|本期目录/Table of Contents|

[1]王爱芳.脑反射治疗对小脑卒中后共济失调的干预效果[J].慢性病学杂志,2020,21(03):341-343.
 WANGAi-fang.Intervention effect of brain reflexotherapy on ataxia after cerebellar stroke[J].,2020,21(03):341-343.
点击复制

脑反射治疗对小脑卒中后共济失调的干预效果

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年03期
页码:
341-343
栏目:
论 著
出版日期:
2020-03-28

文章信息/Info

Title:
Intervention effect of brain reflexotherapy on ataxia after cerebellar stroke
作者:
王爱芳
聊城市中医院,山东 聊城 2523000
Author(s):
WANGAi-fang
LiaochengTraditionalChinese MedicineHospital,Liaocheng252300,Shandong,China Correspondingauthor: WANGAi-fang,E-mail:waf1028@126.com
关键词:
脑反射治疗小卒中共济失调临床疗效
Keywords:
Brain reflexotherapy Cerebellar stroke Ataxia Clinical efficacy
分类号:
R743.3
DOI:
-
摘要:
目的 探讨脑反射治疗对小脑卒中后共济失调的干预效果。方法 选取聊城市中医院2018年3月— 2019年3月收治的65例小脑卒中患者,随机分为观察组(33例)和对照组(32例)。对两组患者均实施常规药 物、针灸、Frenkel训练治疗,在此基础上,观察组33例患者实施脑反射治疗,治疗时间为30d。对比两组患者 治疗前后的疗效,采用世界精神病联合会国际合作共济失调量表(ICARS)评估并比较两组共济失调程度,采用 平衡功能量表(BBS)评估并比较两组平衡功能,采用BI评分评估并比较两组生活自理能力,观察并比较两组临 床疗效和并发症发生情况。结果 治疗后,观察组ICARS评分低于对照组,BI和BBS评分均高于对照组,差 异均有统计学意义(P<0.05)。观察组治疗总有效率为93.94%,高于对照组的90.62%,差异有统计学意义(P< 0.05)。观察组并发症总发生率为12.12%,低于对照组的28.13%,差异有统计学意义(P<0.05)。结论 脑反射 治疗小脑卒中后共济失调疗效显著,可有效改善患者自理能力,降低并发症发生情况。
Abstract:
Objective To investigate the intervention effect of brain reflexotherapy on ataxia after cere-bellar stroke. Methods A total of65 patients with cerebellar stroke admitted in Liaocheng Traditional Chinese Medicine Hospital from March2018 to March 2019 were selected and randomly divided into two groups, 33 patients in the observation group and 32 patients in the control group. Both groups were treated with routine drugs, acupuncture, and Frenkel training. On this basis,33 patients in the ob-servation group were treated with brain reflex for 30 days. The International Cooperative Ataxia Scale (ICARS)of the World Psychiatric Federation was used to estimate severity of ataxia; the balance func-tion scale(BBS)was used to evaluate the balance function; the Barthel Index(BI)was usedto evalu-ate the self-care ability. The clinical efficacy and complications of the two groups were observed and compared. Results After treament, the ICARS score in the observation group was lower than that in the control group, and the BI and BBS scores were higher than those in the control group, and the difference was statistically significant(P<0.05). The total effective rate of treatment in the observation group was 93.94%, which was higher than that in the control group(90.62%)(P<0.05). The total incidence of complications in the observation group was 12.12%, which was lower than28.13% in the control group(P<0.05).Conclusion Brain reflexotherapy is effective in treating ataxia after cerebellar stroke. It can improve the patient’s self-care ability and reduce the occurrence of complications.

参考文献/References:

[1] 兰思杨,王春琛,王麟鹏,等.针药结合治疗常染色体显性遗传脊 髓小脑性共济失调汉族家系4例[J].中国针灸,2019,39(6):597-598. [2] 郭川,王瑾,李向哲,等.动态矫正衣结合常规康复训练对小脑卒 中共济失调患者平衡及步行能力的影响[J].中国康复医学杂志, 2018,33(11):1290-1294. [3] 姜兆彩,郭春杰,罗珅,等.脑干小脑卒中后肥大性下橄榄核变性5 例临床特点[J].中国神经精神疾病杂志,2018,44(8):482-485. [4] 杨珺,彭涛,魏海棠,等.小卒中后静态平衡功能和稳定极限范围 的临床研究[J].中国康复医学杂志,2018,33(2):220-222. [5] 李敏,刘苗苗,苏静,等.头针电刺激合康复训练治疗小脑卒中共 济失调临床研究[J].中国中医基础医学杂志,2017,23(4):532-534,576. [6] 袁英,吴东宇,汪洁,等.经颅直流电刺激改善小脑卒中后共济失 调的疗效观察[J].中国康复医学杂志,2014,29(7):666-668. [7] 邓红琼,郭鹏,李超.卒中后共济失调综合康复训练法治疗37例小 脑卒中患者临床观察[J].中国老年学杂志,2011,31(8):1335-1337. [8] 张丽娟,王飞,史艳,等.梅花针叩刺夹脊穴联合康复训练治疗小 脑卒中共济失调:随机对照研究[J].中国针灸,2016,36(2):131-134. [9] 袁英,汪洁,吴东宇,等.经颅直流电刺激改善卒中后共济失调型 吞咽障碍的疗效观察[J].中国康复医学杂志,2015,30(8):765-770.

备注/Memo

备注/Memo:
作者简介:王爱芳,硕士研究生,主治医师,研究方向: 脑血管病,血管性痴呆 通信作者:王爱芳,E-mail:waf1028@126.com
更新日期/Last Update: 2020-03-28