthy of clinical promotion.
作者
申晓光
马将
王晓芳
张玉漫
王美
杨永刚
Shen Xiaoguang;Ma Jiang;Wang Xiaofang(Shijiazhuang First Hospital,Hebei,Shijiazhuang 050000,China)
出处
《中国中医急症》
2019年第11期1976-1979,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
河北省石家庄市科学技术研究与发展指导计划(第2批)(171461863)
关键词
脑卒中
感觉障碍
轻点刺络
早期康复
疗效
Stroke
Sensory impairment
Mild collateral puncture
Early rehabilitation
Curative effect
