针刺颅骨缝结合康复训练治疗脑梗死临床观察

Clinical Observation of Acupuncture at Cranial Sutures plus Rehabilitation Training for Cerebral Infarction

目的观察颅骨缝针刺(颅针)结合康复训练治疗脑梗死的临床疗效。方法将60例脑梗死患者随机分为针康组(颅针结合康复训练组)和康复组(单纯康复训练组),每组30例,分别每日给予颅针结合康复训练治疗、单纯康复训练治疗。采用Fugl-Meyer评定法(FMA)、日常生活能力Barthel指数量表,分别于治疗前后对肢体运动功能、日常生活能力进行评定;并观察治疗前后超敏C反应蛋白含量的变化,进行疗效评估。结果针康组在改善患者运动功能、提高日常生活能力、降低血清超敏C反应蛋白含量方面均优于康复组(P<0.05)。结论颅针配合康复训练治疗是治疗脑梗死较佳的治疗方案,其疗效优于单纯康复训练。

Objective To observe the clinical efficacy of acupuncture at cranial sutures（cranial acupuncture） plus rehabilitation training in treating cerebral infarction.Method Sixty patients with cerebral infarction were randomized into an acupuncturerehabilitation group（cranial acupuncture plus rehabilitation training） and a rehabilitation group（dry rehabilitation training）,30 cases in each group,to respectively receive cranial acupuncture plus rehabilitation training and dry rehabilitation training.The Fugl-Meyer Assessment（FMA） and Barthel Index（BI） were adopted to respectively evaluate the motor function of limbs and activities of daily living（ADL）;the content of hypersensitive C-reactive protein（hs-CRP） was also observed before and after treatment for the evaluation of therapeutic efficacy.Result The acupuncture-rehabilitation group was superior to the rehabilitation group in improving the motor function and ADL,and down-regulating the hs-CRP content（P〈0.05）.Conclusion Cranial acupuncture plus rehabilitation training is the optimal protocol in treating cerebral infarction,and it can produce a more significant efficacy than dry rehabilitation training.