针刺联合康复训练治疗缺血性中风疗效分析  

Clinical Efficacy of Acupuncture Combined with Rehabilitation Training in Treatment of Ischemic Stroke

作　　者：王涛[1] 刘琨 李佩芳[1] 孙培养[1] 吴杰[1] 刘辉[1] WANG Tao;LIU Kun;LI Peifang;SUN Peiyang;WU Jie;LIU Hui(The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230000,Anhui,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230000

出　　处：《中华中医药学刊》2021年第8期215-218,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：安徽省自然科学基金(2008085QH392);安徽省中医药领军人才(中医药发展秘[2018]23);安徽中医药大学自然科学基金(2020efyzc01)。

摘　　要：目的探讨针刺联合康复训练治疗缺血性中风的临床疗效分析。方法将2015年1月—2020年11月在医院治疗的60例缺血性中风患者随机分为两组,每组各30例,均给予常规药物治疗,在此基础上,对照组进行康复训练治疗,观察组进行针刺联合康复训练治疗,对比两组的临床疗效,神经功能、运动功能以及日常生活能力变化,肌张力变化,脑血流变化,整体功能状态。结果观察组治疗后总有效率为93.33%(28/30),显著高于对照组治疗后的73.33%(22/30)(P<0.05);观察组治疗后,进行NIHSS量表评定,发现评分显著低于对照组,同时进行FMA量表、ADL量表评定,结果发现评分显著高于对照组(P<0.05);观察组治疗后改良Ashworth痉挛评定量表评分中,患侧上肢的腕屈肌、肘屈肌,患侧下肢的踝屈肌、膝伸肌的评分均低于对照组(P<0.05);观察组治疗后大脑前动脉、后动脉、中动脉的血流速度明显快于对照组(P<0.05);观察组治疗后,进行SIAS量表评定,发现在肢体运动功能、肌张力、躯干平衡、感觉、健侧肢体功能方面评分显著高于对照组(P<0.05)。结论针刺联合康复训练治疗缺血性中风的临床疗效显著,能增加脑血流量,促进神经功能的修复,改善肢体运动能力和日常生活能力,减轻肢体痉挛,提高整体功能状态,具有积极的临床意义。Objective To explore the clinical efficacy of acupuncture combined with rehabilitation training in the treatment of ischemic stroke. Methods Sixty patients with ischemic stroke treated in our hospital from January 2015 to November 2020 were randomly divided into two groups, 30 cases in each group, and were given conventional medication. On this basis, the control group was given rehabilitation training treatment. The observation group was treated with acupuncture combined with rehabilitation training. The clinical effects of the two groups were compared. The changes in nerve function, motor function, activities of daily living, muscle tension, cerebral blood flow and overall functional status were compared. Results The total effective rate after treatment in the observation group was 93.33%(28/30), which was significantly higher than 73.33%(22/30) after treatment in the control group(P<0.05). After treatment in the observation group, the NIHSS scale was evaluated and it was found that the score was significantly lower than that in the control group. FMA scale and ADL scale evaluation showed that the scores were significantly higher than those of the control group(P<0.05). In the modified Ashworth Spasticity Rating Scale scores of the observation group after treatment, the flexor carpi and elbow flexor of the affected upper extremity were on the affected side. The scores of the ankle flexors and knee extensors of the lower limbs were lower than those of the control group(P<0.05). The blood flow velocity of the anterior cerebral artery, posterior artery and middle artery of the observation group after treatment was significantly faster than that of the control group(P<0.05). After treatment, the observation group was evaluated by SIAS scale, and it was found that the scores of limb motor function, muscle tension, trunk balance, sensation and healthy side limb function were significantly higher than those of the control group(P<0.05). Conclusion Acupuncture combined with rehabilitation training has a significant cli

关 键 词：针刺 康复训练 缺血性中风 临床疗效 神经功能 运动功能 日常生活活动能力 脑血流 

分 类 号：R245.3[医药卫生—针灸推拿学] R255.2[医药卫生—中医临床基础]