Li Yanli, Xu Jimin, Liu Lanqun, Li Mingyu, Lu Huying, Chen Honglei, Li Huilan, Chen Zhigang
Department of TCM, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
Department of TCM, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China; Rehabilitation Medicine School, Capital Medical University, Beijing 100068.
Zhongguo Zhen Jiu. 2017 Sep 12;37(9):913-7. doi: 10.13703/j.0255-2930.2017.09.001.
To observe the impacts on post-stroke unilateral spatial neglect treated with acupuncture for "regaining consciousness, benefiting marrow and opening orifices" and rehabilitation.
Forty patients of post-stroke unilateral spatial neglect were randomized into an observation group and a control group, 20 cases in each one. In the observation group, acupuncture was applied to the acupoints for "regaining consciousness, benefiting marrow and opening orifices", named Baihui (GV 20), Sishencong (EX-HN 1), Benshen (GB 13), Shenting (GV 24), and the bilateral -primary points and -connecting points of the heart meridian, pericardium meridian and kidney meridian, as well as the acupoints along the affected meridians. Additionally, the rehabilitation was provided. In the control group, acupuncture at the acupoints along the affected meridians and rehabilitation were adopted. The treatment was given once a day, 5 times a week. After 8 weeks of treatment the evaluation was made. the indexes of unilateral spatial neglect such as line bisection test, the score of the mini-mental state examination (MMSE), the score of simple Fugl-Meyer motor function assessment and the modified Barthel indexes were adopted for the assessment of the severity of unilateral spatial neglect, cognitive function, motor function, and the activities of daily living.
After treatment, the indexes of unilateral spatial neglect (line bisection test, line cancellation test, clock-drawing test and copying drawing test), MMSE score, the simple Fugl-Meyer motor function assessment and modified Barthel indexes were all improved as compared with those before treatment in the two groups (all <0.01). The improvements in the observation group were more obvious than those in the control group (<0.05, <0.01).
The combination of acupuncture treatment for "regaining consciousness, benefiting marrow and opening orifices" and rehabilitation much more effectively alleviates the severity of post-stroke unilateral spatial neglect and improves the motor function and the activities of daily living in the patients.
观察“醒脑益髓开窍”针刺法结合康复训练对脑卒中后单侧空间忽略的影响。
将40例脑卒中后单侧空间忽略患者随机分为观察组和对照组，每组20例。观察组针刺“醒脑益髓开窍”穴位，即百会（GV 20）、四神聪（EX-HN 1）、本神（GB 13）、神庭（GV 24），以及心经、心包经和肾经的双侧原穴和络穴，同时沿患侧经络取穴，并给予康复训练。对照组采用沿患侧经络取穴针刺并进行康复训练。每天治疗1次，每周5次。治疗8周后进行评估，采用单侧空间忽略的相关指标如线段二等分试验、简易精神状态检查表（MMSE）评分、简易Fugl-Meyer运动功能评定评分及改良Barthel指数，对单侧空间忽略的严重程度、认知功能、运动功能及日常生活活动能力进行评估。
治疗后，两组单侧空间忽略指标（线段二等分试验、划消试验、画钟试验和临摹画图试验）、MMSE评分、简易Fugl-Meyer运动功能评定评分及改良Barthel指数均较治疗前改善（均P<0.01）。观察组改善程度优于对照组（P<0.05，P<0.01）。
“醒脑益髓开窍”针刺法结合康复训练能更有效地减轻脑卒中后单侧空间忽略的严重程度，改善患者的运动功能及日常生活活动能力。
