子午流注针法联合全身振动疗法治疗脑卒中后单侧忽略临床研究

Clinical Study on Midnight-Midday Ebb Flow Acupuncture Combined with Whole Body Vibration Therapy for Unilateral Neglect After Stroke

目的:观察子午流注针法联合全身振动疗法治疗脑卒中后单侧忽略的临床疗效。方法:选取86例脑卒中后单侧忽略患者,以随机数字表法分为对照组和观察组各43例。对照组给予全身振动疗法治疗,观察组在对照组基础上给予子午流注针法治疗,2组均治疗6周。比较2组治疗前后单侧忽略程度、平衡功能、认知功能、日常生活活动能力及生活质量。结果:治疗后,2组二等分试验、凯瑟林-波哥量表(CBS)、线段划消测试评分均较治疗前降低(P<0.05),观察组二等分试验、CBS、线段划消测试评分均低于对照组(P<0.05)。治疗后,2组Berg平衡量表(BBS)、简易智力状态检查量表(MMSE)、改良Barthel指数(MBI)、脑卒中特定生活质量量表(SS-QOL)评分均较治疗前升高(P<0.05),观察组BBS、MMSE、MBI、SS-QOL评分均高于对照组(P<0.05)。结论:子午流注针法联合全身振动疗法治疗脑卒中后单侧忽略,可有效减轻临床症状,改善患者的平衡、认知功能,提高其日常生活活动能力和生活质量。

Objective:To observe the clinical effect of the therapy of midnight-midday ebb flow acupuncture combined with whole body vibration therapy on unilateral neglect after stroke.Methods:A total of 86 patients with unilateral neglect after stroke were selected and divided into the control group and the observation group according to the random number table method,with 43 cases in each group.The control group was treated with whole body vibration therapy,and the observation group was additionally treated with midnight-midday ebb flow acupuncture based on the treatment of the control group.Both groups were treated for six weeks.Before and after treatment,the degrees of unilateral neglect,balance function,cognitive function,activities of daily living and quality of life were compared between the two groups.Results:After treatment,the scores of line bisection test,Catherine Bergego Scale(CBS) and line cancellation test in the two groups were decreased when compared with those before treatment(P<0.05),and the above three scores in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of Berg balance scale(BBS),Mini-Mental State Examination(MMSE),Modified Barthel Index(MBI) and Stroke Specific Quality of Life Scale(SS-QOL) in the two groups were increased when compared with those before treatment(P<0.05),and the above four scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The therapy of midnight-midday ebb flow acupuncture combined with whole body vibration therapy for unilateral neglect after stroke can effectively reduce the clinical symptoms,improve the balance and cognitive function of patients,and enhance their activities of daily living and quality of life.