针刺结合康复训练治疗脑卒中后单侧空间忽略:随机对照研究

发布时间：2018-06-02 07:32

本文选题：脑卒中 + 单侧空间忽略　；参考：《中国针灸》2017年09期

【摘要】：目的:观察"醒神益髓开窍"针刺结合康复训练治疗对脑卒中后单侧空间忽略的影响。方法:将脑卒中后伴有单侧空间忽略的40例患者随机分为观察组与对照组,每组20例。观察组行头部百会、四神聪、本神、神庭及双侧心、心包、肾经原穴+络穴的"醒神益髓开窍"取穴与常规循经取穴针刺结合康复治疗,对照组仅行常规循经针刺结合康复治疗,每天1次,每周5次,治疗8周后观察疗效。采用直线二等分试验等单侧空间忽略的指标、简易精神状态量表(MMSE)评分、简式Fugl-Meyer运动功能评定评分、改良Barthel指数指标对两组患者的单侧空间忽略的程度、认知功能、运动功能、日常生活活动能力进行评定。结果:治疗后两组患者单侧空间忽略指标(直线二等分试验、线段划销试验、画钟试验、平面图形临摹试验)及MMSE评分、简式Fugl-Meyer运动功能评定、改良Barthel指数均较疗前明显改善(均P0.01);且观察组均比对照组改善明显(P0.05,P0.01)。结论:"醒神益髓开窍"针刺结合康复训练治疗能更有效减轻脑卒中后单侧空间忽略程度,并提高患者运动功能及日常生活自理能力。
[Abstract]:Aim: to observe the effect of acupuncture combined with rehabilitation training on unilateral spatial neglect after stroke. Methods: forty patients with unilateral spatial neglect after stroke were randomly divided into observation group and control group with 20 cases in each group. The observation group was treated with acupuncture combined with acupoints of "awaken spirit, nourishing marrow, opening orifices" and routine acupoints along meridians, such as head Baihui, Sishen Cong, Benshen, Shenting and bilateral heart, pericardium, kidney meridian and collaterals. The control group was treated with routine acupuncture combined with rehabilitation, once a day, 5 times a week, and observed the curative effect after 8 weeks of treatment. The indexes of unilateral space neglect, such as linear bisection test, simple mental state scale (MMSE), simple Fugl-Meyer motor function evaluation, and modified Barthel index were used to evaluate the degree of unilateral space neglect, cognitive function and motor function of the two groups. The ability of daily life activities is evaluated. Results: after treatment, the unilateral spatial neglect index (linear bisection test, line pin test, clock drawing test, plane pattern copying test) and MMSE score, simple Fugl-Meyer motor function evaluation were observed in both groups. The improved Barthel index was significantly improved compared with that of the control group (P 0.01) and the observation group was significantly improved than the control group. Conclusion: acupuncture combined with rehabilitation training can effectively reduce the degree of unilateral spatial neglect after stroke and improve the patients' motor function and self-care ability of daily life.
【作者单位】：中国康复研究中心北京博爱医院中医科;首都医科大学康复医学院;
【基金】：中央级公益性科研院所基本科研业务费专项资金项目:2014-CZ-34
【分类号】：R246.6

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