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30 d。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。
Objective To investigate the intervention effect of brain reflexotherapy on ataxia after cerebellar stroke.Methods A total of 65 patients with cerebellar stroke admitted in Liaocheng Traditional Chinese Medicine Hospital from March 2018 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 observation 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 function scale(BBS)was used to evaluate the balance function;the Barthel Index(BI)was usedto evaluate 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 than 28.13%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.
作者
王爱芳
WANG Ai-fang(Liaocheng Traditional Chinese Medicine Hospital,Liaocheng 252300,Shandong,China)
出处
《慢性病学杂志》
2020年第3期341-343,共3页
Chronic Pathematology Journal
关键词
脑反射治疗
小卒中
共济失调
临床疗效
Brain reflexotherapy
Cerebellar stroke
Ataxia
Clinical efficacy
