百会八阵穴电针联合平衡训练治疗气虚血瘀型缺血性脑卒中平衡功能障碍的临床观察

Clinical Observation of Baihui(GV20) Eight Array Points Electro-Acupuncture Combined with Balance Training in Treating Balance Dysfunction of Patients with Ischemic Stroke of Qi Deficiency and Blood Stasis Type

【目的】观察百会八阵穴电针联合平衡训练治疗气虚血瘀型缺血性脑卒中平衡功能障碍的临床疗效。【方法】将86例气虚血瘀型脑卒中平衡功能障碍患者随机分为观察组和对照组,每组各43例,2组患者均给予常规平衡功能训练,每次30 min,每日1次,每周5次。对照组给予头针电针治疗,每周治疗5次,共治疗8周。观察组给予百会八阵穴电针治疗,每周治疗5次,共治疗8周。治疗8周后,观察2组患者治疗前后Berg平衡量表(Berg Balance Scale,BBS)、简式Fugl-Meyer平衡功能量表(FMB)评分的变化情况,通过Neuro Com动静态平衡测试仪测量睁眼双足站立情况下重心运动轨迹的长度及外周面积,比较2组患者治疗前后平衡功能的情况,并评价2组患者的中医证候疗效。【结果】(1)研究过程中,观察组失访2例,对照组失访3例。最终观察组41例、对照组40例纳入疗效统计。(2)观察组总有效率为92.68%(38/41),对照组为77.50%(31/40)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的Berg评分与FMB评分均明显改善(P<0.05),且观察组在改善Berg评分与FMB评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗后,2组患者重心运动轨迹的长度及外周面积均明显改善(P<0.05),且观察组在改善重心运动轨迹的长度及外周面积方面明显优于对照组,差异均有统计学意义(P<0.05)。【结论】百会八阵穴电针联合平衡训练治疗气虚血瘀型缺血性脑卒中平衡功能障碍,能够明显地改善患者的平衡功能,从而提高患者生活质量,临床疗效显著。

Objective To observe the clinical effect of Baihui(GV20)eight array points electro-acupuncture combined with balance training for the treatment of balance dysfunction in the patients with ischemic stroke of qi deficiency and blood stasis type. Methods Eight-six qi deficiency and blood stasis type of ischemic stroke patients complicated with balance dysfunction were randomly divided into observation group and control group, 43 cases in each group. The two groups received routine balance function training,30 minutes each time,once a day,5 times a week,additionally,the control group received scalp electro-acupuncture,5 times a week,the treatment lasting 8 weeks, and the observation group received Baihui(GV20) eight array points electroacupuncture, 5 times a week,the treatment lasting 8 weeks. After 8 weeks of treatment,the changes of Berg Balance Scale(BBS)score,and simple Fugl Meyer balance function scale(FMB)score were observed in the two groups before and after treatment. Neuro Com dynamic and static balance tester was used to measure the length and peripheral area of the center of gravity movement track when the eyes were open in standing posture. The balance function was compared in the two groups before and after treatment,and the curative effect on traditional Chinese medicine syndromes was evaluated in the two groups. Results(1)During the trail,two cases were lost to follow up from the observation group and 3 cases from the control group. Ultimately,41 cases in the observation group and40 cases in the control group were included in the curative effect statistics.(2)The total effective rate was 92.68%(38/41)in the observation group and 77.50%(31/40)in the control group. The therapeutic effect in the observation group was superior to that in the control group(P < 0.05).(3)After treatment,the Berg score and FMB score in the two groups were significantly improved(P < 0.05),and the improvement in Berg score and FMB score of the observation group was significantly superior to that of the control group(P < 0.05).(4)After treatment,the length and peripheral area of the center of gravity movement track in the two groups were significantly improved(P <0.05), and the improvement in length and peripheral area of the center of gravity movement track of the observation group was significantly superior to that of the control group(P < 0.05). Conclusion Baihui(GV20)eight array points electro-acupuncture combined with balance training is effective for the treatment of balance dysfunction of the patients with ischemic stroke of qi deficiency and blood stasis type contributing to promoting the quality of life of the patient.