早期针灸康复治疗小脑出血术后共济失调患者的临床疗效

Clinical Effect of Early Acupuncture Rehabilitation on Patients with Ataxia after Cerebellar Hemorrhage

目的研究早期针灸康复治疗方案对小脑出血术后共济失调患者的临床疗效,以方便为临床治疗工作提供科学的参考依据。方法选择2016年12月至2018年8月于我院接受治疗的小脑出血术后共济失调的患者80例作为调查对象,采用奇偶数的方法分为观察组和对照组,每组40例。对照组患者采取常规内科治疗,观察组患者在对照组基础上配合早期针灸康复治疗。比较两组患者治疗6个月后的小脑血肿体积和国际合作共济失调评估量表(ICARS)评分、临床疗效、不良反应发生情况、满意度。结果观察组患者治疗6个月后的小脑血肿体积和ICARS评分分别为(3.02±1.61)mL和(19.25±10.02)分,均明显优于对照组的(8.52±3.52)mL和(30.44±12.52)分,差异有统计学意义(P<0.05);观察组患者治疗总有效率为90.00%,高于对照组的67.50%(P<0.05);观察组与对照组患者不良反应发生率均为10.00%,比较差异无统计学意义(P>0.05);观察组患者满意度为95.00%,高于对照组的75.00%(P<0.05)。结论小脑出血术后共济失调患者采取在常规内科治疗基础之上配合早期针灸康复治疗,能够有效促进患者病症的恢复,对于缩小患者的小脑血肿体积、改善患者的ICARS评分具有重要意义,还能提升患者整体的治疗效果,且不会增加患者的不良反应,使患者更加满意。

Objective To study the clinical efficacy of early acupuncture rehabilitation treatment programs for patients with ataxia after cerebellar hemorrhage,so as to provide scientific reference for clinical treatment.Methods Eighty patients with ataxia after cerebellar hemorrhage admitted from December 2016 to August 2018 were divided into observation group and control group,with an average of 40 cases in each group.The control group was combined with routine rehabilitation program,and the observation group applied early acupuncture rehabilitation.The volume of cerebellar hematoma and the International Cooperative Ataxia Evaluation Scale(ICARS)score after 6 months of treatment,clinical efficacy,occurrence of adverse reactions,and satisfaction of the two groups of patients were compared.Results The cerebellar hematoma volume and ICARS scores after 6 months of treatment in the observation group were(3.02±1.61)mL and(19.25±10.02)points,respectively,which were significantly better than(8.52±3.52)mL and(30.44±12.52)points in the control group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 90.00%,which was higher than 67.50%in the control group(P<0.05);the incidence of adverse reactions between the observation group and the control group was 10.00%,and the difference was not statistically significant(P>0.05).Patient satisfaction in the observation group was 95.00%,higher than 75.00%in the control group(P<0.05).Conclusion Patients with ataxia after cerebellar hemorrhage are treated with conventional medical treatment in combination with early acupuncture rehabilitation,which can effectively promote the recovery of the patient’s symptoms.It is of great significance to reduce the volume of the patient’s cerebellar hematoma and improve the ICARS score of the patient.It can also improve the patient's overall treatment effect without increasing the patient's adverse reactions,making the patient more satisfied.