GCT绳带疗法联合朱氏头皮针在缺血性卒中偏瘫患者治疗中的临床疗效观察  

The efficacy of GCT rope therapy combined with Zhu's scalp acupuncture in the treatment of stroke patients with hemiplegia

作　　者：郭丹 肖蕾 李晶 邱少波 梁晓婷 许鑫 GUO Dan;XIAO Lei;LI Jing;QIU Shaobo;LIANG Xiaoting;XU Xin(Department of Encephalopathy,Fengtai Hospital of Integrated Traditional Chinese and Western Medicine,Fengtai 100072,China)

机构地区：[1]北京市丰台中西医结合医院脑病科,北京市丰台区100072

出　　处：《中国煤炭工业医学杂志》2024年第3期275-279,共5页Chinese Journal of Coal Industry Medicine

基　　金：中国中医科学院中医基础理论研究所基本科研业务费自主选题项目(编号:YZ-1769)。

摘　　要：目的观察整体控制疗法(GCT)绳带疗法联合朱氏头皮针在缺血性卒中偏瘫患者治疗中的临床疗效。方法采用随机对照研究方法,病例纳入2017年1月—2019年12月北京市丰台中西医结合医院缺血性脑卒中后偏瘫患者80例,采用随机数字表法将其分为观察组(n=40)和对照组(n=40)。对照组患者给予康复治疗及神经内科药物治疗,观察组在对照组治疗的基础上增加GCT绳带疗法和朱氏头皮针治疗,连续治疗4w。对比二组患者治疗前和治疗4周后美国国立卫生研究院卒中量表(NIHSS)评分、改良Barthel指数(MBI)评分、简化Fugl-Meyer量表(FMA)评分、改良Ashworth分级评定量表(MAS)评分;1年后电话随访评价。结果二组患者一般资料比较,差异均无统计学意义(均P>0.05),具有可比性,治疗后,二组患者各项评分均有改善,观察组患者NIHSS评分(5.12±0.84)分;MBI评分(69.70±2.10)分;FMA评分(47.20±1.57)分;MAS评分(1.53±0.04)分,均显著优于对照组,差异均有统计学意义(P<0.05)。1年后观察组复发率8.33%,低于对照组(27.27%,P<0.05)。结论GCT绳带疗法联合朱氏头皮针可以更有效地改善脑卒中偏瘫患者神经功能,降低复发率。Objective To observe the clinical efficacy of Global Control Therapy(GCT)combined with Zhu's scalp needle in the treatment of hemiplegia after ischemic stroke.Methods A randomized controlled study was conducted.A total of eighty patients with hemiplegia after ischemic stroke in Beijing Fengtai Hospital of Integrated Chinese and Western Medicine from January 2017 to December 2019 were enrolled,and they were divided into observation group(n=40)and control group(n=40)by random number table method.The control group was given rehabilitation treatment and neurological drug treatment,and the observation group was added GCT rope band therapy and Zhu's scalp acupuncture therapy on the basis of the control group treatment,continuous treatment for 4w.The National Institutes of Health Stroke Scale(NIHSS)score,modified Barthel Index(MBI)score,simplified Fugl-Meyer Scale(FMA)score and modified Ashworth Rating Scale(MAS)score were compared before and 4 weeks after treatment in the two groups.Telephone follow-up evaluation 1 year later.Results There was no statistically significant difference in the general data between the two groups(P>0.05),which was comparable.After treatment,all scores of the two groups were improved.NIHSS score of observation group was(5.12±0.84),MBI score was(69.70±2.10),FMA score was(47.20±1.57)and MAS score was(1.53±0.04).They were significantly better than that of control group(P<0.05).After 1 year,the recurrence rate of observation group was 8.33%,lower than that of control group(27.27%,P<0.05).Conclusion GCT rope band therapy combined with Zhu's scalp acupuncture can improve nerve function more effectively and reduce the recurrence rate of stroke patients with hemiplegia.

关 键 词：GCT绳带疗法 朱氏头皮针 缺血性卒中 临床观察 

分 类 号：R743.9[医药卫生—神经病学与精神病学]