Effect of governor vessel-regulating needling combined with rehabilitation training on the activities of daily living of patients with cerebral infarction

调督针法结合康复训练对脑梗死患者日常生活能力的影响（英文）

Objective To observe the difference in efficacy between governor vessel- regulating needling and conventional acupuncture, and to summarize the clinical efficacy and application rules of governor vessel-regulating needling. Methods Ninety patients with cerebral infarction were randomly divided into 2 groups with 45 cases in each group. Governor vessel-regulating needling combined with rehabilitation training were applied in governor vessel- regulating needling group （observation group）, and conventional acupuncture combined with rehabilitation training were applied in conventional acupuncture group （control group）. Modified Barthel index （MBI）, FugI-Meyer assessment （FMA） and neurological deficit scale （NDS） were adopted to assess the treatment efficacy in the two groups before treatment, after treatment for 2 weeks, and after treatment for 4 weeks, respectively. Results After treatment for 2 weeks, MBI and FMA increased significantly in both groups when compared with the results before treatment （all P〈0.01）, NDS reduced significantly in both groups when compared with the results before treatment （both P〈0.01）, and there was no significant difference in MBI, FMA and NDS between two groups （all P〉0.05）; after treatment for 4 weeks, MBI and FMA in observation group were significantly higher than those in control group （both P〈0.05）, and NDS was significantly lower than that in control group （P〈0.05）. Conclusion Compared with conventional acupuncture, governor vessel- regulating needling can significantly improve the activities of daily living of patients with cerebral infarction.

目的:观察调督针法与常规针法的疗效差异,总结调督针法的临床疗效和运用规律。方法:90例脑梗死患者随机分为2组,每组45例。调督针法组采用调督针法结合康复训练,常规针刺组采用常规针刺结合康复训练。2组分别在治疗前、治疗2周后、治疗4周后,采用改良的Barthel指数(MBI)、FuglMeyer运动功能评分法(FMA)及神经功能缺损评分(NDS)进行疗效评定。结果:治疗2周后,两组MBI、FMA评分较治疗前显著提高(P<0.01),两组NDS评分较治疗前显著降低(P<0.01),两组组间对比MBI、FMA评分及NDS评分均差异无统计学意义(P>0.05);治疗4周后,调督针法组MBI、FMA评分显著高于传统针刺组(P<0.05),NDS评分显著低于传统针刺组(P<0.05)。结论:与常规针刺法相比,调督针法能显著改善脑梗死患者的日常生活活动能力。