针刺对小脑卒中患者协调与平衡功能及日常生活活动能力的影响  

Effect of Acupuncture on the Coordination and Balance Function and Activities of Daily Living in Patients with Cerebellar Stroke

作　　者：刘泓[1] LIU Hong(Huguosi Hospital of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100035, China)

机构地区：[1]北京中医药大学附属护国寺中医医院

出　　处：《上海针灸杂志》2019年第6期613-617,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺联合常规康复训练对小脑卒中患者协调与平衡功能及日常生活活动能力的影响。方法选取小脑卒中表征为共济失调患者120例,随机分为对照组和观察组,每组60例。对照组行康复训练;观察组在对照组基础上行针刺治疗。观察治疗前后患者神经病联合会共济失调量表(ICARS)、Berg平衡量表(BBS)及Barthel指数(BI)评分改变状况,ELISA法检测患者治疗前后血清白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)及肿瘤坏死因子-α(TNF-α)含量。结果观察组总有效率为95.0%,高于对照组的78.3%,差异有统计学意义(P<0.05);两组治疗后BI、BBS评分较治疗前显著上升(P<0.05),观察组治疗4周BI、BBS评分高于对照组(P<0.05);两组患者治疗后ICARS评分较治疗前显著降低(P<0.05),观察组治疗4周ICARS评分低于对照组(P<0.05)。两组治疗4周血清IL-6、TNF-α.及hs-CRP含量较治疗前显著降低(P<0.05),观察组治疗4周血清IL-6、TNF-α.及hs-CRP含量低于对照组(P<0.05)。结论针刺联合常规康复训练可使小脑卒中患者日常生活活动能力、平衡能力及协调能力得到显著改善,降低血清炎性因子含量。Objective To observe the effect of acupuncture plus routine rehabilitation training on the coordination and balance function and activities of daily living (ADL) in patients with cerebellar stroke. Method A total of 120 patients with cerebellar stroke presenting ataxia were randomized into a control group and an observation group, with 60 cases in each group. The control group was intervened by rehabilitation training, and the observation group was additionally given acupuncture. The scores of International Cooperative Ataxia Rating Scale (ICARS), Berg Balance Scale (BBS) and Barthel Index (BI) were observed before and after treatment. ELISA was used to detect the contents of interleukin (IL)-6, hypersensitive C-reactive protein (hs-CRP) and tumor necrosis factor (TNF)-α in serum. Result The total effective rate was 95.0% in the observation group, higher than 78.3% in the control group, and the difference was statistically significant (P<0.05);The BI and BBS scores increased significantly after intervention in both groups (P<0.05), and the BI and BBS scores in the observation group were higher than those in the control group after 4-week treatment (P<0.05);the ICARS score declined significantly in both groups after treatment (P<0.05), and the ICARS score in the observation group was lower than that in the control group after 4-week treatment (P<0.05). After 4-week treatment, the serum contents of IL-6,TNF-α and hs-CRP decreased significantly in both groups (P<0.05), and the contents in the observation group were lower than those in the control group (P<0.05). Conclusion Acupuncture plus routine rehabilitation training can significantly improve the ADL and abilities of balance and coordination, and downregulate the contents of inflammatory factors in serum in patients with cerebellar stroke.

关 键 词：针刺疗法 卒中 共济失调 神经病联合会共济失调量表 BERG平衡量表 BARTHEL指数 白细胞介素-6 超敏C反应蛋白 肿瘤坏死因子-α 

分 类 号：R246.6[医药卫生—针灸推拿学]