基于“上下同治”理论的头针、腕踝针配合超早期床旁OT-PT对脑卒中患者平衡功能的影响

Effect of scalp acupuncture and wrist-ankle acupuncture combined with ultra-early bedside OT-PT on the balance function of patients with stroke on the basis of the theory of “Shangxia Tongzhi”

目的探讨基于"上下同治"理论的头针、腕踝针配合超早期床旁OT-PT训练对发病2周内脑卒中患者平衡功能的影响。方法选取2016年4~12月60例早期脑卒中患者按入院先后顺序随机分为实验组和对照组;对照组给予常规物理治疗与针刺治疗相配合,实验组给予头针、腕踝针配合超早期床旁OT-PT训练,在治疗前和治疗后分别运用改良Barthel量表和Berg平衡量表(BBS)对两组患者进行结果评估。结果实验组Barthel量表评定得分及BBS得分明显优于对照组(P<0.05)。结论头针、腕踝针配合超早期床旁OT-PT结合模式对脑卒中患者平衡功能的重建有明显帮助。

Objective To investigate the effect of scalp acupuncture and wrist-ankle acupuncture combined with uhra- early bedside OT-PT training on the balance function of patients with stroke within 2 weeks on the basis of the theory of ＂shangxia tongzhi＂（treatment for both the upper part and lower part of the body）. Methods From April 2016 to Decem- ber 2016, 60 patients with early stroke were randomly divided into experimental group and control group according to order of admission for training; the control group was given given conventional physical therapy and acupuncture. The experimental group was given scalp acupuncture and wrist-ankle acupuncture combined with ultra-early bedside OT- PT training. Before treatment and after treatment, the modified Barthel scale assessment, Berg balance scale （BBS） as- sessment were used to evaluate the results of the two groups. Results The Barthel scale score and BBS score in the ex- perimental group were significantly better than those in the control group（P〈0.05）. Conclusion Scalp acupuncture com- bined with ultra-early bedside OT-PT combination mode is significantly helpful for the reconstruction of balance func- tion in patients with stroke.