头针百会配合康复训练对脑卒中偏侧忽略的影响

Effects of Scalp Acupuncture at Point Baihui(GV 20) plus Rehabilitation Training on Unilateral Neglect after Stroke

目的观察头针百会配合偏侧忽略康复训练治疗脑卒中偏侧忽略的临床疗效。方法将42例符合纳入标准的脑卒中偏侧忽略患者随机分为治疗组和对照组,每组21例。两组均接受基础治疗,治疗组采用头针百会配合偏侧忽略康复训练治疗,对照组采用单纯偏侧忽略康复训练治疗。两组治疗前后分别采用偏身忽略评定量表、数字删除试验评价偏侧忽略程度,并评价患者运动功能及日常生活自理能力。结果两组治疗后各项评分(CBIT评分、数字删除试验评分、改良Barthel量表评分、Fugl-Meyer评价量表评分)与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后CBIT评分、数字删除试验评分及改良Barthel量表评分与对照组比较,差异均具有统计学意义(P<0.05)。结论常规内科治疗配合头针百会和偏侧忽略康复训练是一种治疗卒中后偏侧忽略的有效方法。

Objective To observe the clinical efficacy of scalp acupuncture at point Baihui （GV 20） plus unilateral neglect rehabilitation training for unilateral neglect after stroke.Method Forty-two eligible patients with unilateral neglect after stroke were randomly allocated to a treatment group and a control group, 21 cases each. In addition to the basic treatment, the treatment group received scalp acupuncture at point Baihui （GV 20） plus unilateral neglect rehabilitation training, while the control group was intervened by unilateral neglect rehabilitation training alone. Unilateral neglect degree was evaluated by unilateral neglect rating scale and screening tests for visual neglect in the two groups before and after the treatment. The patients’ motor function and activities of daily living were also evaluated.Result The Chinese Behavioral Inattention Test （CBIT） scores, screening tests scores, Modified Barthel Index （MBI） scores and Fugl-Meyer Assessment （FMA） scores were significantly changed after intervention in the two groups （P〈0.05）. After treatment, the CBIT scores, screening tests scores and MBI scores in the treatment group were significantly different from that in the control group （P〈0.05）.Conclusion Scalp acupuncture at point Baihui （GV 20） plus unilateral neglect rehabilitation training with common medical treatment is an effective method for unilateral neglect after stroke.