摘要
目的探究耳穴压丸联合普通针刺法治疗卒中后平衡障碍临床疗效。方法选择83例卒中后平衡障碍患者为研究对象,按照就诊顺序随机分为对照组与观察组。对照组(n=41)采取常规平衡训练联合毫针针刺治疗,观察组(n=42)在对照组基础上予耳穴埋豆治疗,比较2组治疗有效率、治疗前后步行功能和平衡功能情况、脑血流动力学指数。结果治疗4周后,2组治疗有效率比较无统计学差异(P>0.05);2组Berg平衡量表、Fugl-Meyer量表得分均显著高于治疗前,且观察组Berg平衡量表、Fugl-Meyer量表得分均高于对照组(P<0.05);2组Holden步行能力分级情况较治疗前有显著差异(P<0.05),2组间Holden步行能力分级未见显著差异(P>0.05);2组动脉血流最大峰值(Vs)、平均流速(Vm)均高于治疗前,血管阻力指数(RI)低于治疗前,且观察组治疗后RI显著低于对照组(P<0.05)。治疗期间,2组均未出现疼痛、肠胃不适、头晕等不良反应。结论耳穴压丸联合普通针刺法有助于加快卒中后平衡障碍患者平衡功能恢复,改善脑血流动力学指标,且治疗安全性较高。
Objective To explore the clinical efficacy of the auricular plaster therapy combined with ordinary acupuncture in the treatment of the post-stroke balance disorder.Methods A total of eighty-three patients with the post-stroke balance disorder were selected as the research subjects and randomly divided into control group and observation group according to the order of treatment.The control group(n=41)was treated with the conventional balance training combined with the filiform needle acupuncture,and the observation group(n=42)was treated with the auricular plaster therapy on the basis of the control group.The effective rate,walking function,balance function and cerebral hemodynamic index before and after treatment were compared between the two groups.Results After 4 weeks of treatment,there was no significant difference in the effective rate between the two groups(P>0.05).The scores of the Berg Balance Scale and Fugl-Meyer Scale in the two groups were significantly higher than before treatment,and the scores of the observation group were higher than those of the control group(P<0.05).There was a significant difference in the grading of the Holden walking ability of the two groups compared with before treatment(P<0.05),yet no significant difference between the two groups(P>0.05).The maximum peak value(Vs)and average velocity(Vm)of the arterial blood flow in the 2 groups were higher than before treatment,and the vascular resistance index(RI)was lower than before treatment,and the RI in the observation group was significantly lower than that in the control group after treatment(P<0.05).During treatment,there were no adverse reactions such as pain,gastrointestinal discomfort,and dizziness in the two groups.Conclusion The auricular plaster therapy combined with ordinary acupuncture can help to accelerate the recovery of balance function in patients with balance disorder after stroke,improve the cerebral hemodynamic indexes,and have a high safety.
作者
刘霞
李佩芳
王涛
浦芳
刘辉
罗春梅
LIU Xia;LI Peifang;WANG Tao;PU Fang;LIU Hui;LUO Chunmei(Department of Encephalopathy,the Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230001,China)
出处
《长春中医药大学学报》
2021年第4期807-810,共4页
Journal of Changchun University of Chinese Medicine
基金
安徽省科技攻关计划项目(1604a0802086)。
关键词
耳穴压丸
针刺
脑卒中
平衡障碍
auricular plaster therapy
acupuncture
stroke
balance disorder
作者简介
刘霞(1984-),女,硕士研究生,主治医师,主要从事针药并用治疗脑血管疾病的临床研究;通信作者:李佩芳,男,主任医师,硕士研究生导师,电话-13956955697,电子信箱-lipf67@163.com。
