头针联合神经节苷脂治疗缺血性卒中对早中期神经功能康复的影响
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R743.3;R246.6

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Scalp Acupuncture Combined with Ganglioside for Ischemic Stroke Has Effect on Neurological Functional Rehabilitation in Early and Middle Stage
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    摘要:

    目的:观察头针联合神经节苷脂治疗缺血性卒中对早中期神经功能康复的效果。方法:将94例患者随机分为对照组46例,观察组48例;对照组予阿司匹林肠溶片、辛伐他汀片口服,注射用单唾液酸四己糖神经节苷脂钠肌肉注射,连续6周;观察组在对照组治疗的基本上加用头针治疗,每周治疗5天,休息2天,共治疗6周;治疗前后进行脑卒中神经功能缺损程度评分(NDS)、Fugl-Meyer量表(FMA)、生活活动能力(ADL)和气虚血瘀证证候评分,并统计临床疗效。结果:2组临床疗效经秩和检验,观察组疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,2组患者NDS评分、气虚血瘀证证候评分均较治疗前低降(P<0.05),ADL、FMA评分较治疗前明显升高(P<0.05);且观察组上述各项指标改善较对照组更显著(P<0.05)。结论:头针联合神经节苷脂治疗缺血性卒中恢复早、中期患者,可促进其神经功能的恢复,提高运动能力和日常生活能力,减轻临床症状,值得临床推广应用。

    Abstract:

    To observe the effect of scalp acupuncture combined with ganglioside for ischemic stroke on neurological functional rehabilitation in early and middle stage.Methods:Divided 94 cases of patients into two groups randomly,46 cases in the control group and 48 cases in the observation group.The control group received aspirin enteric-coated tablets and simvastatin tablets via oral administration and monosialotetrahexosyl ganglioside sodium via intramuscular injection for 6 weeks continuously,while the observation group additionally received scalp acupuncture 5 days a week for 6 weeks.Before and after treatment, assessed the scores of neurological deficit scale(NDS), Fugl-Meyer assessment scale(FMA),activity of daily living(ADL)and qi deficiency and blood stasis syndrome,and statistically analyzed the clinical effect in both groups.Results:After rank-sum test,the clinical effect in the observation group was better than that in the control group,difference being significant(P < 0.05).After treatment,the scores of NDS and qi deficiency and blood stasis syndrome in both groups were lower than those before treatment(P < 0.05),the scores of ADL and FMA were significantly higher than those before treatment(P < 0.05);each index above in the observation group was improved more significantly than that in the control group(P<0.05).Conclusion:The application of scalp acupuncture combined with ganglioside for ischemic stroke in early and middle stage can promote the recovery of neurological function,enhance the exercise capacity and activity of daily living of patients and alleviate clinical symptoms,which is worthy of clinical application.

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李沙.头针联合神经节苷脂治疗缺血性卒中对早中期神经功能康复的影响[J].新中医,2019,51(10):253-255

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  • 在线发布日期: 2019-10-11
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