三段接力针刺法联合作业训练治疗卒中后单侧忽略的临床观察  

Clinical Observation on Three-Segment Relay Acupuncture Method Combined with Training Treatment in the Treatment of Unilateral Neglect After Stroke

作　　者：吕彩虹 吴李秀 吴淑俭 俞坤强 LYU Cai-Hong;WU Li-Xiu;WU Shu-Jian;YU Kun-Qiang(Dept.of Rehabilitation Medicine,Lishui Second People’s Hospital,Lishui 323000 Zhejiang,China)

机构地区：[1]丽水市第二人民医院康复医学科,浙江丽水323000

出　　处：《广州中医药大学学报》2024年第2期366-372,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：浙江省自然科学基金资助项目(编号:LQ20H270020)。

摘　　要：【目的】观察三段接力针刺法联合作业训练治疗卒中后单侧忽略的临床疗效。【方法】将104例卒中后单侧忽略患者随机分为观察组和对照组,每组各52例,对照组给予常规作业训练,观察组在对照组治疗的基础上,给予头皮针三段接力针刺法治疗。连续治疗8周。治疗8周后,评价2组临床疗效,观察2组患者治疗前后凯瑟琳-波哥量表评分、数字删除试验评分、画钟实验评分的变化情况,以及简化Fugl-Meyer运动功能评分、功能独立性评定量表评分的情况。比较2组患者治疗前后血清S100β蛋白、谷氨酸、胶质纤维酸性蛋白因子,以及全血低切黏度、全血高切黏度、血浆黏度的变化情况。并评价2组的安全性及不良反应的发生情况。【结果】(1)研究过程中,观察组失访1例,对照组失访1例。最终观察组51例、对照组51例纳入疗效统计。(2)观察组总有效率为94.12%(48/51),对照组为80.39%(41/51)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的凯瑟琳-波哥量表评分、数字删除试验评分、画钟实验评分明显改善(P<0.05),且观察组在改善凯瑟琳-波哥量表评分、数字删除试验评分、画钟实验评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的Fugl-Meyer运动功能评分、功能独立性评定量表评分明显改善(P<0.05),且观察组在改善Fugl-Meyer运动功能评分、功能独立性评定量表评分方面明显优于对照组,差异有统计学意义(P<0.05)。(5)治疗后,2组患者的血清S100β蛋白、谷氨酸、血清胶质纤维酸性蛋白因子水平明显改善(P<0.05),且观察组在改善血清S100β蛋白、谷氨酸、血清胶质纤维酸性蛋白因子水平方面明显优于对照组,差异有统计学意义(P<0.05)。(6)治疗后,2组患者的全血低切黏度、全血高切黏度、血浆黏度水平明显改善(P<0.05),且观察组在改善全血低切黏度、Objective To observe the clinical efficacy of three-segment relay acupuncture method combined with training treatment in the treatment of unilateral neglect after stroke.Methods A total of 104 patients with unilateral neglect after stroke were randomly divided into observation group and control group,52 cases in each group,the control group was given conventional operation training,and the observation group was given scalp needling with three-segment relay acupuncture method on the basis of the control group’s treatment.Both groups were treated for 8 consecutive weeks.After 8 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Catherine Boggs Scale Score,Digital Deletion Test Score,and Drawing Clock Test Score,as well as the Simplified Fugl-Meyer Motor Function Score and Functional Independence Rating Scale Score of the two groups of patients were observed before and after treatment.The changes in serum S100βprotein,glutamate,and glial fibrillary acidic protein factor,as well as whole blood low-cut viscosity,whole blood high-cut viscosity,and plasma viscosity were compared before and after treatment between the two groups.The safety and occurrence of adverse reactions in the two groups were also evaluated.Results(1)In the course of the study,there was one case of lost visit in the observation group and one case of lost visit in the control group.Finally,51 cases in the observation group and 51 cases in the control group were included in the efficacy statistics.(2)The total effective rate was 94.12%(48/51)in the observation group and 80.39%(41/51)in the control group.The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(3)After treatment,the patients in the two groups showed significant improvement in the Catherine Bergego Scale score,digital deletion test score,and Clock Drawing Test(CDT)(P<0.05),and the observation group was significantly superior to the control group in improving th

关 键 词：三段接力针刺法 作业训练 脑卒中 单侧忽略 肢体运动功能 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]