上海针灸杂志2017，Vol.36Issue(4)：374-378,5.DOI:10.13460/j.issn.1005-0957.2017.04.0374
针刺配合康复训练治疗中风后不同类型共济失调下肢功能障碍临床观察
Clinical Observation of Acupuncture plus Rehabilitation for Lower-limb Dysfunction Due to Different Types of Ataxia After Stroke
摘要
Abstract
Objective To observe the clinical efficacy ofXing Nao Kai Qiao(brain-awakening orifice-opening) needling method plus Frenkel's balance rehabilitation exercise in treating lower-limb dysfunction due to different types of ataxia after stroke.MethodA total of 115 eligible patients were randomized into two groups. Fifty-seven cases in the treatment group were intervened by Xing Nao Kai Qiaoneedling plus rehabilitation training; 58 cases in the control group were intervened byXing Nao Kai Qiaoneedling method alone. Berg Balance Scale (BBS) was adopted to evaluate the symptoms, balance function, and therapeutic efficacy before and after the treatment.Result In the treatment group, the markedly effective rate was respectively 72.2%, 83.3% and 61.1% in the cerebella subtype, brainstem subtype and basal ganglia subtype, and the total effectiverate was respectively 100.0%, 94.4% and 94.4%; in the control group, the markedly effective rate was respectively 21.1%, 35.0% and 58.8%, and the total effective rate was respectively 94.7%, 85.0% and 82.4%, and the between-group differences were statistically significant (P<0.05). After the treatment, the BBS score showed significant intra-group differences in both groups (P<0.01); the between-group comparisons showed that there were significant differences in comparing the scores of cerebella and brainstem subtypes after the treatment (P<0.05).ConclusionXing Nao Kai Qiaoneedling method plus Frenkel's rehabilitation exercise can effectively improve the symptoms of poststroke lower-limb ataxia, especially for cerebella and brainstem subtypes.关键词
中风后遗症/共济失调/脑梗死/针刺/Frenkel平衡康复训练法/Berg平衡量表Key words
Poststroke syndrome/Ataxia/Cerebral infarction/Acupuncture/Frenkel's balance exercise/Berg Balance Scale分类
医药卫生引用本文复制引用
鲁海,白玮婧,马会靖,张苗,高士宜,刘浩敏,张春红,武连仲..针刺配合康复训练治疗中风后不同类型共济失调下肢功能障碍临床观察[J].上海针灸杂志,2017,36(4):374-378,5.基金项目
国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012135) （JDZX2012135）
