头穴丛刺结合康复训练治疗脑梗死患者运动功能障碍的临床观察  

Clinical Observation on Treatment of Motor Dysfunction in Patients with Cerebral Infarction by Scalp Acupuncture Combined with Rehabilitation Training

作　　者：赵晓[1] ZHAO Xiao(Department of Rehabilitation Medicine,First People's Hospital of Ziyang City,Ziyang 641300,China)

机构地区：[1]四川省资阳市第一人民医院康复医学科,四川资阳641300

出　　处：《中国医药指南》2020年第21期175-176,共2页Guide of China Medicine

摘　　要：目的观察头穴丛刺结合康复训练治疗脑梗死患者运动功能障碍的临床效果。方法本次实验研究随机选取2018年2月至2019年2月在我院接受脑梗死治疗的患者84例作为实验对象,按照患者接受治疗的不同分为人数相同的两组,给予头穴丛刺结合康复训练治疗的42例患者作为结合组,给予单纯头穴丛刺治疗的42例患者作为单一组。结果结合组与单一组患者治疗后运动功能、神经功能缺损程度以及生活质量与治疗前相比均有显著改善(P <0.05),且结合组患者的改善效果显著优于单一组患者(P <.05);结合组患者治疗效果显著优于单一组患者(P <0.05);在足内翻、肩关节脱位、足下垂以及肩手综合征、关节痉挛和误用综合征等并发症发生概率的比较上,结合组患者明显低于单一组患者(P <0.05)。结论在为脑梗死患者提供治疗的过程中头穴丛刺结合康复训练的运用可以显著改善患者运动功能障碍和神经功能缺损程度,提高了患者的生活质量,减少了各种并发症的出现,因此可以将头穴丛刺集合康复训练作为脑跟死患者的首选治疗方案。Objective To observe the clinical effect of scalp acupoint cluster needling combined with rehabilitation training on motor dysfunction in patients with cerebral infarction. Methods 84 patients with cerebral infarction treated in our hospital from February 2018 to February 2019 were randomly selected as the experimental subjects. According to the different patients receiving treatment, they were divided into two groups with the same number of patients. 42 patients who received scalp cluster needling combined with rehabilitation training were treated as the combined group, and 42 patients who received scalp cluster needling alone were treated as the single group. Results The motor function, neurological deficit degree and quality of life of the combined group were significantly improved compared with those of the single group after treatment(P<0.05), and the improvement effect of the combined group was significantly better than that of the single group(P<0.05);the treatment effect of the combined group was significantly better than that of the single group(P<0.05);foot varus, shoulder joint dislocation, foot droop and shoulder. The incidence of complications such as hand syndrome, joint spasm and misuse syndrome in the combined group was significantly lower than that in the single group(P<0.05). Conclusion In the course of providing treatment for cerebral infarction patients, the application of scalp cluster needling combined with rehabilitation training can significantly improve the degree of motor dysfunction and neurological deficit, improve the quality of life of patients, and reduce the occurrence of various complications. Therefore, the cluster needling rehabilitation training of scalp points can be regarded as the preferred treatment for patients with brain heel death.

关 键 词：头穴丛刺 康复训练 脑梗死 运动功能障碍 神经功能缺损程度 

分 类 号：R259[医药卫生—中西医结合]