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梅花针叩刺夹脊穴(EX - B 2)结合康复治疗小脑性中风共济失调:一项随机对照试验

[Plum-blossom needle tapping at Jiaji(EX-B 2) combined with rehabilitation for ataxia of cerebellar apoplexy: a randomized controlled trial].

作者信息

Zhang Lijuan, Wang Fei, Shi Yan, Wang Jianhua, Xie Qingfan

出版信息

Zhongguo Zhen Jiu. 2016 Feb;36(2):131-4.

PMID:27348907
Abstract

OBJECTIVE

To compare the effects between plum-blossom needle tapping at Jiaji (EX-B 2) combined with rehabilitation and simple rehabilitation for ataxia of cerebellar apoplexy.

METHODS

Sixty patients with ataxia of cerebellar apoplexy were randomly divided into an observation group,and a control group,30 cases in each one. Conventional rehabilitation training was applied in the control group. While based on the treatment as that of the control group, plum-blossom needle tapping at Jiaji (EX-B 2) was used in the observation group. All the treatment was given for 4 weeks. International cooperative ataxia rating scale (ICARS), Berg balance scale (BBS) and Barthel index (BD were observed before treatment,after 2-week treatment and 4-week treatment. Also, clinical effects After treating for 2 weeks and for 4 weeks, the results of ICARS,BBS and BI were obvi were compared.

RESULTS

After treating for 2 weeksand for 4 weeks, the results of ICARS, BBS and BI were obviously better than those before treatment in the two groups (all P<0.05). After 2-week treatment,there was no sta tistical significance between the two groups (all P>0. 05). After 4-week treatment,all the scores of the observation group were apparently superior to those of the control group (all P<0. 05). The total effective rate was 96. 7% (29/30) in the observation group, better than 80. 0% (24/30) in the control group after 4-week treatment (P<0. 05). CCONCLUSION:Plum-blossom needle tapping at Jiaji(EX-B 2) combined with rehabilitation training markedly improve the coordination and balance functions and activities of daily life, which are better than simple rehabilitation.

摘要

目的

比较梅花针叩刺夹脊穴(EX - B 2)联合康复治疗与单纯康复治疗对小脑性中风共济失调的疗效。

方法

将60例小脑性中风共济失调患者随机分为观察组和对照组,每组30例。对照组采用常规康复训练。观察组在对照组治疗的基础上,加用梅花针叩刺夹脊穴(EX - B 2)。所有治疗均持续4周。在治疗前、治疗2周后和治疗4周后,观察国际合作共济失调评定量表(ICARS)、伯格平衡量表(BBS)和巴氏指数(BI)。同时,比较治疗2周和4周后ICARS、BBS和BI的结果以及临床疗效。

结果

治疗2周和4周后,两组的ICARS、BBS和BI结果均明显优于治疗前(均P<0.05)。治疗2周后,两组之间无统计学意义(均P>0.05)。治疗4周后,观察组的所有评分均明显优于对照组(均P<0.05)。观察组4周治疗后的总有效率为96.7%(29/30),优于对照组的80.0%(24/30)(P<0.05)。

结论

梅花针叩刺夹脊穴(EX - B 2)联合康复训练能显著改善共济失调、平衡功能及日常生活活动能力,效果优于单纯康复治疗。

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