刘一潼

摘要：目的 探讨早期针灸康复治疗方案对小脑出血术后共济失调患者的临床疗效。方法 将60例于2020年1月-8月收治的小脑出血术后共济失调患者纳入研究，并以电脑随机均分法均分成AB两组。两组均展开内科常规治疗，B组添加早期针灸康复治疗，并对比疗效。结果 B组小脑血肿体积及ICARS评分均少于A组，SF-36评分及临床疗效均高于A组，对比存在统计学意义（P〈0.05）。结论 对小脑出血术后共济失调患者展开早期针灸康复治疗可提升临床疗效及康复速度，值得被推广应用。

关键词：早期针灸康复治疗;小脑出血术;共济失调;临床疗效

[Abstract] Objective To investigate the clinical effect of early acupuncture rehabilitation therapy on ataxia after cerebellar hemorrhage surgery. Methods 60 patients with ataxia after cerebellar hemorrhage surgery from January to August 2020 were included in the study and randomly divided into two groups by computer. Both groups were given routine medical treatment，and group B was given early acupuncture rehabilitation treatment. Results the volume of cerebellar hematoma and icars score of group B were less than those of group A，SF-36 score and clinical efficacy of group B were higher than those of group A，and the comparison was statistically significant（P < 0.05）. Conclusion early acupuncture and moxibustion rehabilitation treatment for patients with ataxia after cerebellar hemorrhage surgery can improve the clinical efficacy and recovery speed，which is worthy of promotion and application.

[Key words] early acupuncture rehabilitation treatment;Cerebellar hemorrhage surgery;Ataxia;Clinical effect

共济失调是神经内科的常见症状，多见于小脑性病变，如小脑占位性病变、小脑出血或小脑肿瘤【1】。而小脑性病变发会导致小脑内血管出现破裂，进而导致血肿，血肿会压迫周围脑组织导致出现小脑功能的受损，如果出血量大会且向前方压迫脑干会导致出现枕骨大孔疝，可以危及生命。针对该疾病需要及时展开手术治疗，并进行术后康复治疗才可积极改善患者预后【2】。而本次纳入研究小脑出血术后共济失调患者60例，并于2020年1月-8月开展医学研究，着重分析早期针灸康复治疗方案的疗效。现将详细内容进行如下报告：

1 资料和方法

1.1一般资料

经院内伦理委员会批准，将60例于2020年1月-8月收治的小脑出血术后共济失调患者纳入研究，并以电脑随机均分法均分成AB两组，且均签署知情文件。同时排除异从性差、随访失联及其他出血原因导致共济失调患者。……