Tongguan Liqiao acupuncture therapy improves dysphagia after brainstem stroke

Tongguan Liqiao acupuncture therapy has been shown to effectively treat dysphagia after stroke-based pseudobulbar paralysis. We presumed that this therapy would be effective for dysphagia after bulbar paralysis in patients with brainstem infarction. Sixty-four patients with dysphagia following brainstem infarction were recruited and divided into a medulla oblongata infarction group（n = 22）, a midbrain and pons infarction group（n = 16）, and a multiple cerebral infarction group（n = 26） according to their magnetic resonance imaging results. All patients received Tongguan Liqiao acupuncture for 28 days. The main acupoints were Neiguan（PC6）, Renzhong（DU26）, Sanyinjiao（SP6）, Fengchi（GB20）, Wangu（GB12）, and Yifeng（SJ17）. Furthermore, the posterior pharyngeal wall was pricked. Before and after treatment, patient swallowing functions were evaluated with the Kubota Water Test, Fujishima Ichiro Rating Scale, and the Standard Swallowing Assessment. The Barthel Index was also used to evaluate their quality of life. Results showed that after 28 days of treatment, scores on the Kubota Water Test and Standard Swallowing Assessment had decreased, but scores on the Fujishima Ichiro Rating Scale and Barthel Index had increased in each group. The total efficacy rate was 92.2% after treatment, and was most obvious in patients with medulla oblongata infarction（95.9%）. These findings suggest that Tongguan Liqiao acupuncture therapy can repair the connection of upper motor neurons to the medulla oblongata motor nucleus, promote the recovery of brainstem infarction, and improve patient＇s swallowing ability and quality of life.

THERAPEUTIC EFFECTS OF HEAD ACUPUNCTURE ON STROKE

According to the "International Standard of Chinese Head Acupoints" 207 patientssuffering from stroke were treated by needling along the anterior and posterior obligue lines of vertex-temporal, and the line 1 and line 2 lateral to vertex. The markedly effective rate accounted for73. 43% of the total, and the overall effective rate represented 89. 86%. After the treatment somesymptoms as hemiplegia, lingual dysfunction, facial and tongue paralysis were obviously improved (P【 0. 01 ). The therapeutic effect of head acupuncture was obviously better than that of Westernmedicine(P【0.01). Comparison of therapeutic effects made among needling along different lines andbetween those applied on the intact and affected sides of the body showed that they were all effectivein improving the symptoms, but there was no significant difference(P【0. 05)

Observation on efficacy of acupuncture combined with rehabilitation training for post-stroke balance disorders

Objective To comparatively analyze clinical efficacy of treating post- stroke balance disorders with trunk muscles acupuncture combined with rehabilitation training and rehabilitation training alone. Methods In a randomized control study, 59 patients were randomly divided into two groups in sequence of admission. Both groups were given conventional medical treatment; the acupuncture combined with rehabilitation training group （group A, 30 cases） was treated with trunk muscles acupuncture combined with rehabilitation training, and the rehabilitation training group （group B, 29 cases） was treated with rehabilitation training alone. Both groups were treated six times per week with four weeks as a course of treatment, and a total of four courses were given. Before and after treatment, efficacy of balance function and integral of activities of daily living （ADL） of patients were evaluated. Results The score of balance function of patients in group A and in group B after treatment （38.47 ± 11.34, 32.55 ± 10.02） was higher than that in the two groups before treatment （14.56 ± 6.00, 13.51 ± 6.28）, and the differences were statistically significant （both P〈0.05）. After treatment, the score of balance function of patients in group A was higher than that in group B （P〈0.05）. The score of ADL of patients in group A and in group B after treatment （61.33 ± 18.47, 51.72 ± 17.28） was higher than that in the two groups before treatment （22.50 ± 6.79, 24.48 ± 7.23）, and the differences were statistically significant （both P〈0.05）. After treatment, the score of ADL of patients in group A was higher than that in group B （P〈0.05）. Conclusion The balance function and ADL of patients with post-stroke balance disorders could be improved with trunk muscles acupuncture combined with rehabilitation training, and its efficacy was superior to rehabilitation training alone.

Clinical observation of scalp acupuncture plus speech rehabilitation for Broca's aphasia after cerebral stroke

Objective：To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca＆#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods：Ninety-one eligible patients with Broca＆#39;s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese （ABC） and Boston diagnostic aphasia examination （BDAE） were adopted to evaluate the clinical efficacy. Results：After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group （allP〈0.05）. There was a significant difference in comparing the BDAE grading between the two groups after the treatment （P〈0.05）. After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion：Scalp acupuncture plus speech rehabilitation is effective in treating Broca＆#39;s aphasia after cerebral stroke, and worth promoting.

Therapeutic observation of Gao's nape acupuncture plus swallowing training for pharyngeal deglutition disorder after stroke

Objective: To observe the clinical efficacy of Gao's nape acupuncture plus swallowing training in treating pharyngeal deglutition disorder after stroke. Methods: One hundred patients with post-stroke pharyngeal deglutition disorder were randomized into a treatment group and a control group, with 50 cases in each group. The two groups both received routine neurological intervention. In addition, the treatment group was given Gao's nape acupuncture plus swallowing training, while the control group was intervened by swallowing training alone. After eight-week treatment, the two groups were observed in terms of the changes in repetitive saliva swallowing test (RSST), modified water swallowing test (MWST), standardized swallowing assessment (SSA) and swallowing-related quality of life (SWAL-QOL). The clinical efficacies of the two groups were also compared. Results: After treatment, the RSST grading, and scores of MWST, SSA and SWAL-QOL changed significantly in both groups (P<0.05 or P<0.01). The RSST grading, and scores of MWSX SSA and SWAL-QOL in the treatment group were significantly different from those in the control group after treatment (P<0.05 or P<0.01). The total effective rate and markedly effective rate were respectively 100.0% and 72.3% in the treatment group, versus 97.9% and 34.0% in the control group. There was a significant differenee in the markedly effective rate between the two groups (P<0.01). The differenee in the clinical efficacy between the two groups was statistically significant (P<0.01). Con elusion: Gao's n ape acupu ncture plus swallowi ng training is an effective approach for post-stroke phary ngeal deglutiti on disorder. Its therapeutic efficacy is more significant than that of swallowing training alone.

Effects of acupuncture plus language training on language function and cerebral blood flow in patients with motor aphasia after ischemic stroke

Objective:To observe the effects of acupuncture at the Governor Vessel acupoints plus language training on the language function and cerebral blood flow in patients with motor aphasia after ischemic stroke.Methods:Eighty-six patients were randomized into a control group and an observation group,with 43 cases in each group.Conventional symptomatic treatment was offered to both groups.Besides,the control group received language training,while the observation group received language training plus additional acupuncture at the Governor Vessel acupoints.Before and after treatment,the aphasia battery of Chinese(ABC)and Chinese functional communication profile(CFCP)were tested,and the mean velocity(Vm)and resistance index(Rl)of the left middle cerebral artery(MCA)were detected.Results:The total effective rate was higher in the observation group than in the control group(P<0.05).After treatment,the observation group gained higher scores in oral expression,comprehension,repeating,naming objects,reading,and writing,as well as the general score of ABC(all P<0.Q5)f higher than those in the control group(all P<0.05).The CFCP score increased in both groups after intervention,showing significant intra-group differences(both P<0.05),and the CFCP score was higher in the observation group than in the control group(P<0.05).After treatment,Vm of the left side MCA in creased in the con trol group(P<0.05),while no significant change was observed in Rl(P>0.05);in the observation group,Vm of the left side MCA increased and Rl decreased signfiicantly compared with the baseline(both P<0.05),and were markedly different from those in the control group(both P<0.05).Conclusion:Acupuncture at the Governor Vessel acupoints plus language training can produce valid efficacy in treating motor aphasia after ischemic stroke;it can notably improve the language function,everyday oral communication ability,and in crease cere bral perfusion of the patients.

Efficacy evaluation of acupuncture plus rehabilitation training for post-stroke deglutition disorders of qi-deficiency blood stasis pattern

Objective:To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke deglutition disorders of qi-deficiency blood stasis pattern.Methods:Sixty-six patients with post-stroke deglutition disorders of qi-deficiency blood stasis patter were divided into an observation group and a rehabilitation group using the random number table method.The two groups both received conventional medications and supportive treatment for stroke.In addition,the observation group received acupuncture plus rehabilitation training while the rehabilitation group only received the same rehabilitation training.The interventions were conducted 3 times a week for a total of 4 weeks in both groups.They were evaluated using Kubota water swallowing test(KWST),Fujishima Ichiro food intake level scale(FILS)and symptoms score of traditional Chinese medicine(TCM)before and after treatment,and at the 1-month follow-up.The therapeutic efficacy was assessed at the 1-month follow-up.Results:The KWST grading and FILS result after treatment and at the follow-up were significantly different from those before treatment in both groups(all P<0.001);the results of these two items at the follow-up were not significantly different from those after treatment in the two groups(all P>0.05).There were significant differences in the KWST grading and FILS result between the two groups after treatment and at the follow-up(all P<0.05).The TCM symptoms score changed significantly after treatment and at the follow-up compared with that before treatment in both groups(all P<0.001).The TCM symptoms grading efficacy at the follow-up was significantly different from that after treatment in the observation group(P<0.05),while the difference was statistically insignificant in the rehabilitation group(P>0.05).The TCM symptoms grading efficacy in the observation group was significantly different from that in the rehabilitation group after treatment and at the follow-up(both P<0.05).Conclusion:Based on the conventional treatment for stroke,acupuncture plus rehabilitation training or use of rehabilitation training alone both can improve the clinical symptoms in post-stroke deglutition disorders of qi-deficiency blood stasis pattern,but acupuncture plus rehabilitation training can produce more significant efficacy and better long-term efficacy in improving TCM symptoms.

Therapeutic efficacy of swallowing neuromuscular electrical stimulation combined with acupuncture for post-stroke dysphagia

Objective To seek a better therapy for treating post-stroke dysphagia. Methods Patients with stroke and swallowing disorders were randomly divided into ordinary acupuncture group （group A, 58 cases） and swallowing neuromuscular electrical stimulation combined with acupuncture group （group B, 62 cases）. Two-group patients were given the same basic internal medical treatment. In addition, group A was given normal acupuncture treatment with the choice of local points： Junjin （金津 EX-HN 12）, Yuye（玉液 EX-HN 23）, Fengchi （风池 GB 20）, Yifeng （翳风 TE 17）, Lianquan （廉泉 CV 23）, Wangu （完骨 GB 12）. Group B was given swallowing neuromuscular electrical stimulation combined with acupuncture： GB 20, Fengfu （风夜 GV 16）, TE 17, Yiming （翳明 EX-HN 14）, Yamen （哑门 GV 15）, Tianrong（天容 SI 17）, Tianchuang （天窗 SI 16）, CV 23, the uniform reinforcing-reducing manipulation was used; EX- HN 12, EX-HN 13, the piercing and blood-letting method （1-2 mL blood） was used; at the same time, the swallowing neuromuscular electrical stimulation therapy device was used to electrically stimulate the nerves and muscles in the throat and neck at specific output pulse current （50-100 Hz）. Treatment was made twice a day, 30 minutes each time. Two weeks after the treatment, the patients were assessed in symptoms improvement and clinical efficacy. Results The total effective rate in group B was 91.4% and 75.8% in group A; in the total efficiency comparison in both groups, χ^2=5.232, P〈0.05. The difference in improvement of symptoms with post-stroke dysphagia treated with above mentioned combination treatment was statistically significant between both groups （P〈0.05）. Conclusion The above mentioned swallowing neuromuscular electrical stimulation combined with acupuncture treatment has a better clinical effect when compared with ordinary acupuncture.

Clinical Observations on Acupuncture Treatment of Post-Stroke Dysphagia

To seek a treatment that can improve the effect on dysphagia following post-stroke pseudobulbar palsy. Methods： Sixty patients were randomly allocated into observation and control groups, 30 cases each. The observation group was treated with Western drugs plus acupuncture at Tiantu （CV 22） and other three acupoints around Lianquan （CV 23） and the control group with simple Western drugs. Results： The effective rate was 86.7% in the observation group and 30.0% in the control group. Conclusion： Acupuncture can improve the curative effect of Western drugs on dysphagia following post-stroke pseudobulbar palsy.

Effect of electro-scalp acupuncture on acute ischemic stroke: a randomized, single blind, trial

OBJECTIVE： To determine the clinical efficacy and safety of electro-scalp acupuncture in the treatment of patients with acute ischemic stroke. METHODS： Totally 74 patients with acute ischemic stroke were enrolled and divided into either body acupuncture （Control） or electro-scalp acupuncture （ESA） groups according to randomized controlled principle. The patients in the control group were given body acupuncture treatment once daily for 28 d, whereas except for the body acupuncture, electro-scalp acupuncture was additional treatment given to the ESA group. Neurological deficits, everyday motor function and muscle strength were evaluated at baseline and the 28th d by NIH Stroke Scale （NIHSS）, FugI-Meyer Assessment （FMA） and Modified Barthel Index Score （MBI）, respectively. RESULTS： There were not obvious between-group differences in the baseline efficacy parameters （NI- HSS, FMA and MBI） （all P 〉 0.05）, whereas signifi- cant between-group differences were found in post-treatment NIHSS, FMA-UE and MBI scores （all P 〈 0.05）. After acupuncture treatment, systematic within-group improvements were found in the two groups for any of the efficacy parameters assessed （all P 〈 0.01）, and the ESA group showed higher significant improvements in NIHSS, FMA-UE and MBI scores （all P 〈 0.05）. CONCLUSION： Electro-scalp acupuncture was efficacious in the treatment of acute ischemic stroke, which resulted in meaningful improvements in neurologic function, motor function and activities of daily living of patients.

Acupuncture for Chronic Dysphagic Stroke Evaluated by Fiberoptic Endoscopic Evaluation of Swallowing: A Case Report

Objective： To describe the effect of acupuncture with a new acupoint prescription in treating dysphagia from a chronic stroke patient by fiberoptic endoscopic evaluation of swallowing （FEES）. Methods： A case of chronic dysphagic stroke patient was treated by acupuncture with 5 established acupoints, and assessed by FEES before and after 4-week treatments. Results： There is improvement in swallowing and speech function after acupuncture treatment. Conclusion： There is evidence showing that new acupuncture points maybe beneficial for dysphagic stroke patients.

Influence of Acupuncture on Remodeling of Swallowing Functions for Patients with Pseudobulbar Palsy after Cerebral Infarction

Objective： To explore the interfering effect of acupuncture treatment in remodeling the swallowing functions for the patients with pseudobulbar palsy after cerebral infarction. Methods： Seventy-two cases with pseudobulbar palsy after cerebral infarction were randomly allocated into an observation group and a control group, 36 cases in each group. The treatment neurological therapies, once a day, with one day rest group was treated with acupuncture based upon routine after continuous treatment for six days, and therapeutic effects were assessed after six courses of the treatments. The control group was treated with routine neurological therapies, with the therapeutic effects observed after the treatment for 42 d. Results： The total effective rate was 80.6% in the observation group and 58.3% in the control group, with statistical significance in comparison of difference between the two groups （P〈0.05）, and with statistical significance in comparison of the score of deglutition disorder between the observation group and control group （P〈0.01）. Conclusion： Nape acupuncture can obviously improve the clinical symptoms and signs for the patients with pseudobulbar palsy, with affirmative therapeutic effects, and is worthy of popularization.

康复临床实践指南·脑卒中患者立位平衡障碍

脑卒中立位平衡障碍是指患者在站立时出现的平衡问题,难以在静止或运动状态下维持稳定,包括站立不稳、摇摆、容易摔倒等,严重影响患者步行及日常生活活动。物理治疗和传统中医治疗是提高脑卒中患者立位平衡功能的有效康复方法。为规范脑卒中立位平衡障碍康复的评定与治疗,提高其物理治疗和传统中医治疗的康复诊疗规范,专家组整理德尔菲法汇总后的趋同性意见形成脑卒中立位平衡障碍康复临床实践指南草案,采用共识会议法,编制本指南。本指南从技术范围、规范性引用文件、术语和定义(平衡、支撑面、质心、重心、稳定极限、本体感觉、前庭功能、视觉、前庭眼反射、立位平衡功能、立位平衡障碍、核心稳定、平衡策略)、康复评估(临床表现、临床评估、特殊评估、视觉功能评估、协调功能评估)、康复治疗(前庭功能训练、感觉功能训练、视觉功能训练、运动功能训练、协调功能训练、共济失调训练、心理治疗、运动治疗、双重任务训练、虚拟现实技术、非侵入性神经调控技术、康复机器人、水疗、视觉反馈平衡训练、传统康复治疗、医疗体操)和效果评价进行规范制定。本指南可为脑卒中立位平衡障碍康复治疗提供规范化诊治流程,并为临床实践提供可靠的证据参考,具有良好的临床适用性及可操作性。

针刺夹脊穴联合通督调神针刺治疗中风后平衡障碍临床研究

目的:观察针刺夹脊穴联合通督调神针刺治疗中风后平衡障碍的临床效果。方法:将中风后平衡功能障碍患者纳入本次研究,共67例,应用随机数字表法将上述患者分为对照组(34例,常规治疗加通督调神针刺)和试验组(33例,在对照组基础上针刺夹脊穴),两组均治疗4周。治疗后通过使用Berg平衡量表(BBS)、Fugl-Meyer平衡功能评定量表(FMB)、Barthel指数分级法(MBI)、Holden步行功能分级量表(FAC)分别评估患者平衡功能、肢体功能、日常活动能力及步行功能,同时观察生化指标D-二聚体(DD)、同型半胱氨酸(Hcy)、超敏C反应蛋白(hs-CRP)变化,并评价整体疗效。结果:治疗4周后,试验组BBS、FMB、MBI及FAC得分分别为(41.56±7.01)、(13.22±1.62)、(70.13±6.92)、(3.84±1.07)分,均显著高于对照组(P<0.05);试验组Hcy、DD、hs-CRP水平分别为(15.42±3.22)μmol/L、(372.46±39.58)μg/L、(5.61±1.03)mg/L,显著低于对照组(P<0.05);试验组总有效率为96.97%,显著优于对照组(P<0.05)。结论:针刺夹脊穴联合通督调神针刺能有效治疗中风后平衡障碍,提高患者肢体功能、日常活动能力及步行能力,改善凝血功能及炎症反应。

通督调神针刺联合阴阳平衡透穴巨刺法治疗卒中后偏瘫疗效观察

目的:观察通督调神针刺联合阴阳平衡透穴巨刺法治疗卒中后偏瘫的临床疗效。方法:选取60例卒中后偏瘫患者,随机将其分成对照组与治疗组,每组30例。对照组患者根据缺血性和出血性脑卒中相关指南予以基础治疗,结合普通针刺治疗;治疗组患者基础治疗与对照组相同,结合通督调神针刺联合阴阳平衡透穴巨刺法。两组治疗2周后,观察指标为临床疗效有效率、美国国立卫生院卒中量表(NIHSS)评分、改良后日常生活活动能力评分(MBI)表(改良Barthel指数)评分、卒中患者运动功能评估量表(MAS)评分、功能独立性评定(FIM)量表运动功能部分评分。结果:两组方法治疗后治疗组与对照组临床疗效明显,分别对评分表进行比较,显示NIHSS量表分值降低,MBI量表、MAS量表、FIM量表评分的分值都有升高,两组治疗方法均有疗效,两组方法组内比较疗效均优于治疗前(P<0.05);两组间进行比较,经对比两种治疗方法效果差异明显,具有统计学意义(P<0.05)。结论:通督调神针刺联合阴阳平衡透穴巨刺法治疗卒中后偏瘫疗效确切,值得在临床应用。

针刺联合吞咽康复训练治疗脑卒中后吞咽障碍临床研究

目的:研究针刺联合吞咽康复训练治疗脑卒中后吞咽障碍的临床疗效。方法:选择脑卒中后吞咽障碍患者150例,按随机数字表法分为观察组与对照组各75例。两组均接受吞咽康复训练,观察组在此基础上联合针刺治疗,比较两组治疗前后洼田饮水试验评分、视频透视吞咽检查量表(VFSS)评分、功能性经口摄食量表(FOIS)评分、神经功能缺损症状积分,以及左椎动脉、右椎动脉、基底动脉血流速度,比较两组临床疗效及观察组不同时期吞咽障碍患者临床疗效。结果:治疗后两组洼田饮水试验评分较治疗前降低,VFSS评分、FOIS评分较治疗前升高(P<0.05);治疗后观察组洼田饮水试验评分低于对照组,VFSS、FOIS评分高于对照组(P<0.01)。治疗后两组左椎动脉、右椎动脉、基底动脉血流速度均较治疗前升高(P<0.05),且观察组左椎动脉、右椎动脉、基底动脉血流速度均高于对照组(P<0.01)。治疗后两组神经功能缺损症状积分均较治疗前降低(P<0.05),且观察组各神经功能缺损症状积分均低于对照组(P<0.01)。观察组治疗总有效率90.67%,高于对照组的78.67%,两组临床疗效比较,差异有统计学意义(P<0.05),且观察组口腔前期患者的临床疗效优于口腔准备期、口腔期(P<0.05)。结论:针刺联合吞咽康复训练治疗脑卒中后吞咽障碍效果显著,能够改善患者吞咽能力,快速减轻症状,并促进血液循环,尤其是口腔前期患者的疗效更为理想。

俞募配穴联合脐针疗法治疗脑卒中后昼夜节律失调性睡眠-觉醒障碍的临床研究

目的探讨俞募配穴联合脐针疗法治疗脑卒中后昼夜节律失调性睡眠-觉醒障碍(circadian rhythm sleep-wake disorder,CRSWD)的临床疗效。方法选取2020年5月至2022年8月就诊于杭州市中医院的脑卒中后CRSWD患者87例为研究对象,根据随机数字表法将其分为治疗组(n=44)和对照组(n=43)。对照组患者予艾司唑仑片治疗,治疗组患者予俞募配穴联合脐针疗法治疗,观察两组患者治疗前、治疗5d、治疗2周的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)和清晨型-夜晚型量表(morningness-eveningness questionnaire,MEQ)评分。结果两组患者的PSQI总分、PSQI-D、PSQI-G评分、MEQ评分以时点因素、时点与组别交互、组别为源的主体间效应比较,差异均有统计学意义(P<0.05);治疗2周后,治疗组患者的PSQI总分、PSQI-C、PSQI-D、PSQI-G评分均显著低于对照组,MEQ评分显著高于对照组(P<0.05)。结论俞募配穴联合脐针疗法治疗脑卒中后CRSWD可显著改善患者的睡眠质量,延长睡眠时间,改善日间功能状态,调整昼夜节律,有良好的临床疗效。

Clinical Efficacy Observation of Scalp-acupuncture-based Therapy for Vascular Dementia

Objective：To observe the clinical efficacy of acupuncture for vascular cognitive disorder following a cerebral infarction.Methods：A total of 90 cases were randomly allocated into an observation group and a control group.In addition to the cognitive training and the routine rehabilitation exercise for the paralyzed limb,special needling techniques were employed in the observation group,versus electroacupuncture in the control group.After a session of 4-week treatment,the outcomes were assessed and analyzed usingmini-mental state examination （MMSE）,clock drawing test （CDT）,delayed story recall （DSR） and functional ability questionnaire （FAQ）.Results：There were statistical significances （P0.05） in the scores between before and after treatment in the observation group.Also,there were statistical significances （P0.05） between the observation group and the control group after the treatment.Conclusion：The special needling method in this study could obtain better therapeutic efficacy than electroacupuncture for vascular cognitive disorder.

醒脑开窍针法联合康复训练对中风后遗症患者言语及吞咽障碍的影响

目的:观察醒脑开窍针法配合康复训练对中风后遗症患者言语及吞咽障碍的影响。方法:选取2021年1月至2022年6月在赣州市人民医院就诊的中风后遗症言语及吞咽障碍患者92例,随机分为对照组与观察组,每组各46例。对照组采用常规治疗联合康复训练,观察组在对照组治疗的基础上联合醒脑开窍针法,连续治疗1个月,比较两组患者的中医证候积分、语言能力、洼田饮水试验评分、吞咽情况、生活质量,不良反应等。结果:对照组有效率为80.43%,观察组有效率为96.65%,两组有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后中医证候积分、洼田饮水试验评分低于本组治疗前,语言能力、吞咽障碍特异性生活质量量表(swallowing quality of life, SWAL-QOL)、简易精神状态量表(mini-mental state examination, MMSE)、蒙特利尔认知评估量表(Montreal cognitive assessment, MoCA)、日常生活能力量表(activity of daily living scale, ADL)评分高于本组治疗前,且治疗后组间比较,差异有统计学意义(P<0.05)。结论:醒脑开窍针法联合康复训练治疗中风后遗症,可改善患者语言能力及吞咽障碍,提高认知功能及日常生活能力。

头部电针结合屈伸肌交替经皮穴位电刺激治疗脑卒中偏瘫患者平衡及步行能力的临床研究

目的:观察头部电针结合屈伸肌交替经皮穴位电刺激治疗脑卒中(CVA)偏瘫患者平衡及步行能力的临床疗效。方法:将60例符合纳入标准的CVA偏瘫患者作为本试验研究对象,运用随机数字表法将患者分为常规组与联合组。两组患者均给予CVA基础治疗;常规组额外给予患肢足三里、阳陵泉、阴陵泉、三阴交、丘墟及太冲进行电针治疗;联合组额外给予百会、病灶侧运动区和双侧平衡区进行电针治疗,同时给予患肢浮郄、殷门、血海及箕门进行屈伸肌交替经皮穴位电刺激治疗。治疗前后采用5次椅子坐立测试(5-TSST)、四阶段平衡测试(4-STB)、简明平衡评价系统测试(Brief-BESTest)、功能性步态评估(FGA)、脑卒中专用生存质量量表(SS-QOL)及表面肌电信号最大肌电幅值(MAX)对患者进行疗效评估。结果:两组患者5-TSST评分治疗后降低,4-STB评分、Brief-BESTest评分、FGA评分、SS-QOL评分及表面肌电信号MAX值治疗后均升高,治疗后两组患者各项评分组间比较差异有统计学意义(P<0.01)。结论:头部电针联合屈伸肌交替经皮穴位电刺激治疗能有效改善CVA偏瘫患者的平衡及步行能力,上下协同同步刺激疗效显著,值得临床推广。