梅花针叩刺夹脊穴联合康复训练治疗小脑卒中共济失调:随机对照研究

Plum-blossom needle tapping at Jiaji(EX-B 2)combined with rehabilitation for ataxia of cerebellar apoplexy:a randomized controlled trial

目的:比较梅花针叩刺夹脊穴联合康复训练与单纯康复训练治疗小脑卒中共济失调的临床疗效差异。方法:60例小脑卒中后共济失调患者随机分为观察组和对照组,每组30例。对照组采用常规康复训练;观察组在对照组康复训练的基础上应用梅花针叩刺夹脊穴,均治疗4周。观察治疗前、治疗2周、治疗4周后采用神经病联合会国际合作共济失调量表(international cooperative ataxia rating scale,ICARS)、Berg平衡量表(Berg balance scale,BBS)、Barthel指数(Barthel index,BI)进行评分,并比较两组临床疗效。结果:治疗2周、4周后,两组ICARS、BBS、BI评分均显著优于治疗前(均P<0.05);治疗2周后,两组间评分比较差异无统计学意义(均P>0.05),治疗4周后,观察组各项评分显著优于对照组(均P<0.05)。治疗4周后,观察组总有效率为96.7%(29/30),优于对照组的80.0%(24/30,P<0.05)。结论:梅花针叩刺夹脊穴联合康复训练可显著改善小脑卒中患者的协调功能、平衡功能和日常生活活动能力,优于单纯康复训练者。

Objective To compare the effects between plum-blossom needle tapping at Jiaji（EX-B 2）combined with rehabilitation and simple rehabilitation for ataxia of cerebellar apoplexy.Methods Sixty patients with ataxia of cerebellar apoplexy were randomly divided into an observation group and a control group,30 cases in each one.Conventional rehabilitation training was applied in the control group.While based on the treatment as that of the control group,plum-blossom needle tapping at Jiaji（EX-B 2）was used in the observation group.All the treatment was given for 4 weeks.International cooperative ataxia rating scale（ICARS）,Berg balance scale（BBS）and Barthel index（BI）were observed before treatment,after 2-week treatment and 4-week treatment.Also,clinical effects were compared.Results After treating for 2 weeks and for 4 weeks,the results of ICARS,BBS and BI were obviously better than those before treatment in the two groups（all P〈0.05）.After 2-week treatment,there was no statistical significance between the two groups（all P〈0.05）.After 4-week treatment,all the scores of the observation group were apparently superior to those of the control group（all P〈0.05）.The total effective rate was 96.7%（29/30）in the observation group,better than 80.0%（24/30）in the control group after 4-week treatment（P〈0.05）.ConclusionPlum-blossom needle tapping at Jiaji（EX-B 2）combined with rehabilitation training markedly improve the coordination and balance functions and activities of daily life,which are better than simple rehabilitation.