不同针刺频次治疗脑梗死恢复期偏瘫患者的效果  

The result of treatment cerebral infarction convalescence hemiplegia patients by different acupuncture frequency

作　　者：袁红玲[1] 袁银萍 谢金金[3] YUAN Hongling, YUAN Yinping2, XIE Jinjin,(1.Department of Rehabilitation, Xiaolan People＇s Hospital of Zhongshan, Cuangdong Province, Zhongshan 528415, China; 2.Department of Orthopedics, Xiaolan People＇s Hospital of Zhongshan, Cuangdong Province, Zhongshan 528415, China; 3.Department of Pediatrics, Xiaolan People＇s Hospital of Zhongshan, Cuangdong Province, Zhongshan 528415, Chin)

机构地区：[1]广东省中山市小榄人民医院康复科,广东中山528415 [2]广东省中山市小榄人民医院骨科,广东中山528415 [3]广东省中山市小榄人民医院儿科,广东中山528415

出　　处：《中国医药导报》2018年第11期123-126,共4页China Medical Herald

摘　　要：目的探讨不同针刺频次治疗脑梗死恢复期偏瘫患者的效果。方法回顾性分析中山市小榄人民医院2014年4月~2017年4月收治的90例脑梗死恢复期偏瘫患者的临床资料,依据治疗方式不同进行分组,对照组(日针刺1次)45例和观察组(日针刺2次)45例。两组患者均连续治疗4个疗程,观察两组患者治疗前后日常生活能力量表(ADL)积分、神经功能缺损程度评分、肌张力评分、全血黏度、血浆黏度和红细胞压积情况;观察两组患者临床治疗总有效率、不良反应发生率情况。结果两组患者治疗前ADL积分、神经功能缺损程度评分、肌张力评分、全血黏度、血浆黏度和红细胞压积比较,差异无统计学意义(P>0.05);两组患者治疗后ADL积分均高于治疗前,神经功能缺损程度评分、肌张力评分、全血黏度、血浆黏度和红细胞压积均低于治疗前,观察组患者治疗后ADL积分高于对照组,神经功能缺损程度评分、肌张力评分、全血黏度、血浆黏度和红细胞压积均低于对照组,观察组患者临床治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者恶心、腹泻、便秘、头痛发生率比较,差异无统计学意义(P>0.05)。结论日针2次治疗脑梗死恢复期偏瘫患者,可以更好地改善患者神经功能和肌张力,提高生活能力,降低血液黏度,提高临床疗效,值得临床推广应用。Objective To approach result of treatment cerebral infarction convalescence hemiplegia patients by different acupuncture frequency. Methods The clinical data of 90 cases with cerebral infarction convalescence hemiplegia in Xiaolan People′s Hospital of Zhongshan from April 2014 to April 2017 were retrospectively analyzed, which was to be divided into two groups by different treatment method. Control group（acupuncture 1 time/d） 45 cases and detection group（acupuncture 2 times/d） 45 cases. Continue treatment of 4 courses were carried out in two groups, the ADL score, nerve function defect degree score, muscular tension score, whole blood viscosity, plasma viscosity and red cell pressure product of two groups before treatment and after treatment were detected, the clinical treatment total effectiveness, adverse reactions rate of two group were detected. Results The ADL score, nerve function defect degree score, muscular tension score, whole blood viscosity, plasma viscosity and red cell pressure product of two groups before treatment had no statistically significant difference（P〉0.05）. The ADL score of two groups after treatment was higher than before treatment, the nerve function defect degree score, muscular tension score, whole blood viscosity, plasma viscosity and red cell pressure product were lower than before treatment, the ADL score of the detection group after treatment were higher than those of the control group, the nerve function defect degree score, muscular tension score, whole blood viscosity, plasma viscosity and red cell pressure product were lower than control group, the clinical treatment total effec tiveness of detection group was higher than those of the control group, the differences were statistical significance（P〈0.05）. Nausea, diarrhea, constipation, headache rate of two groups had no statistically significant difference（P〉0.05）.Conclusion Acupuncture 2 times/d can improve nerve function and muscular tension of patients with cerebral infarction convalescence hemipl

关 键 词：不同针刺频次 脑梗死 恢复期 偏瘫 

分 类 号：R743.33[医药卫生—神经病学与精神病学]