通督调神针刺法联合早期康复训练治疗脑卒中临床研究
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R246.6;R743.3

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Clinical Study on Tongdu Tiaoshen Acupuncture Method Combined with Early Rehabilitation Training for Stroke
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    摘要:

    目的:观察通督调神针刺法联合早期康复训练对脑卒中患者神经功能、认知功能、肢体运动功能、语言功能及生活质量的影响。方法:选取80 例脑卒中患者,按随机数字表法分为对照组和观察组各40 例。对照组给予早期康复训练治疗,观察组在对照组基础上加用通督调神针刺法治疗,2 组均治疗1 个月。比较2 组治疗前后美国国立卫生研究院卒中量表(NIHSS)、简易精神状态检查量表(MMSE)、简化Fugl-Meyer 运动功能量表、日常生活能力量表(ADL)、失语指数(AQ)、功能性语言沟通能力检查法(CFCP) 及简明健康状况量表(SF-36) 评分。结果:治疗后,2 组NIHSS 评分均较治疗前降低(P<0.05),MMSE、简化Fugl-Meyer 运动功能量表、ADL、AQ、CFCP 评分均较治疗前升高(P<0.05);观察组NIHSS 评分低于对照组(P<0.05),MMSE、简化Fugl-Meyer 运动功能量表、ADL、AQ、CFCP 评分均高于对照组(P<0.05)。治疗后,2 组生理功能、情感功能、社会功能评分均较治疗前升高(P<0.05),观察组SF-36 各维度评分均高于对照组(P<0.05)。结论:通督调神针刺法联合早期康复训练治疗脑卒中,能有效改善患者的神经功能、认知功能、肢体运动功能和语言功能,提高其生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of Tongdu Tiaoshen acupuncture method combined with early rehabilitation training on neurological function,cognitive function,limb motor function,language ability and quality of life of patients with stroke. Methods: A total of 80 cases of patients with stroke were selected and divided into the control group and the observation group according to the random number table method,40 cases in each group. The control group was given early rehabilitation training,and the observation group was additionally treated with Tongdu Tiaoshen acupuncture method based on the treatment of the control group. Both groups were treated for one month. Scores of National Institutes of Health Stroke Scale(NIHSS),Mini Mental State Examination(MMSE),simplified Fugl-Meyer Assessment of Motor function,Activities of Daily Living(ADL), Aphasia Quotient(AQ),Chinese Functional Communication Profile(CFCP) and Short Form 36 Health Survey Questionnaire(SF- 36) were compared between the two groups before and after treatment. Results: After treatment, scores of NIHSS in the two groups were decreased when compared with those before treatment(P<0.05),and scores of MMSE, simplified Fugl- Meyer Assessment of Motor function, ADL, AQ, and CFCP were increased(P<0.05); NIHSS score in the observation group was lower than that in the control group(P<0.05), and scores of MMSE, simplified Fugl- Meyer Assessment of Motor function,ADL,AQ,and CFCP were higher(P<0.05). After treatment,scores of physiological function, emotional function and social function in the two groups were increased when compared with those before treatment(P<0.05),and the scores of SF-36 in the observation group were higher than those in the control group(P<0.05). Conclusion: Tongdu Tiaoshen acupuncture method combined with early rehabilitation training can effectively improve neurological function,cognitive function,limb motor function,language ability and quality of life of patients with stroke.

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陈丽娟.通督调神针刺法联合早期康复训练治疗脑卒中临床研究[J].新中医,2021,53(18):127-131

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  • 在线发布日期: 2021-09-24
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