针刺在脑卒中后单侧空间忽略康复中的疗效观察

Effects of acupuncture on unilateral spatial neglect rehabilitation

目的:探讨针刺治疗对脑卒中后单侧空间忽略患者单侧空间忽略和日常生活活动能力恢复的影响。方法:将符合条件的69例脑卒中后单侧空间忽略患者随机分为治疗组(34例)和对照组(35例)。2组均给予常规康复治疗和常规内科治疗;治疗组在此基础上进行针刺治疗,每日1次,每次30min,每周5次。两组疗程均为4周。两组患者于治疗前及治疗4周后分别采用数字消去试验、线段删除试验、画钟表试验进行单侧空间忽略程度评定,采用改良Barthel指数(MBI)进行日常生活活动能力评定。结果:与组内治疗前比较,2组患者治疗后单侧空间忽略程度及MBI评分均明显改善(P<0.05)。与对照组治疗后比较,治疗组单侧空间忽略程度及MBI评分均明显改善(P<0.05),其改善单侧空间忽略的疗效显著优于对照组(P<0.05)。结论:针刺治疗可明显改善脑卒中后单侧空间忽略程度,从而有效提高患者日常生活活动能力,其效果显著优于常规康复治疗。

Objective：To explore the effects of acupuncture on unilateral spatial neglect（USN） rehabilitation. Method：A total of 69 stroke patients with USN were divided into treatment group （n=34） and control group （n=35）. Both groups were treated with conventional rehabilitation therapy and conventional medical treatment; the treatment group was treated with acupuncture on this basis, once a day, each lasting 30rain, five times a week. The treatment lasted for 4 weeks. USN degree and modified Barthel index （MBI） of two groups were evaluated before and after treatment. Result：Before treatment, USN degree and MBI scores had no significant difference （P〉0.05）; after treatment, USN degree of patients in treatment group decreased significantly compared with control group （P〈0.05）, the efficacy of treatment group was significantly better than that of control group （P〈0.05）, and MBI score of treat- ment group was significantly higher than that of control group （P〈0.05）. Conclusion：Acupuncture treatment can significantly improve the degree of USN after stroke, thus effectively im- prove ADL of patients, the effects was significantly better than conventional rehabilitation therapy.