针刺结合现代康复治疗缺血性脑卒中后肢体运动功能障碍的临床观察：一项随机对照试验。
Clinical observation of acupuncture combined with modern rehabilitation in the treatment of limb motor dysfunction after ischemic stroke: A randomized controlled trial.
机构信息
Second Department of Acupuncture Rehabilitation, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, Anhui Province, China.
Anhui University of Traditional Chinese Medicine, Hefei, Anhui Province, China.
出版信息
Medicine (Baltimore). 2022 Nov 11;101(45):e31703. doi: 10.1097/MD.0000000000031703.
BACKGROUND
Motor dysfunction is a common sequela of ischemic stroke. This study aimed to explore the effective treatment of ischemic stroke by combining acupuncture and modern rehabilitation training.
METHODS
This study was a single-center, randomized controlled clinical trial conducted at the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, 90 cases were finally included, divided into 45 cases each in the body acupuncture group and the head acupuncture group.
INTERVENTIONS
Both groups received basic drug treatment, modern rehabilitation training, and basic life care guidance; the body acupuncture group was treated with reference to acupuncture points from the classic textbook of acupuncture and moxibustion, and the head acupuncture group was given Zhu's scalp acupuncture treatment based on the body acupuncture group. Primary outcome index: unassisted muscle strength grading scale; secondary outcome index: assessment of activities of daily living; simplified Fugl-Meyer motor function rating scale.
RESULTS
The Barthel scale score, Manual Muscle Testing scale score (upper and lower limbs), and simplified Fugl-Meyer scale score (upper and lower limbs) in the 2 groups were improved (P ≤ .05), and the efficacy of the head-acupuncture group was better than that of the body-acupuncture group (P ≤ .05); there was no significant improvement in the simplified Fugl-Meyer scale (hand) score in both groups (P ≥ .05). There was no significant improvement in these scores (P ≥ .05). The difference in efficiency between the 2 groups was not statistically significant (P ≤ .05), and the apparent efficiency in the cephalic needle group was higher than that in the body needle group (P ≤ .05).
CONCLUSIONS
Simultaneous treatment with Zhu's scalp acupuncture and body acupuncture combined with modern rehabilitation training can significantly improve limb motor function in patients with ischemic stroke, and its efficacy is better than that of body acupuncture alone combined with modern rehabilitation training.
背景
运动功能障碍是缺血性脑卒中的常见后遗症。本研究旨在探索结合针刺和现代康复训练治疗缺血性脑卒中的有效方法。
方法
这是一项在安徽中医药大学第一附属医院进行的单中心、随机对照临床试验，最终纳入 90 例患者，分为体针组和头针组，每组 45 例。
干预措施
两组均给予基础药物治疗、现代康复训练和基本生活护理指导；体针组参照针灸经典教材取穴，头针组在体针组基础上给予朱氏头皮针治疗。主要结局指标：非辅助肌肉力量分级量表；次要结局指标：日常生活活动评估；简化 Fugl-Meyer 运动功能评定量表。
结果
两组Barthel 量表评分、徒手肌力测试量表评分（上下肢）和简化 Fugl-Meyer 量表评分（上下肢）均有所改善（P≤0.05），且头针组疗效优于体针组（P≤0.05）；两组简化 Fugl-Meyer 量表（手）评分均无明显改善（P≥0.05）。两组差异均无统计学意义（P≥0.05）。两组疗效差异无统计学意义（P≤0.05），头针组显效率高于体针组（P≤0.05）。
结论
朱氏头皮针联合体针与现代康复训练联合治疗可显著改善缺血性脑卒中患者肢体运动功能，其疗效优于单纯体针联合现代康复训练。
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