针刺和中药治疗对基底节区出血患者肢体功能的影响

Effects of Acupuncture and Traditional Chinese Medicine on the Extremity Function of Patients with Cerebral Hemorrhage

目的:探讨针刺和中药对脑出血急性期患者肢体功能康复的作用。方法:46例基底节区出血(<30 ml)患者,治疗前神志均为浅昏迷以上,患肢肌力≤3级,随机分为2组各23例,均按急诊常规处理及配合康复手段。针药组同时按中风急诊治疗与抢救方案给予内服中药,并在合理时机增加针刺治疗。结果:治疗1个月后脑出血病损评分(SIAS)和ADL积分与治疗前比较2组均有改善(P<0.05),2组间比较,针药组明显高于对照组(P<0.01)。结论:脑出血急性期合理掌握时机配合针刺和中药等综合治疗,有利于稳定病情,保护和恢复病损脑组织,促进肢体功能的康复。

Objective： To explore the application of acupuncture and traditional Chinese medicine to extremity function rehabilitation at acute period of cerebral hemorrhage. Methods： Forty six cases of hemorrhage at basal ganglia area were selected.All cases were superficial state of syncope or above,Methods.. Forty six cases of hemorrhage at basal ganglia area were selected.All cases were superficial state of syncope or above, and the muscle strength of all was 3 grade or below. All cases were divided randomly into acupuncture and traditional Chinese medicine group （23 cases） and control group （23 cases）.Before and one month after the treatment, stroke impairment assessment set （SIAS） and the Barthel ADL index （B-ADL） were assessed in the two groups. Results： SIAS and the B-ADL in the group of acupuncture and traditional Chinese medicine were improved more than those in the control group one month after the treatment （P〈0.05）. Conclusion： At acute period of cerebral hemorrhage, early therapy of acupuncture and traditional Chinese medicine on the basis of modem rehabilitation can protect and resume cerebral tissue lesions, consequently promote the rehabilitation of extremity function.