针刺配合穴位按摩对脑外伤后认知功能及运动功能的影响  

Effects of Acupuncture and Acupoint Massage on Cognitive Function and Motor Function of Patients with Post-traumatic Brain Injury

作　　者：张红艳[1] 刘晓辉[2] ZHANG Hongyan;LIU Xiaohui(Nursing Teaching and Research Section,Zhengzhou Railway Vocational and Technical College, Zhengzhou 450000, Henan,China;Department of Bum and Microsurgery, Henan Province Hospital of TCM, Zhengzhou 450000, Henan, China)

机构地区：[1]郑州铁路职业技术学院护理学院护理教研室,河南郑州450000 [2]河南省中医院烧伤显微修复外科,河南南阳473000

出　　处：《中华中医药学刊》2018年第4期955-959,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：河南省科技支撑计划项目(20152177)

摘　　要：目的：研究针刺配合穴位按摩对脑外伤后患者认知功能及运动功能的影响,旨在筛选一种疗效确切、经济简便、适合国情而易于推广的康复方法,促进患者早日回归社会。方法：选取2013年4月—2016年12月医院脑外伤患者186例,采用随机数字表法,按照1∶1比例将纳入的186例脑外伤患者分为观察组和对照组,每组93例。比较两组患者治疗前后Fugl-Meyer运动功能评分、临床神经功能缺损程度评分（NDS）、认知状态评分（NCSE）和简单精神状态检查量表评分（MMSE）及Barthel ADL指数。结果：治疗后,观察组患者定向力、注意力、语言能力、空间结构能力、记忆力、计算力、推理判断力评分和总分高于治疗前,对照组定向力、语言复述能力、空间结构能力、记忆力、推理判断力评分和总分高于治疗前,差异均有统计学意义,P〈0.05,且观察组定向力、注意力、语言能力、空间结构能力、记忆力、计算力、推理判断力评分和总分高于对照组,差异有统计学意义,P〈0.05。治疗后,两组患者MMSE评分均高于治疗前且观察组评分高于对照组、差值高于对照组,差异均有统计学意义,P〈0.05。两组患者NDS评分较治疗前下降、Fugl-Meyer运动功能评分高于治疗前,差异均有统计学意义,P〈0.05,且观察组NDS评分低于对照组、Fugl-Meyer运动功能评分高于对照组,差异均有统计学意义,P〈0.05。两组患者Barthel ADL指数均高于治疗前且观察组高于对照组,差值高于对照组,差异均有统计学意义,P〈0.05。结论：针刺配合穴位按摩能最大限度恢复脑外伤患者大脑功能,促进认知及运动功能康复且疗效确切、效果显著,是一种较为理想的康复治疗手段,值得推广。Objective： To study the effect of acupuncture combined with acupoint massage on cognitive function and motor function in patients with traumatic brain injury,aiming at screening a rehabilitation method which is effective,economical and easy to popularize,and promote the early return of the patients to the society. Methods： From April 2013 to December 2016,186 patients with traumatic brain injury were selected and randomly divided into observation group and control group according to the ratio of 1 ∶ 1,93 cases in each group. The scores of Fugl-Meyer motor function score,NDS,NCSE,MMSE and Barthel ADL were compared before and after treatment. Results： After treatment,the scores of orientation,attention,language ability,spatial structure ability,memory,computing power,reasoning judgment score and total score of the observation group were higher than those before treatment. The control group＇s orientation,language reciting ability and spatial structure abilitywere higher than those before treatment（ P 〈 0. 05） and the scores of orientation,attention,language ability,spatial structure,memory,computing power and reasoning judgment of the observation group were significantly higher than those of the control group. And the total score of the observation group was higher than that of the control group. The difference was statistically significant（ P 〈 0. 05）. After treatment,the MMSE scores of the two groups were higher than those before treatment and the score of the observation group was higher than that of the control group. The difference was statistically significant（ P 〈 0. 05）. The scores of Fugl-Meyer motor function were higher than those before treatment and the difference was statistically significant（ P 〈 0. 05）. The NDS score of observation group was lower than that of the control group. Fugl-Meyer motor function score was higher than that of the controlgroup. The difference was statistically significant（ P 〈 0. 05）. The Barthel ADL index of the two groups was higher tha

关 键 词：脑外伤 认知功能 运动功能 针刺 按摩 

分 类 号：R245.31[医药卫生—针灸推拿学]