耳穴揿针埋针治疗联合肢体功能康复训练对脑出血恢复期患者神经功能及步行功能的影响  

Effect of Auricular Needle Embedding Therapy Combined with Limb Function Rehabilitation Training on Neurological Function and Walking Function in Patients with Cerebral Hemorrhage during Convalescence

作　　者：樊炼 李建 树钢 FAN Lian;LI Jian;SHU Gang(Department of Neurosurgery,Affiliated Hospital of Nanjing University of Chinese Medicine(Jiangsu Province Hospital of Chinese Medicine),Nanjing 210029,Jiangsu,China;Department of Acupuncture,Nanjing Yushengtang Traditional Chinese Medicine Clinic,Nanjing 210017,Jiangsu,China)

机构地区：[1]南京中医药大学附属医院(江苏省中医院)神经外科,江苏南京210029 [2]南京御生堂中医门诊部针灸科,江苏南京210017

出　　处：《世界复合医学(中英文)》2024年第10期74-77,85,共5页World Journal of Complex Medicine

摘　　要：目的 探讨脑出血恢复期患者应用耳穴揿针埋针联合肢体功能康复训练的治疗效果及对神经功能及步行功能的影响。方法 选取2022年1月—2023年12月南京中医药大学附属医院(江苏省中医院)收治的112例脑出血恢复期患者为研究对象,以治疗方法的不同分为对照组(56例)和研究组(56例)。对照组给予肢体功能康复训练干预,研究组在对照组基础上加用耳穴揿针埋针治疗。比较两组临床疗效、神经功能、肢体功能、步行功能及神经营养指标。结果 研究组治疗总有效率为96.43%(54/56),高于对照组的80.36%(45/56),差异有统计学意义(χ^(2)=7.049,P<0.05)。治疗4周后,两组美国国立卫生研究院卒中量表评分均降低,上下肢Fugl-Meyer运动功能评估量表评分、功能性步行量表评分均提高,且研究组均优于对照组,差异有统计学意义(P均<0.05)。治疗4周后,两组脑源性神经营养因子、神经生长因子水平均提高,神经元特异性烯醇化酶水平均降低,且研究组均优于对照组,差异有统计学意义(P均<0.05)。结论 脑出血恢复期患者应用耳穴揿针埋针治疗联合肢体功能康复训练效果较佳,可明显改善患者神经功能、肢体功能和步行功能及神经营养指标。Objective To explore the therapeutic effect of auricular needle embedding combined with limb function rehabilitation training on patients with cerebral hemorrhage in convalescence and its effect on neurological function and walking function.Methods A total of 112 patients with convalescent cerebral hemorrhage admitted to Affiliated Hospital of Nanjing University of Chinese Medicine(Jiangsu Province Hospital of Chinese Medicine) from January 2022 to December 2023 were selected as the research objects.They were divided into control group(56 cases) and study group(56 cases) according to different treatment methods.The control group was given rehabilitation training intervention of limb function,and the study group was treated with auricular needle embedding on the basis of the control group.The clinical efficacy,neurological function,limb function,walking function and neurotrophic indexes were compared between the two groups.Results The total effective rate of treatment in the study group was 96.43%(54/56),which was higher than 80.36%(45/56) in the control group,and the difference was statistically significant(χ~2=7.049,P<0.05).After 4 weeks of treatment,the National Institute of Health Stroke Scale score of the two groups decreased,the Fugl-Meyer Assessment scores of the upper and lower limbs and the Functional Ambulation Category Scale scores increased,and the study group was better than the control group,the differences were statistically significant(all P<0.05).After 4 weeks of treatment,the levels of brain-derived neurotrophic factor and nerve growth factor in the two groups were increased,and the levels of neuron-specific enolase were decreased,and the study group was better than the control group,the differences were statistically significant(all P<0.05).Conclusion The effect of auricular needle embedding combined with limb function rehabilitation training is better in patients with cerebral hemorrhage in convalescence,which can significantly improve the neurological function,limb function,walking function a

关 键 词：耳穴揿针埋针 肢体功能 脑出血 步行功能 

分 类 号：R246.6[医药卫生—针灸推拿学]