针刺结合康复对缺血性脑卒中急性期功能影响的临床研究
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- 英文论文题名：Clinical study of the effect of Acupuncture combined with Rehabilitation on the motor function in patients with acute ischemic stroke
- 论文作者：徐亭亭 ; 张伟 ; 段峰 ; 施婕妤 ; 齐瑞
- 英文论文作者：XU Tingting ; ZHANG Wei ; DUAN Feng ; QI Rui
- 年：2016
- 作者机构：河北省中医院儿科康复中心;上海市闵行区吴泾医院;上海中医药大学附属岳阳医院崇明分院;上海中医药大学附属岳阳医院;
- 论文关键词：急性期脑中风 ; 针刺疗法 ; 康复
- 英文论文关键词：Acute stroke ; acupuncture therapy ; rehabilitation
- 会议召开时间：2016-12-01
- 会议录名称：中国医师进修论文选编
- 语种：中文
- 分类号：R743.3
- 学会代码：BCLK
- 会议名称：2016年12月中国医师进修学术交流会
- 会议地点：中国北京
- 主办单位：中国医师进修编委会
- 学会名称：百川利康（北京）国际医学研究院
- 页数：5
- 文件大小：641k
- 原文格式：D
- 会议级别：全国
摘要
目的:采取随机对照的研究方法观察针刺对缺血性脑中风急性期的临床疗效。方法:将62例病人随机分为治疗组和对照组,治疗组采用针刺结合中西医结合康复的治疗方案,对照组采用假针刺加中西医结合康复的治疗方案,两组的治疗周期为14天,分别在治疗前后进行神经功能缺损NIHSS评分、运动功能Fugl-Meyer评分、日常生活活动能力Barthel指数的评定,于3个月后对患者的运动功能和日常生活活动能力进行评定。结果:两组在改善患者神经功能缺损方面治疗组优于对照组(P<0.05);运动功能障碍改善方面治疗组与对照组之间的差异有统计学意义(P<0.05),说明治疗组在改善患者的运动功能障碍方面优于对照组;在提高患者日常生活活动能力方面在后期随访过程中两组之间的差异有统计学意义(P<0.05),说明治疗组的远期治疗效果优于对照组。结论:针刺能够改善缺血性脑卒中急性期患者的神经功能缺损程度,并且能促进患者运动功能障碍的恢复和日常生活活动能力的提高,尤其是有利于患者后期的运动功能障碍的恢复。
Objective:To observe the clinical effects of acupuncture treatment in acute stroke patients based on a randomized controlled principle.Method: A total of 62 eligible patients were equally randomized into an acupuncture treatment group and a control group,patients in treatment group received acupuncture and modern rehabilitation therapies,whereas a combination of sham acupuncture and modern rehabilitation was applied in control group,one treatment cycle usually lasts for 14 days,we assessed neural functional impairment with NIHSS,and used Fugl-Meyer Assessment to evaluate the recovery of motor function and Barthel index to assess patients` daily life activities ability after 3 months of treatment.RESULTS: Participants in the acupuncture group showed more improvement than those in the control group in neural functional recovery(P<0.5),there was a significant difference between two groups in motor recovery and ability of daily living(P<0.5) during the follow-up,which means the effect of combining acupuncture therapy is better than using rehabilitation therapy alone.Conclusion:Our results suggested that acupuncture can improve the recovery of neural function and daily life activity ability in acute stroke patients,especially might be benifical for long-term motor recovery.
Objective:To observe the clinical effects of acupuncture treatment in acute stroke patients based on a randomized controlled principle.Method: A total of 62 eligible patients were equally randomized into an acupuncture treatment group and a control group,patients in treatment group received acupuncture and modern rehabilitation therapies,whereas a combination of sham acupuncture and modern rehabilitation was applied in control group,one treatment cycle usually lasts for 14 days,we assessed neural functional impairment with NIHSS,and used Fugl-Meyer Assessment to evaluate the recovery of motor function and Barthel index to assess patients` daily life activities ability after 3 months of treatment.RESULTS: Participants in the acupuncture group showed more improvement than those in the control group in neural functional recovery(P<0.5),there was a significant difference between two groups in motor recovery and ability of daily living(P<0.5) during the follow-up,which means the effect of combining acupuncture therapy is better than using rehabilitation therapy alone.Conclusion:Our results suggested that acupuncture can improve the recovery of neural function and daily life activity ability in acute stroke patients,especially might be benifical for long-term motor recovery.
引文
[1]贾建平.神经病学[M].北京:人民教育出版社,2013:170.
[2]中华医学会神经病分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南,2010[J].Chinese General Practice,2011,14(12):4013-4017.
[3]于兑生,恽晓平编著.运动疗法与作业疗法.北京:华夏出版社,2002
[4]倪丽伟,申鹏飞,章智龙等.醒脑开窍与非经非穴针刺对脑梗塞神经功能影响的多中心随机对照研究[J].中华中医药杂志,2011,26(5):894-897.
[5]齐瑞,严隽陶.推拿在脑卒中康复中的应用述评.江西中医药,2005,36(4):63-64
[6]褚海林,詹红生,侯群等.推拿治疗早期中老年脑血管缺血性疾病(脑梗塞)的临床研究.浙江中医学院学报,2002.26(3):62.
[7]Zhang N,Huang T,Liu G,et al.Effect of Acupuncture and Rehabilitation Training on Barthel Index in Early-stage of Stroke Cases[J].Acupunt.tuina.sci,2009,7(1):143-146.
[8]解越,李志亮,刘泓等.针灸治疗卒中急性期吞咽困难的随机对照研究[J].北京中医药,2011,30(3):168-170.
[9]王伟敬,丁自勤,陈慧珍等.功能训练联合针灸早期介入对脑卒中患者生存质量的影响[J].中国康复医学杂志,2012,27(2):147-149.
[10]Strasser D,Falconer J,Stevens A,et al.Influence of Acupuncture on Remodeling of Swallowing Functions for Patients with Pseudobulbar Palsy After Cerebral Infarction[J].JAcupuncture.tuina.sci,2012,10(1):44-48.
[11]Zhao X,Du Y,Liu P,et al.Acupuncture for Stroke:evidence of Effectiveness,Safety,and Cost From Systematic Reviews[J].Top Stroke Rehabil,2012,19(3):226-233.
[12]Park S,Yi S,Lee J,et al.Acupuncture for the Treatment of Spasticity After Stroke:a Meta-analysis of Randomized Controlled Trials[J].Journal Club,2014,20(9):672-682.
[13]张小丽、齐瑞、严隽陶.中风后偏瘫中西医结合优化康复方案的临床研究[J].中国针灸,2013,33(12):1113-1117.
[14]Wen Q,Zhao Y,Wang CW,等.Effects of acupuncture intervention on omalgia incidence rate of ischemic stroke in acute stage[J].World Journal of Acupuncture-Moxibustion,2014,24(1):19-25.
[2]中华医学会神经病分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南,2010[J].Chinese General Practice,2011,14(12):4013-4017.
[3]于兑生,恽晓平编著.运动疗法与作业疗法.北京:华夏出版社,2002
[4]倪丽伟,申鹏飞,章智龙等.醒脑开窍与非经非穴针刺对脑梗塞神经功能影响的多中心随机对照研究[J].中华中医药杂志,2011,26(5):894-897.
[5]齐瑞,严隽陶.推拿在脑卒中康复中的应用述评.江西中医药,2005,36(4):63-64
[6]褚海林,詹红生,侯群等.推拿治疗早期中老年脑血管缺血性疾病(脑梗塞)的临床研究.浙江中医学院学报,2002.26(3):62.
[7]Zhang N,Huang T,Liu G,et al.Effect of Acupuncture and Rehabilitation Training on Barthel Index in Early-stage of Stroke Cases[J].Acupunt.tuina.sci,2009,7(1):143-146.
[8]解越,李志亮,刘泓等.针灸治疗卒中急性期吞咽困难的随机对照研究[J].北京中医药,2011,30(3):168-170.
[9]王伟敬,丁自勤,陈慧珍等.功能训练联合针灸早期介入对脑卒中患者生存质量的影响[J].中国康复医学杂志,2012,27(2):147-149.
[10]Strasser D,Falconer J,Stevens A,et al.Influence of Acupuncture on Remodeling of Swallowing Functions for Patients with Pseudobulbar Palsy After Cerebral Infarction[J].JAcupuncture.tuina.sci,2012,10(1):44-48.
[11]Zhao X,Du Y,Liu P,et al.Acupuncture for Stroke:evidence of Effectiveness,Safety,and Cost From Systematic Reviews[J].Top Stroke Rehabil,2012,19(3):226-233.
[12]Park S,Yi S,Lee J,et al.Acupuncture for the Treatment of Spasticity After Stroke:a Meta-analysis of Randomized Controlled Trials[J].Journal Club,2014,20(9):672-682.
[13]张小丽、齐瑞、严隽陶.中风后偏瘫中西医结合优化康复方案的临床研究[J].中国针灸,2013,33(12):1113-1117.
[14]Wen Q,Zhao Y,Wang CW,等.Effects of acupuncture intervention on omalgia incidence rate of ischemic stroke in acute stage[J].World Journal of Acupuncture-Moxibustion,2014,24(1):19-25.