经颅重复针刺激手法对中风恢复期偏瘫患者神经功能和日常生活能力的影响  

Effects of repetitive transcranial acupuncture stimulation on neurological function and activity of daily living of hemiplegia patients during stroke recovery period

作　　者：姚嘉[1] 孙妍 张倩[3] 郭颖[3] 李书霖[4] YAO Jia;SUN Yan;ZHANG Qian;GUO Ying;LI Shulin(Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040;Department of Prevention and Treatment,The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150001;Second Department of Acupuncture and Moxibustion,The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150001;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150001)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院治未病科,黑龙江哈尔滨150001 [3]黑龙江中医药大学附属第二医院针灸二科,黑龙江哈尔滨150001 [4]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《河北中医》2022年第10期1698-1701,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发〔2014〕20号);国家重点研发计划(编号:2019YFC0840709);黑龙江省中医药科研项目(编号:ZHY2020-137,ZHY2020-145,ZHY19-048)。

摘　　要：目的观察经颅重复针刺激手法对中风恢复期偏瘫患者神经功能和日常生活能力的影响。方法将60例中风恢复期偏瘫患者按照随机数字表法分为2组,治疗组30例采用经颅重复针刺激手法治疗,对照组30例予常规针刺手法治疗。2组均治疗4周后统计疗效,比较2组治疗前后神经功能和日常生活能力变化情况,分别采用美国国立卫生研究院卒中量表(NIHSS)评分和Barthel指数评分进行评价。结果治疗组总有效率86.67%(26/30),对照组总有效率50.00%(15/30),治疗组总有效率高于对照组(P<0.05)。与本组治疗前比较,2组治疗后NIHSS评分均降低(P<0.05),Barthel指数评分均升高(P<0.05),且治疗组治疗后NIHSS评分低于对照组(P<0.05),Barthel指数评分高于对照组(P<0.05)。结论经颅重复针刺激手法治疗中风恢复期偏瘫疗效确切,可有效改善患者神经功能缺损症状,提高日常生活能力,是一种简单有效的治疗方法,也为经颅重复针刺激手法的临床应用供了相应的依据和参考。Objective To observe the effects of repetitive transcranial acupuncture stimulation(RTAS)on neurological function and activity of daily living(ADL)of hemiplegia patients during stroke recovery period.Methods The hemiplegia patients(n=60)during stroke recovery period were randomly assigned to receive either RTAS(the treatment group,n=30)or conventional acupuncture(the control group,n=30)for 4 weeks.The National Institutes of Health Stroke Scale(NIHSS)and Barthel index score were recorded to assess neurological function and ADL.The curative effect was assessed.Results The overall effective rate in the treatment group was better than that in the control group(86.67%[26/30]vs 50.00%[15/30],[P<0.05],respectively).After treatment,NIHSS scores in the both groups were decreased,while Barthel index scores were increased;reduced NIHSS scores and elevated Barthel index scores were detected in the treatment group than those of the control group(all P<0.05).Conclusion For hemiplegia patients during stroke recovery period,RTAS has definite curative effect,can effectively improve the neurologic impairment symptoms and ADL,and provides a basis and reference for clinical application.

关 键 词：中风 恢复期 偏瘫 针刺疗法 神经病学表现 生活能力 

分 类 号：R255.2[医药卫生—中医内科学] R743.3[医药卫生—中医学]