贺氏三通法改善脑梗死恢复期患者日常生活能力疗效观察

He's Santong method of acupuncture for the activity of daily living in cerebral infarction patients

目的观察贺氏三通法改善脑梗死恢复期患者日常生活能力的临床疗效。方法采用前瞻性随机对照研究类型,将符合纳入标准的160例脑梗死恢复期患者随机分为治疗组和对照组,每组各80例。治疗组接受贺氏三通法干预方案,对照组接受常规针刺干预方案。观察2组治疗前后Barthel指数、脑卒中专门化生活质量量表(SS-QOL)改善程度,比较2组临床疗效。结果治疗组脑梗死恢复期患者Barthel指数、SS-QOL量表改善程度均优于对照组,2组比较具有统计学意义(P<0.05);治疗组在60岁以下、60~70岁年龄段患者的Barthel指数及SS-QOL量表改善程度优于对照组,2组比较具有统计学意义(P<0.05);在70~80岁年龄段2组疗效比较无统计学意义P>0.05)。结论贺氏三通法改善脑梗死恢复期患者日常生活能力的临床疗效优于普通针刺对照组,为临床运用贺氏三通法提供了参考依据。

Objective To evaluate the effect of He＇s Santong method（Three ways to remove obstruction） of acupuncture for the activity of daily living in cerebral infarction patients.Methods A prospective,randomized,controlled,clinical trial was conducted.160 patients with cerebral infarction were enrolled and randomly allocated to 2 groups（80 patients in each group）.The treatment group received He＇s Santong method of acupuncture.And the control group received conventional acupuncture treatment.The Barthel index and the Stroke Specific Quality of Life scale（SS-QOL） were outcome measures to evaluate differences of effect between He＇s Santong method of acupuncture and conventional acupuncture treatment.Results The Barthel index and SS-QOL scale score were significantly better and well improved in He＇s Santong method group than the control（P〈0.05）.The outcome measures were significantly well improved in He＇s Santong method group than the control in the age groups of 60 ～ 70 and under 60（P〈0.05）.There were no significant differences in the outcome measures between 2 groups in the age group of 70 ～ 80（P〉0.05）.Conclusion He＇s Santong method of acupuncture improves the activity of daily living in cerebral infarction patients better than the conventional acupuncture treatment.The He＇s Santong method of acupuncture is worth researching in the future studies.