电鍉丛针治疗脑梗死患者运动功能障碍的临床疗效观察.docVIP

　　电鍉丛针治疗脑梗死患者运动功能障碍的临床疗效观察 【摘要】目的:观察电鍉丛针治疗脑梗死患者运动功能障碍的临床疗效,并初步探讨电鍉丛针治疗的优越性。方法72例脑梗死后运动功能障碍患者随机分成电鍉丛针组、头穴丛刺组2组,均按照于氏头部腧穴分区法—七区划分法选取穴位(顶区、顶前区) 。头穴丛刺组向前或向后透刺,留针6 h ;电鍉丛针组用自制的电鍉丛针连接电针仪,每次通电30 min ;各组每周均治疗6 次休息1 d ,连续观察4 周。治疗前后进行运动功能评定、生活能力评定、临床神经功能缺损评分,并进行两组的疗效评定。结果:各组脑梗死患者运动功能评分、生活能力评分及神经功能缺损评分治疗后均较治疗前有所改善( P lt; 0. 01) ,3 项指标治疗后组间比较差异均无统计学意义( P gt; 0. 05) 。两组的临床疗效比较,差异也无统计学意义( P gt; 0. 05) 。结论:电鍉丛针能够改善脑梗死患者的运动功能和日常生活活动能力,且在治疗形式上易于被患者接受,具有一定的优越性。 【关键词】脑梗死;运动功能障碍;电鍉丛针;头穴丛刺 【Abstract】Objective 　To observe the therapeutic effect of spoon2needle cluster electrical stimulation of scalp2points for motor dysfunction of cerebral infarction (CI) patients , so as to analyze its superiority in the treatment of CI. Methods 　A total of 72CI inpatients otor disturbance ly divided into spoon2needle cluster (SNC) group ( n =36) and filiform2nee2 dle cluster (FNC) group ( n = 36) . Multiple filiform needle s anipulated for a e scalp2points and then the se scalp2points ulated in. The treatment e s a ent scale , Barthel Index and clinical neural function2defect a sse ssment re spectively. Results 　pared to pre2treatment , the score s of Fugl2Meyer a sse ss2ment scale and daily2life ability a sse ssment of both SNC and FNC group s increased significantly after the treatment ( P lt; 0. 01) ,and those of clinical neural function2defect asse ssment of the se tent , of the 84 and 80 case s in SNC and FNC group s , 0 and 3 arked improvement , 35 and 27 had an improvement , 5 and 5 failed , re spectively. Conclusion 　Spoon2needle cluster electro2stimulation can effectively improve CI patients’motor dysfunction and daily2life activity ability , and is parable to the filiform2needle cluster stimulation in clinical therapeutic effect. 脑梗死是中老年人的一种常见的疾病，严重威胁着中老年人的健康，近年来，对其有效治疗手段研究成为当今医学领域中重要课题之一。此次我们采用自制的电鍉丛针治疗急性脑梗死患者运动功能障碍取得了较好的疗效，现报道如下： 1对象与方法 1．1对象:病例选择2004年11月至2007年10月间在黑龙江中医药大学附属第二医院康复科住院的脑梗死患者72例。 1．2纳入标准:①符合中医中风病中经络诊断标准[1-3]；②符合西医颈内动脉系统脑梗塞患者；③发病在2周-2个月；④年龄18岁以上，75岁以下，男女均可；⑤所有患者均经