摘要
目的:探讨眼针联合超早期康复训练治疗急性脑卒中的临床疗效,以及对患者吞咽功能障碍与肢体功能恢复的影响。方法:选取本科诊治的106例急性脑卒中患者,随机分为两组,各53例,对照组给予超早期康复训练,干预组给予眼针联合超早期康复训练,两组疗程均为1个月。比较两组患者治疗前后饮水呛咳、吞咽困难和肢体活动不利等中医症状积分变化;采用洼田饮水试验对患者治疗前后吞咽困难程度进行分级;采用Fugl-Meyer运动功能评分表,系统评价患者治疗前后肢体功能变化情况;观察两组血流变指标治疗前后变化情况;治疗结束后计算两组的临床总有效率。结果:两组患者治疗后吞咽困难、饮水呛咳和肢体活动不利中医症状积分较治疗前均有所降低(P<0.05),且干预组较对照组改善明显(P<0.05);两组患者治疗后洼田饮水试验分级均改善(P<0.05),干预组较对照组改善更显著(P<0.05);两组患者治疗后Fugl-Meyer均呈上升趋势(P<0.05),且干预组较对照组上升更为明显(P<0.05);治疗后两组患者血中红细胞压积水平、全血黏度、纤维蛋白原和血浆黏度水平较治疗前减少,差异具有统计学意义(P<0.05),干预组较对照组变化更显著(P<0.05);干预组临床总有效率为90.57%(48/53),优于对照组的79.25%(42/53)(P<0.05)。结论:眼针联合超早期康复训练可以改善急性脑卒中患者吞咽功能障碍,恢复患者肢体功能,临床治疗急性脑卒中效果较好,值得推广应用。
Objective:To investigate the effect of eye acupuncture combined with ultra-early rehabilitation training on dysphagia and limb function recovery in patients with acute stroke.Methods:106 patients with acute stroke were randomly divided into the control group and the intervention group,with 53 people in each group.The control group was administered with ultra-early rehabilitation,whereas the intervention group was administered with eye acupuncture combined with ultra-early rehabilitation.Treatment duration was one month.The TCM symptoms scores,such as cough due to drinking water,dysphagia and poor limb movement,were compared between before and after the treatment in the two groups.The degree of dysphagia was graded by water swallow test,and the improvement of drinking water before and after the treatment was compared between the two groups.Fugl-Meyer assessment was used to score the limb function movements before and after the treatment in the two groups.The changes of hemorheology indexes were observed before and after the treatment as well,and the total clinical effective rate was compared between the two groups.Results:After the treatment,the scores of TCM symptoms of dysphagia,cough due to drinking water,and poor limb movement were lower than those before the treatment in the two groups(P<0.05);the decreases in the intervention group were more significant(P<0.05).The grading of water swallow test improved in both groups(P<0.05),the improvement in the intervention group was more significant(P<0.05).Fugl-Meyer scores showed an upward trend after the treatment in both groups(P<0.05),and the degree of change was more obvious in the intervention group(P<0.05).The levels of hematocrit,whole blood viscosity,fibrinogen and plasma viscosity decreased significantly after the treatment compared to those before the treatment in the two groups(P<0.05);of which the decreases in the intervention group were more significant(P<0.05).The total clinical effective rate was 90.57%(48/53)in the intervention group,which was signific
作者
董岩
谭丽双
刘峻
DONG Yan;TAN Lishuang;LIU Jun(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China)
出处
《针灸临床杂志》
2021年第5期9-13,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
国家中医药管理局中医药行业科研专项项目,编号:201407001-7
辽宁省自然科学计划,编号:20180550633
辽宁省教育厅科学技术研究项目,编号:L201910。
