埋针治疗脑出血患者临床疗效观察

Observation on the therapeutic effect of needle embedding therapy on cerebral hemorrhage

目的观察埋针治疗脑出血的临床疗效。方法将我院收治的102例脑出血患者随机分为观察组与对照组各51例。对照组行康复训练联合针刺治疗,观察组在对照组的治疗基础上联合埋针治疗。对比两组临床疗效、收缩压、舒张压指标、神经功能(NIHSS)、日常生活能力(BADL)、肢体运动功能(FMA)、徒手肌力评定(MMT)及出血量。结果治疗后,观察组总有效率高于对照组(P<0.05);两组收缩压、舒张压指标低于治疗前,观察组低于对照组(P<0.05);两组NIHSS评分低于治疗前,BADL评分、FMA评分高于治疗前且观察组上述指标优于对照组(P<0.05);两组上肢肌力MMT分级比较差异无统计学意义(P>0.05),观察组下肢肌力MMT分级优于对照组(P<0.05);治疗后3 d两组出血量少于治疗前,观察组少于对照组(P<0.05)。结论患者脑出血后行康复训练+针刺治疗联合埋针治疗,可降低血压、减轻神经功能缺损,改善运动功能及肌力水平,减少出血量,值得推广。

Objective To observe the effect of needle embedding on cerebral hemorrhage.Methods 102 patients with cerebral hemorrhage were randomly divided into observation group and control group,with 51 cases each.Control group received rehabilitation training combined with acupuncture,while observation group received needle embedding therapy on the basis of control group.The therapeutic effects,systolic and diastolic blood pressure indicators,scores of neurological function(NIHSS),daily living ability(BADL),limb motor function(FMA),hand muscle strength assessment(MMT),and bleeding volume were compare between the two groups.Results After treatment,the total effective rate of observation group was higher than that of control group(P<0.05);the systolic and diastolic blood pressure indicators in both groups were lower than before treatment,while observation group was lower than control group(P<0.05);NIHSS score was lower in both groups than before treatment,and was lower in observation group than control group;BADL and FMA scores were higher in both groups than before treatment,and were higher in observation group than control group(P<0.05);observation group had lower limb muscle strength MMT grading than control group(P<0.05),and there was no statistically significant difference in upper limb muscle strength MMT grading between the two groups(P>0.05);three days after treatment,the bleeding volume in both groups was less than before treatment,and was less in observation group than control group(P<0.05).Conclusion Rehabilitation training and acupuncture combined with needle embedding therapy after cerebral hemorrhage can reduce blood pressure,alleviate neurological deficits,improve motor function and muscle strength levels,reduce bleeding volume,it is worth promoting.