头针结合康复训练治疗脑梗死恢复期患者的疗效研究

The clinical research of scalp acupuncture combined with rehabilitation training treating the patients with cerebral infarction in the recovery period

目的:探讨不同头针结合常规康复训练对脑梗死恢复期患者的临床疗效研究。方法:将40例脑梗死恢复期患者随机分为4组,每组各10例,A组采用于氏双侧头针结合康复训练,B组采用传统焦氏单患侧头针结合康复训练,C组采用于氏单患侧头针结合康复训练,D组采用单纯康复训练。在干预15d前后利用Fugl-Meyer评分量表(FMA)及表面肌电仪进行疗效评估。结果:FMA评分组间比较,治疗后A组优于B组和C组(P<0.05);A组优于D组(P<0.01);4组患肢胫前肌与腓肠肌表面肌电图均方根值(RMS)均较治疗前有所升高(P<0.05)。治疗后组间比较,A组均优于其他3组(P<0.05),差异具有显著性意义;B组与C组均优于D组(P<0.05),差异具有显著性意义。结论:于氏双侧头针结合常规康复训练可改善脑梗死患者的胫前肌及腓肠肌肌力,进而改善踝背屈功能,其疗效优于其他3组,值得临床运用和推广。

Objective： To investigate the effect of different scalp-acupuncture combined with conventional rehabilitation on the patients with cerebral infarction in the recovery period. Method： Forty cases of patients with cerebral infarction were randomly divided into 4 groups, 10 patients in each group. The patients in the A group were given Yu Shi＇s bilateral scalp acupuncture combined with rehabilitation training. The B, C and D group were the conventional Jiao Shi＇s single ipsilateral scalp acupuncture combined with rehabilitation training group, Yu Shi＇s single ipsilateral scalp acupuncture combined with rehabilitation training group and rehabilitation training group, respectively. Before and after 15 days for intervention, the Fugl-Meyer score and s-EMG were used to evaluate the effect. Result： For the Fugl-Meyer score, A group was better than B group, C group （P＜0.05） and D group（P＜0.01） with a statistic difference. After treatment,the surface electromyography RMS （RMS） for tibialis anterior muscle and gastrocnemius muscle in all group was increased （P＜0.05）. At the same time, the A group was better than the other three groups with a statistical significance（P＜0.05）. The B group and C group were better than D group with a statistical significance （P＜0.05）. Conclusion： Yu Shi＇s bilateral scalp acupuncture combined with conventional rehabilitation training group can improve the muscle strength of tibialis anterior muscle and gastrocnemius in patients with cerebral infarction, which facilitates the dorsiflexion of ankle function and is worth of clinical application and popularization.