醒脑开窍针刺法联合重复经颅磁刺激对脑梗死恢复期患者康复的效果  

The Effect of Awakening Brain and Opening Orifice Acupuncture Combined with Repeated Transcranial Magnetic Stimulation on the Rehabilitation of Patients with Cerebral Infarction in the Recovery Period

作　　者：颜圳伟 潘伟烽 苏素真 康维莲 YAN Zhenwei;PAN Weifeng;SU Suzhen;KANG Weilian(Department of Rehabilitation,Taocheng Community Health Service Center in Yongchun County,Quanzhou,Fujian 362600,China;Department of Pharmacy,Taocheng Community Health Service Center in Yongchun County,Quanzhou,Fujian 362600,China;Department of Nursing,Yongchun County Traditional Chinese Medicine Hospital,Quanzhou,Fujian 362600,China)

机构地区：[1]永春县桃城社区卫生服务中心康复科,福建泉州362600 [2]永春县桃城社区卫生服务中心药剂科,福建泉州362600 [3]永春县中医院护理部,福建泉州362600

出　　处：《中国医药指南》2025年第10期137-139,共3页Guide of China Medicine

基　　金：永春县中医院科技计划项目(2021N003S)。

摘　　要：目的分析在对脑梗死恢复期患者康复中应用醒脑开窍针刺法联合重复经颅磁刺激治疗的医学价值。方法将2023年1月至2023年12月永春县桃城社区卫生服务中心康复科就诊的76例脑梗死患者以随机数字表法分38例对照组接受重复经颅磁刺激治疗,另38例观察组联合醒脑开窍针刺法治疗,两组治疗1个月,以治疗前后的脑部受损指标[美国国立卫生研究院卒中量表(NHISS)、简易智力状态评价量表(MMSE)]、脑障碍恢复指标[Berg平衡量表(BBS)、日常生活自理能力(ADL)]、生活质量评分[生活质量评估量表(SF-36)]、希望水平评分[中文版Herth希望量表(HHI)]对比治疗效果。结果治疗后,相较于对照组,观察组NHISS评分更低,MMSE、BBS、ADL、SF-36、HHI评分更高(均P<0.05)。结论脑梗死恢复期患者康复治疗中应用重复经颅磁刺激联合醒脑开窍针刺法可改善脑梗死受损神经功能,促进改善患者认知、躯体控制能力、自理能力和生活质量,患者希望水平高。Objective To analyze the medical value of applying the acupuncture method of awakening the brain and opening the orifices combined with repetitive transcranial magnetic stimulation in the rehabilitation of patients in the recovery period of cerebral infarction.Methods From January 2023 to December 2023,76 patients with cerebral infarction who visited the rehabilitation department of Taocheng Community Health Service Center in Yongchun County were randomly divided into a control group of 38 cases receiving repetitive transcranial magnetic stimulation treatment and an observation group of 38 cases receiving combined treatment with the acupuncture method of awakening the brain and opening the orifices.Both groups were treated for one month.Brain damage indicators[National Institutes of Health stroke scale(NHISS),mini-mental state examination(MMSE)],brain disorder recovery indicators[Berg balance scale(BBS),activity of daily living(ADL)],quality of life scores[short form 36 questionnaire(SF-36)],and hope level scores[Herth hope index(HHI)]were used to compare the treatment effects before and after treatment to compare the effect of treatment.Results After treatment,compared to the control group,the observation group had lower NHISS scores and higher MMSE,BBS,ADL,SF-36,and HHI scores(all P<0.05).Conclusions The application of repetitive transcranial magnetic stimulation combined with the acupuncture method of awakening the brain and opening the orifices in the rehabilitation treatment of patients in the recovery period of cerebral infarction can promote improved cognition,somatic control,self-care and quality of life with high levels of patient hope.

关 键 词：醒脑开窍针刺法 重复经颅磁刺激 脑梗死恢复期 

分 类 号：R743.3[医药卫生—神经病学与精神病学]