电针疗法对脑梗死患者神经功能康复的临床研究

Clinical study on electroacupuncture therapy for recovering neurological function in patients with cerebral infarction

目的探讨早期电针干预对脑梗死患者运动功能恢复的临床疗效。方法选取2016年3月至2017年3月该院收治的62例早期脑梗死患者,将其随机分为对照组(31例)和电针组(31例)。对照组患者接受脑卒中常规药物治疗和康复训练,电针组患者在此基础上给予电针疗法。经2周治疗后,评价2组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)、日常生活活动能力量表(ADL)评分及治疗有效率。结果经2周治疗后,2组患者的NIHSS和ADL评分均较治疗前有明显变化,差异均有统计学意义(P<0.05);且与对照组治疗后比较,差异均有统计学意义(P<0.05);电针组总有效率为90.32%(28/31),明显高于对照组[71.97%(22/31)],差异有统计学意义(P<0.05);对照组中发病0~<1、1~<3、3~7 d开始治疗显效率分别为88.89%(8/9)、78.58%(11/14)和37.50%(3/8),均明显低于电针组的显效率[100.00%(10/10)、92.86%(13/14)和71.42%(5/7)],2组患者在发病3~7 d后开始治疗,电针组的显效率要显著高于对照组,差异有统计学意义(P<0.05)。结论早期电针干预治疗脑梗死的疗效显著,对于条件允许的患者建议在病情稳定后尽早开始电针治疗。

Objective To explore the clinical effect of early electroacupuncture intervention on the movement function recovery in the patients with cerebral infarction.Methods Sixty-two patients with cerebral infarction in this hospital from March2016to March2017were selected and randomly divided into the control group(n=31)and electroacupuncture group(n=31).The control group received the routine medication therapy and rehabilitation training of cerebral stroke,while on this basis the electroacupuncture group was given the electroacupuncture therapy.After2-week treatment,the National Institute of Health Stroke Scale(NIHSS)and Activities of Daily Living(ADL)scores in the two groups were compared between before and after treatment,and the treatment effective rates were compared between the two groups.Results The NIHSS and ADL scores after2-week treatment had statistical difference between the two groups(P<0.05);the total effective rate in the electroacupuncture group was90.23%(28/31),which was significantly higher than71.97%(22/31),the difference was statistically significant(P<0.05).The markedly effective rates on0-<1,1-<3,3?7d of onset in the control group were88.89(8/9),78.58%(11/14)and37.50%(3/8)respectively,which were significantly lower than100.00%(10/10),92.86%(13/14)and71.42%(5/7)in the electroacupuncture group,the differences were statistically significant(P<0.05).Conclusion Early electroacupuncture intervention has significant effect for treating cerebral infarction,it is recommended to start the electroacupuncture therapy as early as possible after the condition is stabilized for the patients who have permission condition.