四海之腧取穴法结合康复训练治疗脑梗死恢复期的临床观察

Clinical Obsevation of "Si-Hai-Zhi-Shu" Acupoint Combined with Rehabilitation Training on Cerebral Infarction Convalescence

目的观察四海之腧取穴法配合康复训练治疗脑梗死恢复期的临床疗效。方法将60例患者随机分为治疗组和对照组各30例,两组患者均接受基础治疗,治疗组采取四海之腧取穴法结合常规康复训练,对照组采用常规针刺结合康复训练,1个月为1个疗程,治疗3个疗程后,观察治疗前后上下肢Fugl-Meyer评分、NIHSS评分变化情况。结果与治疗前相比,两组治疗1个月、2个月和3个月后Fugl-Meyer评分、NIHSS评分均有所改善(P<0.05或P<0.01),且治疗组各项指标均显著优于对照组,尤以治疗组治疗3个月后疗效为最佳(P<0.01)。结论 "四海之腧"取穴法结合康复训练的治疗方式可更好地改善脑梗死恢复期患者的运动功能障碍和神经功能缺损情况,疗效确切,值得临床推广应用。

Objective To observe the clinical effect of 'Si-Hai-Zhi-Shu' acupoint combined with rehabilitation training on cerebral infarction convalescence. Methods The sixty patients were randomly divided into treatment group and control group, 30 cases in each group, which were treated with basic treatment. The treatment group were treated by 'Si-HaiZhi-Shu' acupoint combined with rehabilitation training, the control group was given conventional acupuncture combined with rehabilitation training, one course for one month. After treatment for three courses, the changes of FMA scores and NIHSS scores of upper and lower extremities were tested before and after treatment. Results Compared with before treatment, the changes of FMA scores and NIHSS scores after treatment of 1 month, 2 months and 3 months were improved before and after treatment(P<0.05 or P<0.01),the treatment group is better than control group. Moreover, the efficacy was best after three courses of treatment. Conclusion The 'Si-Hai-Zhi-Shu' acupoint combined with rehabilitation training can improve the neurological deficits and neurological impairment of patients, it is worthy of further application.