头皮针灸结合运动疗法和康复训练治疗痉挛性脑瘫的临床疗效观察

目的观察头皮针灸结合运动疗法联合康复训练治疗痉挛性脑瘫的临床疗效。方法选取2011年5月—2018年12月在南阳市中心医院治疗的脑瘫患儿,将其中接受头皮针灸结合运动疗法联合康复训练的患儿作为治疗组,仅接受康复训练的患儿作为对照组。评估并比较治疗前后两组患儿88项粗大运动功能量表(GMFM-88)评分和日常生活活动能力量表(ADL)评分。结果治疗后,治疗组粗大运动功能分级系统(GMFCS)分级较对照组改善,且治疗组优于对照组,差异有统计学意义(P<0.05);两组GMFM-88评分和ADL评分均高于治疗前,且治疗组GMFM-88评分高于对照组,差异有统计学意义(P<0.05或P<0.01)。结论头皮针灸结合运动疗法和康复训练与单独使用康复训练相比可改善痉挛性脑瘫患儿粗大运动功能和日常生活活动能力。

言语训练结合头皮针灸治疗卒中失语症患者的疗效分析

目的探讨分析言语训练结合头皮针灸在卒中失语症患者中改善言语功能、认知功能和日常生活活动能力的临床疗效。方法回顾性分析上海健康医学院附属嘉定区中心医院康复科和神经内科自2016年1月-2017年1月收治的卒中失语症患者90例,分成言语训练+头皮针灸组、言语训练组、对照组,使用改良Barthel指数、失语商(采用西部失语成套测验量表)、蒙特利尔认知评估(Montreal cognitive assessment,MoCA)三方面数据,评定治疗前、治疗1个月和3个月的功能恢复情况,以及停止治疗9个月的远期治疗效果。结果 (1)治疗1个月、3个月及停止治疗9个月的三组改良Barthel指数、MoCA指数、失语商均得到改善。(2)言语训练+头皮针灸组和言语训练组的MoCA指数和失语商在治疗后均呈现出持续改善的现象(均P<0.001)。(3)言语训练+头皮针灸组的MoCA指数和失语商改善程度优于言语训练组和对照组(P<0.05),言语训练+头皮针灸组的改良Barthel指数在治疗3个月内优于言语训练组(P<0.05)。结论言语训练结合头皮针灸的康复治疗方法改善言语障碍和认知障碍的效果明显,且短期内提高日常生活活动能力的效果较佳。

头皮针灸联合镜像神经元康复训练在中风后失语症中的应用效果

目的:探讨头皮针灸联合镜像神经元康复训练在中风后失语症中的应用效果。方法:回顾性分析2018年3月至2020年5月南阳南石医院收治的92例中风后失语症患者的临床资料,将进行镜像神经元康复训练的46例患者纳入对照组,将进行头皮针灸联合镜像神经元康复训练的46例患者纳入观察组。两组均干预4个疗程。比较两组患者干预前、干预4个疗程后的失语程度及认知能力。结果:干预4个疗程后,观察组波士顿诊断性失语症检查第三版分级优于对照组(P<0.05);干预4个疗程后,两组患者蒙特利尔认知评估量表(MoCA)评分均上升,且观察组上升更多(P<0.05)。结论:头皮针灸联合镜像神经元康复训练可有效改善中风后失语症患者失语程度,提高其认知能力。

小儿捏脊配合头皮针灸对小儿脑瘫康复的影响

目的观察小儿捏脊配合头皮针灸对小儿脑瘫康复的影响分析.方法将阳春市妇幼保健院(2018年6月—2019年2月)诊疗的小儿脑瘫患儿300例,随机数字法分成对照组(150例)与实验组(150例),其中对照组患儿仅采取针灸,实验组患儿采取小儿捏脊配合针灸治疗.对照两组患儿治疗前、后粗大神经运动功能GMFM-66评分及临床治疗效果评价.结果经治疗后两组患儿GMFM-66评分明显升高,其中实验组患儿明显优于对照组,差异有统计学意义(P<0.01).实验组患儿经治疗后的总有效率为94.00%,对照组患儿经治疗后的总有效率为70.67%,差异有统计学意义(P<0.05).结论在小儿脑瘫患儿治疗中,采取小儿捏脊配合头皮针灸治疗,可明显提升患儿神经运动功能评分,提高临床治疗效果.

言语训练结合头皮针灸治疗卒中失语症患者的疗效分析

探析卒中失语症患者采取言语训练+头皮针灸治疗的效果。方法 选取2020年7月至2021年12月收治的卒中失语症患者80例,随机分为观察组和对照组各40例,对照组采取言语康复训练,观察组实施言语训练+头皮针灸治疗,对比两组患者各项语言水平评分、治疗效果、SQAOL-39评分。结果 ①观察组听理解评分、阅读能力评分、命名评分等各项语言评分水平均高于对照组,组间对比(P<0.05);②观察组治疗有效率97.50%高于对照组80.00%,组间对比(P<0.05);③观察组心理社会评分、生理评分等SQAOL-39评分均高于对照组,组间对比(P<0.05)。结论 言语训练与头皮针灸联合对卒中失语症患者进行治疗可有效改善其语言能力,提高生活能力,效果良好。

言语训练加针灸对卒中失语症的治疗观察

目的探讨言语训练结合头皮针灸治疗卒中失语症效果研究。方法在2018年6月—2019年6月期间本院所收治的卒中失语症患者(n=80),采用数字随机表法将其分为实验1组和实验2组,每组40例。实验1组的患者给予言语训练治疗,实验2组患者采取言语训练结合头皮针灸治疗,对两组患者治疗前后各项语言水平评分进行比较。结果治疗1个月、3个月以及9个月后两组患者均有不同程度的改善,但是实验2组的患者各项语言水平改善能力均优于实验1组,P <0.05。结论对卒中失语症患者采取言语训练结合头皮针灸治疗效果更显著,有助于改善患者各项语言能力。

CLINICAL OBSERVATION ON SCALP ACUPUNCTURE TREATMENT OF WINDSTROKE-CAUSED DYSPHAGIA-DYSPHONIA SYNDRONE

Objective: To observe the therapeutic effect of scalp acupuncture on cerebral blood flow in pseudobulbar paralysis patients for analyzing mechanisms of scalp acupuncture in the treatment of wind stroke. Methods: A total of 38 inpatients (26 males and 12 females) were treated with electroacupuncture (EA) of scalp point Dingzhongxian (MS 5), Dingnie Houxiexian (MS 7), Dingpangxian II (MS 9) and Dingnie Qianxiexian (MS 6). Before and after acupuncture treatment, clinical symptoms of dysphagia and dysphonia were compared, and the mean blood flow speed (MBFS) values of the anterior cerebral artery (ACA), middle cerebral artery (MCA) and posterior cerebral artery (PCA) detected by using Doppler blood flow meter. Results: Following two courses (4 weeks) of scalp acupuncture treatment, of the 38 cases, 23 had their dysphagia and dysphonia cured (60.5%), 10 (25.3%) had remarkable improvement, 3(7.9%) experienced improvement and 2 (5.3%) had no apparent changes. Simultaneously, MBFS of ACA, MCA and PCA increased significantly in comparison with that of pre treatment (P<0.01). Additionally, results also showed that scalp acupuncture could stabilize the blood circulation between both hemispheres of the brain. Conclusion: Scalp acupuncture has a fairly good therapeutic effect in improving stroke caused dysphagia and dysphonia and in facilitating cerebral blood flow.

Effect of Individualized Needling on Gross Motor Function in Cerebral Palsy Infants

Objective: To observe the effect of individualized needling protocol (on the basis of functional brain mapping and standardized syndrome differentiation in Chinese medicine) on gross motor functions of infants with cerebral palsy (CP) and thus study the innovative means of combining acupuncture with rehabilitation management technique. Methods: A total of 74 CP infants were randomized into a treatment group and a control group, 37 in each group. Combined individualized needling and rehabilitation training were used in the treatment group, versus combined Jin's needling (16 brain-benefiting points) and rehabilitation training in the control group. For both groups, acupuncture treatment was conducted once every other day and rehabilitation training every day. The dynamic changes of gross motor functions before treatment and after every 1-month treatment were measured and assessed using the Gross Motor Function Measure (GMFM)-66. Results: After treatment, the GMFM scores were significantly increased in both groups (P<0.01); there were no between-group statistical differences in increase range of the GMFM scores (P>0.05); the treatment protocol was not interacted with the treatment time; and the GMFM scores for spastic CP infants were better in the treatment group than that in the control group (P<0.05). Conclusion: Combined scalp acupuncture and rehabilitation training can produce positive effects on gross motor functions of CP infants. Individualized needling can obtain better effects than 16 brain-benefiting points in improving the gross motor functions of spastic CP infants.

Effect of Needle-retaining Time on Therapeutic Efficacy for Post-stroke Hemiplegia

Objective:To observe the effect of needle-retaining time in scalp acupuncture on therapeutic efficacy for post-stroke hemiplegia. Methods:A total of 82 cases who met the inclusion criteria were randomly allocated into a control group (22 cases), a short-time needle- retaining group (30 cases) and a long-time needle-retaining group (30 cases). Conventional Bobath therapy was employed in the control group while the scalp acupuncture was combined in the short-time (0.5 h) needle-retaining group and long-time (24 h) needle-retaining group. Then functional assessments were made 1 month and 3 months after treatment using Fugl-Meyer motor scale (FMMS), Fugl-Meyer assessment of balance (FMA-B) and modified Barthel index (MBI) score. Results:Cases in the long-time needle-retaining group obtained better effects in motor function of the limbs and activities of daily living (ADL) than the other two groups (P<0.05). In addition, there was no statistical significance between the short-time needle-retaining group and the control group (P>0.05). Conclusion:The needle-retaining time in scalp acupuncture is substantially associated with the effect for post-stroke hemiplegia and long-time needle-retaining is more advisable.