刺络拔罐联合肌电生物反馈治疗脑梗死恢复期患者临床疗效观察

Clinical observation on acupuncture and cupping combined with electromyography biofeedback on convalescent patients with cerebral infarction

目的观察刺络拔罐联合肌电生物反馈治疗脑梗死恢复期患者的临床疗效。方法将我院收治的112例脑梗死恢复期患者随机分为观察组与对照组各56例,对照组给予常规治疗,观察组在对照组治疗基础上给予刺络拔罐联合肌电生物反馈治疗,比较两组患者神经功能缺损评分(NIHSS)、日常生活活动能力评分(Barthel评分)、上下肢Fugl-Meyer评分(FMA)、腕关节和踝关节活动度评分(AROM)、脑源性神经营养因子(BDNF)、神经营养因子3(NT-3)及生存质量评分(SS-QOL)。结果治疗后,观察组NIHSS评分显著低于对照组(P<0.05),Barthel评分显著高于对照组(P<0.05),上下肢FMA评分、腕关节和踝关节AROM评分均显著高于对照组(P<0.05),血清NT-3和BDNF水平均显著高于对照组(P<0.05),SS-QOL评分显著高于对照组(P<0.05)。结论刺络拔罐联合肌电生物反馈治疗脑梗死恢复期可显著促进患者神经功能和肢体运动功能的恢复,改善患者神经营养指标,提升患者的日常活动能力和生存质量,疗效显著。

Objective To observe the clinical effect of acupuncture and cupping combined with electromyography biofeedback in treatment of convalescent cerebral infarction.Methods A total of 112 convalescent patients with cerebral infarction were randomly divided into observation group and control group with 56 cases each.Control group was given routine treatment,observation group was treated with acupuncture and cupping combined with EMG biofeedback on the basis of control group.The neurological deficit score(NIHSS),daily life activity score(Barthel score),upper and lower limb Fugl-Meyer score(FMA),wrist and ankle motion score(AROM),brain-derived neurotrophic factor(BDNF),neurotrophic factor 3(NT-3)and quality of life score(SS-QOL)were compared between the two groups.Results After treatment,the NIHSS score of observation group was significantly lower than that of control group(P<0.05),Barthel score was significantly higher than that of control group(P<0.05),the scores of upper and lower limb FMA,wrist and ankle AROM were significantly higher than those of control group(P<0.05),serum NT-3 and BDNF levels were significantly higher than those of control group(P<0.05),and SS-QOL scores were significantly higher than those of control group(P<0.05).Conclusion The treatment of acupuncture and cupping combined with electromyography biofeedback can significantly promote the recovery of nerve function and limb motor function,improve the neurotrophic index and the daily activity ability and quality of life of patients with cerebral infarction.The curative effect is remarkable.