双侧头针或患侧头针同步结合康复训练对脑梗死急性期患者运动功能恢复效果比较

摘要

目的探讨双侧头针或康复训练同步治疗对脑梗死急性期患者运动功能障碍的康复治疗效果。方法将80例脑梗死急性期运动功能障碍患者随机分为试验组和对照组各40例，2组均给予常规基础治疗（包括常规神经内科药物治疗和体针治疗），试验组同时采用双侧头针与康复训练同步治疗，对照组同时采用患侧头针与康复训练同步治疗。2组针灸和康复训练均每日1次，6 d为1个疗程，疗程间休息1 d，共治疗4个疗程。治疗前后采用Fugl－Meyer运动功能评分法（FMA）、改良的Barthel指数（MBI）及神经功能缺损评分（NDS）对2组进行疗效评定。结果治疗后，2组的FMA评分、 MBI评分均显著提高， NDS评分均显著降低，与治疗前比较，差异均有统计学意义（P＜0．05）；治疗第14天，2组间各项指标比较差异均无统计学意义（P＞0．05）；治疗第28天，2组间FMA评分及NDS评分比较，试验组优于对照组，差异有统计学意义（P＜0．05）， MBI评分比较，2组差异无统计学意义（P＞0．05）。结论双侧头针与康复训练同步治疗可显著改善脑梗死急性期患者的运动功能。%Objective To explore the effect of bilateral scalp acupuncture combined with synchronous motorrehabilitation training on acute cerebral infarction patients with movement dysfunction. Methods Eighty acutecerebral infarction patients were evenly randomized into treatment group and control group. Both groups weregiven routing medicine for neurology and body acupuncture. Additionally, the treatment group received bilateralscalp acupuncture combined with synchronous motor rehabilitation training, and the control group receivedaffected-side scalp acupuncture combined with synchronous motor rehabilitation training. The acupuncture andtraining were carried out once a day. One course of treatment consisted of six continuous treatment days and onerest day, and the treatment lasted 4 courses. Before and after treatment, the scores of Fugl-Meyer assessment( FMA) for motor function, the modified Barthel index (MBI) scores and the neurological deficit scores(NDS) were observed for the evaluation of therapeutic effect. Results After treatment, FMA scores and MBIscores were increased, and NDS were decreased in both groups compared with those before treatment, thedifferences being significant (P<0.05) . On treatment day 14, the differences of the observation indexes wereinsignificant between the two groups (P>0.05) . On treatment day 28, FMA scores and NDS of the treatmentgroup were superior to those of the control group ( P <0.05) , but the differences of MBI scores wereinsignificant between the two groups ( P >0.05). Conclusion Bilateral scalp acupuncture combined withsynchronous motor rehabilitation training exerts remarkable effect on improving motor function of acute cerebralinfarction patients with movement dysfunction.