头穴丛刺结合康复训练对帕金森病患者日常生活能力的影响

Effect of Cluster Acupuncture of Scalp-point combined with Rehabilitation Training for Daily Living Ability of Patients with Parkinson’s Disease

目的:观察头穴丛刺结合康复训练对帕金森病患者日常生活能力的影响。方法:选择于黑龙江中医药大学附属第二医院治疗的帕金森病患者50例,采用随机数字表法分为对照组和观察组,每组25例。对照组给予单纯康复训练,其中身体放松练习10 min/次;帕维尔康复训练,准备期每次30 min,每周训练3次,共持续2周,训练期进行腿部蹬腿、腿部屈伸、胸部、划船、臀部及身体伸展等6个动作训练,每个动作训练30次,共60 min,隔日训练1次,共持续4周。观察组在对照组的基础上给予头穴丛刺治疗,穴位选取顶区、顶前区及枕下区,每区丛刺3~5根毫针,针刺深约20~25 mm,针后捻转,约200转/min,针后共捻转5 min,以患者能够耐受为宜,留针6~8 h,留针期间进行康复训练,每日1次,每周治疗5 d,共治疗6周。在治疗前和治疗6周后,采用帕金森病评分量表(UPDRS-Ⅲ)评估患者运动功能;Fugl-Meyer平衡功能量表评价平衡功能;采用Barthel指数量表评价日常生活活动能力。结果:治疗前,2组UPDRS-Ⅲ、Fugl-Meyer、Barthel评分无明显差别,差异无统计学意义(P>0.05);与治疗前比较,2组治疗6周后UPDRS-Ⅲ评分明显降低,Fugl-Meyer、Barthel评分明显升高,差异有统计学意义(P<0.05);与对照组比较,观察组UPDRS-Ⅲ评分明显更低,Fugl-Meyer、Barthel评分明显更高,差异有统计学意义(P<0.05)。结论:头穴丛刺结合康复训练能有效改善帕金森病患者的运动功能、平衡功能及日常生活能力。

Objective: To explore the effect of cluster acupuncture of scalp-point combined with rehabilitation training for daily living ability of patients with Parkinson’s disease. Methods: A total of fifty patients with Parkinson’s disease were treated in the second affiliated hospital of Heilongjiang university of traditional Chinese medicine were randomly divided into the control group and observation group, with twenty-five cases in each group. The control group was given simple rehabilitation training, loosening-up activities for 10 min a time first, and 30 minutes’ Pavel rehabilitation training in preparation period, 3 times a week, continuous training for two weeks. During the training period, six movements including leg kicking, leg flexion and extension, chest, rowing, hip and body extension were request, thirty times each movement, sixty minutes for tainning, once every other day, continuous training for four weeks.The observation group was given cluster acupuncture of scalp-point on the basis of the control group. The acupoints from the top area,the front area of the top and suboccipital region were selected, and each area was treated by 3-5 acupuncture needles, acupuncture depth is about 20-25 mm, twisting about 200 turns/min after the needle, continuous twisting for five minutes, which is suitable for patients to tolerate, retaining needle 6-8 h, and carry out rehabilitation training during the period of retaining needle, once a day, five days a week, continuous treatment for six weeks. Before and after the treatment for six weeks, the motor function of the patients was assessed with the Unified Parkinson Disease Rating Scale-Ⅲ(UPDRS-Ⅲ), balance function was assessed by the Fugl Meyer balance function scale, daily living activity was assessed by the Barthel index scale. Results: Before treatment, there was no significant difference in UPDRS-Ⅲ, Fugl Meyer and Barthel scores between the two groups(P>0.05). Compared with treatment before, the UPDRS-Ⅲscores of both groups decreased significantly after treatment for six weeks, Fugl Meyer and Barthel scores increased significantly,with statistical significance(P<0.05). Compared with the control group, UPDRS-Ⅲ scores of the observation group were significantly lower, Fugl Meyer and Barthel scores were significantly higher, with statistical significance(P<0.05). Conclusion: Cluster acupuncture of scalp-point combined with rehabilitation training can improve the motor function and balance function of patients with Parkinson’s disease, and improve their daily living ability.