腕踝针联合甲钴胺对缺血性脑卒中偏身感觉障碍的疗效观察

Observation on the Efficacy of Wrist-ankle Acupuncture Combined with Mecobalamin in the Treatment of Partial Sensory Disorder in Ischemic Stroke

目的:研究腕踝针联合甲钴胺对缺血性脑卒中偏身感觉障碍的疗效及对躯体感觉诱发电位、脑血流动力学及生命质量的影响。方法:选取2014年9月至2018年6月海口市第三人民医院收治的缺血性脑卒中合并偏身感觉障碍患者84例作为研究对象,按照随机数字表法分为对照组和观察组,每组42例。对照组接受甲钴胺治疗,观察组接受腕踝针联合甲钴胺治疗。比较2组患者治疗前后感觉障碍评分、中医证候积分、躯体感觉诱发电位、脑血流动力学指标、生命质量的差异。结果:2组患者治疗后的感觉障碍评分、正中神经及胫神经的波峰振幅、脑血流的波幅及流入容积速度、SS-QOL评分均明显升高,中医证候积分均明显下降(P<0.05)且观察组治疗后的感觉障碍评分、正中神经及胫神经的波峰振幅、脑血流的波幅及流入容积速度、SS-QOL评分均明显高于对照组,中医证候积分均明显低于对照组(P<0.05)。结论:腕踝针联合甲钴胺治疗缺血性脑卒中偏身感觉障碍能够改进疗效并改善躯体感觉诱发电位、脑血流动力学、生命质量,具有积极的临床治疗价值。

Objective: To study the curative efficacy of of wrist-ankle acupuncture combined with mecobalamin on ischemic stroke combined with hemisensory impairment and its effect onsomatosensory evoked potential,cerebral hemodynamics and quality of life. Methods: The patients with ischemic stroke complicated with hemiparesis admitted to our hospital from Sep 2014 to Jun 2018 were randomly divided into two groups:the control group treated with mecobalamin and the observation group treated with wrist-ankle acupuncture combined with mecobalamin.The differences of sensory impairment score,TCM syndrome score,somatosensory evoked potential,cerebral hemodynamics index and quality of life between the two groups before and after treatment were compared. Results: After treatment,sensory disturbance score,peak amplitude of median nerve and tibial nerve,cerebral blood flow amplitude and inflow volume velocity,SS-QOL score were significantly increased in both groups,while the scores of TCM syndromes were significantly decreased( P <0.05).After treatment,sensory disturbance score,peak amplitude of median nerve and tibial nerve,cerebral blood flow amplitude and inflow volume velocity,SS-QOL score in the observation group were significantly lower than those of control group,while the scores of TCM syndromes were significantly lower than that of the control group( P <0.05). Conclusion: Wrist-ankle acupuncture combined with Mecobalamin in the treatment of hemisensory disorders complicated with ischemic stroke can improve the curative effect,somatosensory evoked potential,cerebral hemodynamics and quality of life,and has positive clinical therapeutic value.