针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2015年
6期
17-20
,共4页
脑梗塞%电针%百会%风府%康复治疗%神经功能评分
腦梗塞%電針%百會%風府%康複治療%神經功能評分
뇌경새%전침%백회%풍부%강복치료%신경공능평분
Cerebral infarction%Electroacupuncture%Baihui ( GV 20 )%Fengfu ( GV 16 )%Rehabilitation train-ing%Neuronal function grading
目的:比较电针百会、风府配合肢体康复训练与单纯肢体康复训练治疗脑梗塞后神经功能障碍的临床疗效差异。方法:将90例患者随机分为电针加康复组和单纯康复组,每组45例,单纯肢体康复组采用综合康复训练为主进行治疗,电针加康复组在此基础上配合电针治疗,取穴百会、风府,每天1次,10天为一疗程,共治疗2个疗程。评定治疗前后两组患者的临床神经功能、肢体肌力、病残程度,比较组间疗效差异性。结果:电针加康复组的神经功能缺损评分、肌力评分、病残程度评分较治疗前均有改善,组内比较有显著差异性( P<0.01),而组间比较,电针加康复组的疗效优于单纯康复组,组间比较有统计学意义(P<0.05)。结论:电针百会、风府加康复与单纯康复对脑梗塞后神经功能恢复、肌力提高及病残程度改善均有效,且电针百会、风府加康复疗效优于单纯康复训练治疗。
目的:比較電針百會、風府配閤肢體康複訓練與單純肢體康複訓練治療腦梗塞後神經功能障礙的臨床療效差異。方法:將90例患者隨機分為電針加康複組和單純康複組,每組45例,單純肢體康複組採用綜閤康複訓練為主進行治療,電針加康複組在此基礎上配閤電針治療,取穴百會、風府,每天1次,10天為一療程,共治療2箇療程。評定治療前後兩組患者的臨床神經功能、肢體肌力、病殘程度,比較組間療效差異性。結果:電針加康複組的神經功能缺損評分、肌力評分、病殘程度評分較治療前均有改善,組內比較有顯著差異性( P<0.01),而組間比較,電針加康複組的療效優于單純康複組,組間比較有統計學意義(P<0.05)。結論:電針百會、風府加康複與單純康複對腦梗塞後神經功能恢複、肌力提高及病殘程度改善均有效,且電針百會、風府加康複療效優于單純康複訓練治療。
목적:비교전침백회、풍부배합지체강복훈련여단순지체강복훈련치료뇌경새후신경공능장애적림상료효차이。방법:장90례환자수궤분위전침가강복조화단순강복조,매조45례,단순지체강복조채용종합강복훈련위주진행치료,전침가강복조재차기출상배합전침치료,취혈백회、풍부,매천1차,10천위일료정,공치료2개료정。평정치료전후량조환자적림상신경공능、지체기력、병잔정도,비교조간료효차이성。결과:전침가강복조적신경공능결손평분、기력평분、병잔정도평분교치료전균유개선,조내비교유현저차이성( P<0.01),이조간비교,전침가강복조적료효우우단순강복조,조간비교유통계학의의(P<0.05)。결론:전침백회、풍부가강복여단순강복대뇌경새후신경공능회복、기력제고급병잔정도개선균유효,차전침백회、풍부가강복료효우우단순강복훈련치료。
Objective:To evaluate the different therapeutic effects on neuronal function in patients with cerebral infarction by electroacupuncture at Baihui(GV 20) and Fengfu(GV 16) combined with rehabilitation training and pure rehabilitation training.Methods:90 patients were divided into an electroacupuncture at Baihui ( GV 20) and Fengfu( GV 16) combined with rehabilitation training group and pure rehabilitation training group,with 45 cases in each group.The pure rehabilitation training group was treated by the synthesis recovery training,and the electroacupuncture at Baihui(GV 20) and Fengfu(GV 16) combined with rehabilitation training group was treated by electroacupuncture at Baihui ( GV 20 ) and Fengfu ( GV 16 ) combined with the synthesis recovery training,once daily,and 10 days were as a treatment course.Both of the groups were treated for 2 treatment courses.Compare the nerve function damage,myo-strength, sick and disabled degree in two groups before and after treatment, and compare the curative effect in two groups.Results:After the treatment of electroacupuncture at Baihui and Fengfu plus rehabilitation training,the neuronal function damage grading, myo-strength grading, sick and disabled degree grading had been improved, and there was a significant difference(P<0.01), and there was a significant difference between two groups(P<0.05).Conclusion:Electroacupuncture at Baihui and Fengfu plus rehabilitation training group and pure rehabilitation training group both have a good effect on neuro-nal function restores, the myo-strength enhancement and the improvement of sick and disabled degree.The curative effect of electroacupuncture at Baihui and Fengfu combined with rehabilitation training group is superior to that of the pure rehabilitation training group.