头针同步运动疗法对中风后痉挛性偏瘫老年患者神经功能缺损、躯体感觉诱发电位、肢体运动和日常活动能力的影响  

Effect of scalp acupuncture synchronized exercise therapy on neurologic impairment,somatosensory evoked potential,limb movement and activities of daily living in elderly patients with spastic hemiplegia after stroke

作　　者：刘深龙 张海燕 满慧静 

机构地区：[1]河北省沧州市人民医院,河北沧州061000

出　　处：《现代中西医结合杂志》2018年第9期929-933,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：沧州市科技计划项目(151302107)

摘　　要：目的观察头针同步运动疗法对老年中风后痉挛性偏瘫患者神经功能缺损、躯体感觉诱发电位、肢体运动和日常活动能力的影响。方法将120例老年中风后痉挛性偏瘫患者按照随机数字表分为A组、B组和C组,每组各40例。3组均给予常规西医治疗,在此基础上,A组接受先头针留针后运动疗法治疗,B组接受先运动疗法后采用头针治疗,C组采用头针同步运动疗法治疗,观察3组治疗前后神经功能缺损、躯体感觉诱发电位、肢体运动和日常活动能力变化情况。结果 3组治疗后神经功能缺损量表各项评分和总评分均显著降低(P均<0.05),且C组上述评分均显著高于A组和B组(P均<0.05),A组和B组比较差异无统计学意义(P均>0.05);3组治疗后躯体感觉诱发电位中正中神经N20峰潜伏期、N20-P25波峰振幅、胫神经P40峰潜伏期、P40-N50波峰振幅及日常活动能力的Barthel指数均显著改善(P均<0.05),且C组改善情况显著优于A组和B组(P均<0.05),A组和B组比较差异无统计学意义(P均>0.05);3组治疗后四肢简化Fugl-Meyer功能量表(上肢、下肢)评分均显著升高(P均<0.05),且C组上述评分显著高于A组和B组(P均<0.05),A组和B组比较差异无统计学意义(P均>0.05)。结论头针同步运动疗法能够显著改善老年中风后痉挛性偏瘫患者的神经功能缺损症状,促进躯体感觉诱发电位恢复,提高患者肢体运动和日常活动能力,值得临床推荐。Objective It is to observe the effect of scalp acupuncture synchronized exercise therapy on neurologic impairment,somatosensory evoked potential,limb movement and activities of daily living in elderly patients with spastic hemiplegia after stroke. Methods 120 patients with spastic hemiplegia after stroke were divided into group A,group B and group C according to the random number table,40 cases in each group. All the patients were treated with conventional western medicine in the 3 groups. On the basis of treatment,the patients were treated with head acupuncture therapy in the treatment of needle before exercise therapy in group A,and with scalp acupuncture after exercise therapy in group B,with scalp acupuncture synchronized exercise therapy in group C. The changes of neurologic impairment,somatosensory evoked potential,ability of limb movement and activities of daily living were observed before and after treatment in the 3 groups. Results The total score and subitem scores of neurologic impairment scale in the 3 groups were significantly reduced after treatment,and the above scores in group C were significantly higher than that in group B and group A( all P < 0. 05),but there was no significant difference in the difference between group B and group A( P > 0. 05). After treatment,the median nerve N20 peak latency,N20-P25 wave amplitude,tibial nerve P40 peak latency,P40-N50 wave amplitude of somatosensory evoked potentials and ADL Barthel index were improved significantly in the 3 groups( all P < 0. 05),and the improvement of group C was better than that of group B and group A significantly( P < 0. 05),but there was no significant difference between group B and group A( P > 0. 05). The scores of the simplified Fugl-Meyer function scale( upper limbs and lower limbs) of the 3 groups were significantly increased after treatment,and the above scores in group C were significantly higher than that in group B and group A( P < 0. 05),but there was no significant difference between group B and group A( P >0. 05). Conclusi

关 键 词：头针 运动疗法 中风 痉挛性偏瘫 

分 类 号：R742.3[医药卫生—神经病学与精神病学]