电针结合康复训练对缺血性脑卒中临床疗效及相关指标的影响研究  

Clinical Effect and Related Indicators of Electroacupuncture Combined with Rehabilitation Training on Curative Effect of Patients with Ischemic Stroke

作　　者：张姗姗[1] 缪萍[1] 刘立雄[2] 马培[2] ZHANG Shanshan;MIAO Ping;LIU Lixiong;MA Pei(Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510280,Guangdong,China;5th Affiliated Hospital of Guangzhou Medical University,Guangzhou 510700,Guangdong,China)

机构地区：[1]广州医科大学附属第二医院,广东广州510280 [2]广州医科大学附属第五医院,广东广州510700

出　　处：《中华中医药学刊》2022年第10期198-201,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：广东省中医药局科研基金(20181171)。

摘　　要：目的 探究电针结合康复训练对缺血性脑卒中患者疗效、神经功能、生活质量影响。方法 研究共计纳入120例缺血性脑卒中患者(2017年6月—2021年6月),将120例患者以随机数字表法分成参照组与观察组,各60例患者,其中参照组脱落1例,剩余59例,观察组无脱落,参照组患者采取常规治疗及康复训练,观察组患者在参照组治疗基础上结合电针治疗,患者数据对比:患者治疗前后中医证候(神识昏蒙、偏瘫、口舌歪斜、目偏不瞬、共济失调等)总积分变化及神经功能缺损量表(national institute of health stroke scale, NIHSS)评分变化、日常生活能力评分(activities of daily living scale, ADL)变化、患者治疗效果、治疗前后患者C反应蛋白(C-reactive protein, CRP)水平变化及CRP水平异常率情况、治疗前后患者简易运动功能评价量表(Fugl-Meyer assessment upper extremity scale, FMA)及中国卒中量表(chinese stroke scale, CCS)评分变化、治疗前后血液流变学指标变化、生活质量综合量表问卷(generic quality of life inventory-74,GQOL-74)评分变化。结果 治疗前,两组患者中医证候总积分、NIHSS评分与ADL评分、CRP水平及CRP水平异常率、FMA及CCS评分、血液流变学指标、GQOL-74评分等观察指标对比,P>0.05,治疗后各组患者中医证候总积分、NIHSS评分与ADL评分、CRP水平及CRP水平异常率、FMA及CCS评分、血液流变学指标、GQOL-74评分等观察指标均较治疗前改善,治疗后观察组患者中医证候总积分、NIHSS评分与ADL评分、CRP水平及CRP水平异常率、FMA及CCS评分、血液流变学指标、GQOL-74评分等观察指标优于参照组(P<0.05);与参照组患者(81.36%,48/59)相比,观察组患者治疗总有效率(95.00%,57/60)更高(P<0.05)。结论 电针结合康复训练治疗缺血性脑卒中效果良好,患者恢复较好,生活质量提升,值得应用。Objective To explore the effect of electroacupuncture combined with rehabilitation training on the curative effect, neurological function and quality of life of patients with ischemic stroke. Methods A total of 120 patients with ischemic stroke(admitted from June 2017 to June 2021) were included in this study. The patients were divided into the reference group and the observation group by random number table method, with 60 patients in each group. Among them, 1 patient in the reference group fell off and the remaining 59 patients did not fall off in the observation group. The observation group was treated with electroacupuncture on the basis of the treatment of the reference group. The total score changes of traditional Chinese medicine syndromes(unconsciousness, hemiplegia, crooked tongue, unsmooth eyes, ataxia, etc.) before and after treatment, the scores of National Institute of Health Stroke Scale(NIHSS) and Activities of Daily Living Scale(ADL),the treatment effect, the changes of C-reactive protein(CRP) before and after treatment, FuGL-Meyer Assessment Upper Extremity Scale(FMA) score and Chinese Stroke Scale(CCS) score, hemorheology indexes and Generic Quality of Life Inventory-74(GQOL-74) scores before and after treatment were observed. Results Before treatment, the total score of TCM syndromes, NIHSS score and ADL score, CRP level and the abnormal rate of CRP level, scores of FMA and CCS,hemorheology indexes, GQOL-74 score and other observation indexes of two groups were not significant(P>0.05). After treatment, the total score of TCM syndromes, NIHSS score and ADL score, CRP level and abnormal rate of CRP level, scores of FMA and CCS,hemorheology indexws, GQOL-74 score and other observation indexes in each group were improved compared with those before treatment. After treatment, the total score of TCM syndromes, NIHSS score and ADL score, CRP level and abnormal rate of CRP level, scores of FMA and CCS,hemorheology indexes, GQOL-74 score and other observation indexes in the observation group were better

关 键 词：缺血性脑卒中 电针 常规治疗 康复训练 疗效 NIHSS评分 

分 类 号：R245.3[医药卫生—针灸推拿学] R277.743.34[医药卫生—中医临床基础]