通督调神针刺干预卒中后疲劳的临床研究
|
摘要
目的:通过临床研究,探究通督调神针刺对卒中后疲劳患者的疗效。方法:收纳60例脑卒中后疲劳患者,按照随机分配原则分为对照组和治疗组各30例。两组患者同时接受常规传统的康复训练,治疗组在此基础上加以通督调神针刺,每天1次,10天作为一个疗程,连续治疗2个疗程,疗程间间歇1天。通过使用疲劳严重程度量表(Fatigue Severity Scale,FSS)、脑卒中专用生活质量量表(Stroke-specific Quality of Life Scale, SS-QOL)以及常用的美国国立卫生研究院发表的卒中量表(National Institutes of Health Stroke Scale, NIHSS)对两组患者治疗前后的疲劳程度水平进行评估。结果:治疗组干预2个疗程后,采用FSS,SS-QOL以及NIHSS进行综合评分,与同组治疗前进行对比,发现其差异均具备统计学意义(P <0.05)。治疗组干预2个疗程后采用FSS,SS-QOL以及NIHSS与对照组进行对比,差异均具备统计学意义(P <0.05)。论断:临床上选用通督调神针刺法能够有效的改进个人疲惫状态,显著降低脑卒中后疲劳水平,明显提升患者的生存质量。
Objective: To explore the efficacy of the Tongdu Tiaoshen acupuncture( 通督调神针刺) on post-stroke fatigue.Methods: 60 patients were randomly divided into two groups, 30 cases in each. Patients in two groups received traditional rehabilitation training; and the treatment group were given the Tongdu Tiaoshen acupuncture more. The Fatigue conditions in two groups before and after treatment were assessed by FSS, SS-QOL and NIHSS. Results: The difference of FSS, SS-QOL and NIHSS scores in the treatment group between before and after treatment was statistically significant(P<0.05). The difference of scores between two groups after treatment were statistically significant(P<0.05). Conclusion: The Tongdu Tiaoshen acupuncture can effectively improve fatigue state, significantly reduce the fatigue after stroke, and improve the quality of life.
Objective: To explore the efficacy of the Tongdu Tiaoshen acupuncture( 通督调神针刺) on post-stroke fatigue.Methods: 60 patients were randomly divided into two groups, 30 cases in each. Patients in two groups received traditional rehabilitation training; and the treatment group were given the Tongdu Tiaoshen acupuncture more. The Fatigue conditions in two groups before and after treatment were assessed by FSS, SS-QOL and NIHSS. Results: The difference of FSS, SS-QOL and NIHSS scores in the treatment group between before and after treatment was statistically significant(P<0.05). The difference of scores between two groups after treatment were statistically significant(P<0.05). Conclusion: The Tongdu Tiaoshen acupuncture can effectively improve fatigue state, significantly reduce the fatigue after stroke, and improve the quality of life.
引文
[1]Tang WK,Chen YK,Mok V,et al.Acute basal ganglia infarcts in poststroke fatigue:an MRI study[J].J Neurol,2010,257(2):178-182.
[2]Feigin VL,Barker-Collo S,Parag V,et al.Prevalence and predictors of 6-month fatigue in patients with ischemic stroke:A populationbased stroke incidence study in Auckland,New Zealand,2002-2003[J].Stroke,2012,43(10):2604-2609.
[3]国家中医药管理局脑病急症协作组.中风病中医诊断疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[4]中华医学会神经病学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].中华神经科杂志2010,43(2):147-148.
[5]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:489-492.
[6]饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:1-45.
[7]陈清棠.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,29(6):62-64.
[8]Krupp LB,Larocca NG,Muir-Nash J,et al.Tetal.The fatigue severity scale.Application to patients with multiple sclerosis and systemic lupusery thematosus[J].Arch Neurol,1989,46(10):1121-1123.
[9]吴春薇,王得新.疲劳严重度量表中译本应用于脑梗死患者的临床与评价[J].中华物理医学与康复杂志,2007(9):608-611.
[10]Williams LS,Weinberger M,Harris L,et al.Development of astrokespecific quality of life scale[J].Stroke,1999,30(7):1362-1369.
[11]王志永.早期康复治疗对脑卒中患者日常生活能力的疗效评价[J].中医临床研究,2017,9(14):87-88.
[12]邓卫玲,周光辉,黄玉彩,等.中西医结合护理干预在促进脑卒中患者肢体功能恢复及提高患者生活质量的作用[J].中医临床研究,20179(34):136-138.
[13]郭新侠.益气为主中药结合康复训练对缺血性中风后气虚疲劳患者生活质量的影响分析[J].医学理论与实践,2015,28(23):3200-3201.
[2]Feigin VL,Barker-Collo S,Parag V,et al.Prevalence and predictors of 6-month fatigue in patients with ischemic stroke:A populationbased stroke incidence study in Auckland,New Zealand,2002-2003[J].Stroke,2012,43(10):2604-2609.
[3]国家中医药管理局脑病急症协作组.中风病中医诊断疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[4]中华医学会神经病学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].中华神经科杂志2010,43(2):147-148.
[5]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:489-492.
[6]饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:1-45.
[7]陈清棠.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,29(6):62-64.
[8]Krupp LB,Larocca NG,Muir-Nash J,et al.Tetal.The fatigue severity scale.Application to patients with multiple sclerosis and systemic lupusery thematosus[J].Arch Neurol,1989,46(10):1121-1123.
[9]吴春薇,王得新.疲劳严重度量表中译本应用于脑梗死患者的临床与评价[J].中华物理医学与康复杂志,2007(9):608-611.
[10]Williams LS,Weinberger M,Harris L,et al.Development of astrokespecific quality of life scale[J].Stroke,1999,30(7):1362-1369.
[11]王志永.早期康复治疗对脑卒中患者日常生活能力的疗效评价[J].中医临床研究,2017,9(14):87-88.
[12]邓卫玲,周光辉,黄玉彩,等.中西医结合护理干预在促进脑卒中患者肢体功能恢复及提高患者生活质量的作用[J].中医临床研究,20179(34):136-138.
[13]郭新侠.益气为主中药结合康复训练对缺血性中风后气虚疲劳患者生活质量的影响分析[J].医学理论与实践,2015,28(23):3200-3201.