| 引用本文: |
朱创业,余强,张晓聪.针刺联合通窍活血加减方对颅脑外伤患者术后神经功能、肢体运动功能及社会利用度的影响[J].湖南中医药大学学报,2018,38(10):1204-1207[点击复制] |
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| 针刺联合通窍活血加减方对颅脑外伤患者术后神经功能、肢体运动功能及社会利用度的影响 |
| 朱创业,余强,张晓聪 |
| (夹江县中医医院神经外科, 四川 夹江 614100) |
| 摘要: |
| 目的 观察针刺联合通窍活血加减方对颅脑外伤术后患者神经功能、肢体运动功能及社会支持度的影响。方法 选取本院住院治疗的颅脑外伤外科手术后患者100例，按随机数字表法分为观察组（针刺联合通窍活血方治疗组）和对照组（常规康复治疗组），每组各50例。对照组采用常规康复治疗方法，观察组在对照组的基础上增加针刺配合通窍活血加减方治疗。观察治疗前后两组患者的神经功能缺损评分（NIHSS评分）、Fugl-Meyer运动功能积分（FMA评分）及日常生活能力（Barthel ADL指数），对比治疗后两组患者的社会支持度。结果 （1）治疗后，两组患者NIHISS评分较治疗前下降，FMA评分及Barthel指数较治疗前升高，差异均有统计学意义（P<0.05）；且观察组NIHISS评分低于对照组，FMA评分及Barthel指数高于对照组（P<0.05）。（2）治疗后，观察组患者的社会支持度各方面（包括主观支持、客观支持、支持利用度）和总分均高于对照组，差异有统计学意义（P<0.05）。结论 在常规康复治疗基础上加用针刺联合通窍活血加减方可以显著改善颅脑外伤术后患者神经功能、肢体运动功能及社会支持度，且效果优于单纯采用常规康复治疗。 |
| 关键词: 颅脑外伤 术后 针刺 通窍活血方 NIHSS评分 FMA评分 Barthel ADL指数 社会支持度 |
| DOI：10.3969/j.issn.1674-070X.2018.10.025 |
| 投稿时间：2018-06-22 |
| 基金项目:四川省卫生和计划生育委员会资助项目（120332）。 |
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| Effects of Acupuncture Combined with Modified Tongqiao Huoxue Decoction on Postoperative Neurological Function, Limb Motor Function, and Social Support in Patients with Traumatic Brain Injury |
| ZHU Chuangye,YU Qiang,ZHANG Xiaocong |
| (Department of Neurosurgery, Jiajiang Hospital of Traditional Chinese Medicine, Jiajiang, Sichuan 614100, China) |
| Abstract: |
| Objective To observe the effects of acupuncture combined with modified Tongqiao Huoxue Decoction on postoperative neurological function, limb motor function, and social support in patients with traumatic brain injury. Methods One hundred postoperative hospitalized patients with traumatic brain injury were enrolled and divided into two groups using a random number table:observation group (treated by acupuncture combined with Tongqiao Huoxue Decoction, 50 cases) and control group (treated by conventional rehabilitation, 50 cases). The control group received conventional rehabilitation therapy, while the observation group received acupuncture and Tongqiao Huoxue Decoction in addition to the conventional rehabilitation therapy. The National Institutes of Health Stroke Scale (NIHSS) score, Fugl-Meyer Assessment (FMA) score, and Barthel Activities of Daily Living (ADL) index were collected before and after treatment to evaluate the social support of the two groups. Results (1) After treatment, both groups showed a significant reduction in NIHISS score and significant increases in FMA score and Barthel index (P<0.05); the observation group had a significantly lower NIHISS score and significantly higher FMA score and Barthel index compared with the control group (P<0.05). (2) After treatment, all aspects of social support (subjective support, objective support, and the degree of support utilization) and the total score of the observation group were significantly higher than those of the control group (P<0.05). Conclusion Conventional rehabilitation therapy combined with acupuncture and modified Tongqiao Huoxue Decoction can significantly improve postoperative neurological function, limb motor function, and social support in patients with traumatic brain injury, and is more effective than conventional rehabilitation therapy alone. |
| Key words: traumatic brain injury postoperative acupuncture Tongqiao Huoxue Decoction NIHSS FMA Barthel ADL index social supportindex social support |
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