《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (06): 542-543.

• 临床研究 • 上一篇    下一篇

头皮针对脑卒中康复期患者认知与运动功能障碍疗效观察

谢冬玲; 朱丽芳; 刘惠宇; 陈俊斌; 曾春英; 王素霞; 李劲   

  1. 汕头大学医学院附属粤北人民医院康复医学科,广东韶关市 512026
  • 收稿日期:2007-02-07 出版日期:2007-06-01 发布日期:2007-06-01

Effect of Scalp Acupuncture on Cognitive and Motor Functions of Stroke Patients in Recovery Stage

XIE Dong-ling, ZHULi-fang,LIU Hui-yu, et al   

  1. The Department of Rehabilitation Medicine, Yuebei People's Hospital, Shaoguan 512026, Guangdong, China
  • Received:2007-02-07 Published:2007-06-01 Online:2007-06-01

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被引次数

82

摘要： 目的观察头皮针治疗对脑卒中康复期患者认知功能与运动功能障碍的疗效。方法将80例有认知障碍的脑卒中康复期患者随机分为头针组(n=41)和对照组(n=39)。两组患者均予神经内科常规治疗及康复训练,头针组在此基础上进行头皮针治疗。治疗前及治疗3个月后采用事件相关电位P300潜伏期和波幅测定、Fugl-Meyer运动功能积分(FMA)、Barthel指数(BI),分别对患者进行认知功能、运动功能和日常生活活动(ADL)能力评定。结果治疗后,P300潜伏期头针组平均缩短38ms,对照组平均缩短17ms,头针组改善幅度优于对照组(P<0.05);FMA及BI评分头针组改善幅度亦优于对照组(P<0.05)。结论头皮针能有效改善脑卒中康复期患者的认知功能,促进运动功能和ADL能力的恢复。

关键词: 脑卒中, 认知障碍, 头皮针, 事件相关电位

Abstract: Objective To observe the effect of scalp acupuncture on cognitive and motor functions of stroke patients in recovery stage.Methods80 stroke patients with cognitive disorder were randomly divided into the scalp acupuncture group (n=41) and control group (n=39). All patients of two groups were treated with routine therapy and rehabilitation training, but the cases of the scalp acupuncture group were added with scalp acupuncture. The cognitive function, motor function and activities of daily living (ADL) of all patients were assessed by delitescence and amplitude of event-related potential (ERP) P300, Fugl-Meyer Assessment (FMA), Barthel Index (BI) respectively before and 3 months after treatment.ResultsAfter treatment, P300 delitescence of the patients in the scalp acupuncture group shorten to 38 ms in average while in the control group shorten only to 17 ms, the therapeutic effect of the scalp acupuncture group was superior to that of the control group ( P<0.05). The scores of FMA and BI of the patients in the scalp acupuncture group were also better than those in the control group ( P<0.05).ConclusionScalp acupuncture can efficiently improve the cognitive function of stroke patients in the recovery stage, and promote the recovery of motor function and ADL.

Key words: stroke, cognitive disorder, scalp acupuncture, event-related potential