抽提透针法联合康复训练对小脑梗死后平衡功能的影响

Effect of Lifting Point-toward-point Needling Method Combined with Rehabilitation Training on Balance Function After Cerebellar Infarction

目的观察抽提透针法联合康复训练对小脑梗死后患者平衡功能的影响。方法选取小脑梗死患者93例作为研究对象,随机分为观察组48例、对照组45例,对照组采用常规药物治疗与康复训练,观察组在对照组基础上采用抽提透针法进行治疗。观察两组临床疗效,治疗4周和治疗8周时用Berg平衡量表(BBS)、改良Barthel指数(MBI)、姿势评定量表(PAS)对患者进行评定。结果观察组治疗4周时总有效率显著高于对照组,差异具有统计学意义(P<0.05);观察组治疗8周时总有效率依旧高于对照组,差异具有统计学意义(P<0.05);对照组治疗8周与治疗4周时总有效率比较差异无统计学意义(P>0.05),观察组治疗8周时总有效率显著高于治疗4周时总有效率(P<0.05);观察组治疗4周时MBI、BBS、PAS评分显著高于治疗前,治疗8周时MBI、BBS、PAS评分显著高于治疗4周与治疗前,差异具有统计学意义(P<0.05);且观察组治疗4周和治疗8周时MBI、BBS、PAS评分显著高于对照组,差异具有统计学意义(P<0.05)。结论抽提透针法联合康复训练对小脑梗死后患者平衡能力的恢复具有显著效果。

Objective To observe the effect of lifting point-toward-point needling method combined with rehabilitation training on balance function after cerebellar infarction.Method Ninety-three patients with cerebellar infarction were recruited as subjects and randomized into an observation group of 48 cases and a control group of 45 cases.The control group was intervened by conventional medications and rehabilitation training,in addition to which the observation group was treated with lifting point-toward-point needling method.The clinical efficacy was observed in the two groups.The patients were evaluated using the Berg Balance Scale(BBS),Modified Barthel Index(MBI)and Postural Assessment Scale(PAS)respectively after 4-week and 8-week treatment.Result The total effective rate was significantly higher in the observation group than in the control group at treatment week 4(P<0.05);the total effective rate maintained significantly higher in the observation group than in the control group at treatment week 8(P<0.05).The total effective rate at treatment week 8 was insignificantly different from that at treatment week 4 in the control group(P>0.05);the total effective rate at treatment week 8 was significantly higher than that at treatment week 4 in the observation group(P<0.05).The scores of MBI,BBS and PAS were significantly higher at treatment week 4 than before treatment in the observation group,and the scores of MBI,BBS and PAS were significantly higher at treatment week 8 than those at treatment week 4 and before treatment in the observation group(P<0.05).The scores of MBI,BBS and PAS were markedly higher in the observation group than in the control group at treatment week 4 and treatment week 8(P<0.05).Conclusion Lifting point-toward-point needling method combined with rehabilitation training can produce significant efficacy in recovering the balance function after cerebellar infarction.