头穴留针法配合感觉训练治疗卒中后感觉障碍的临床观察  

Clinical Research of Scalp Retention Method Combined with Sensory Training in Treatment of Patients with Unilateral Sensory Disturbance after Stroke

作　　者：许蕾 韩月娥 XU Lei;HAN Yue'e(Department of Rehabilitation,Nanjing Jiangbei People's Hospital,Affiliated to Southeast University,Nanjing Jiangsu 210048)

机构地区：[1]东南大学附属南京江北人民医院康复医学科,江苏南京210048

出　　处：《贵州中医药大学学报》2020年第5期34-39,共6页Journal of Guizhou University of Traditional Chinese Medicine

摘　　要：目的:观察头穴留针法配合感觉训练对脑卒中后偏瘫侧感觉障碍的临床疗效。方法:将符合标准的60例患者随机分为治疗组(头穴留针法配合感觉训练组)和对照组(常规感觉训练组),每组各30例。观察并记录两组患者治疗前及治疗8周后感觉障碍评定积分表(改进Fugl-Meyer及Lindmark评价法)、Fugl-Meyer运动积分和NIHSS量表评定法、Barthel指数评分,以评定患者感觉和运动功能、神经功能损害、生活能力。结果:2个疗程后两组患者的感觉功能评分、运动功能评分、神经功能损害程度、生活能力评分均有明显改善(P<0.05),治疗组疗效优于对照组。结论:头穴留针法配合感觉训练对改善脑卒中患者的神经功能损害有积极疗效,能有效促进感觉、运动能力及生活能力的恢复与提高。Objective:To investigate the effect of scalp retention and sensory training on the function of hemiplegic sensory disturbance after stroke.Methods:According to the random method,30 cases were divided into treatment group(scalp needle retention needle combined with sensory training group)and control group(conventional sensory training group).The sensory,motor score in the Fugl-Meyer assessment and NIHSS scale assessment,Barthel index scores before and after 8 weeks of treatment were compared to assess the patient's sensory and motor function,neurological impairment,and viability.Results:After 2 courses of treatment,the sensory function score,motor function score,neurological damage degree and life ability score of the two groups were significantly improved.The treatment group was better than the control group.Conclusion:The scalp retention method combined with sensory training has a positive effect on improving neurological damage in stroke patients,as well as promotes the recovery and improvement of sensory,motor ability and life ability.

关 键 词：脑卒中 感觉障碍 头穴留针法 感觉训练 

分 类 号：R246.6[医药卫生—针灸推拿学]