针药并用联合康复训练治疗脑梗死后遗症的效果  

Efficacy of Acupuncture and Medicine Combined Rehabilitation Training to Treat the Sequelae of Cerebral Infarction

作　　者：林小梅[1] 黄慧[1] 邱斐 陈荷清 林正坤 何剑全[1] 李明余 陈健[1] LIN Xiaomei;HUANG Hui;QIU Fei;CHEN Heqing;LIN Zhengkun;HE Jianquan;LI Mingyu;CHEN Jian(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,China;不详)

机构地区：[1]厦门大学附属中山医院,福建厦门361004

出　　处：《中外医学研究》2022年第9期165-170,共6页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省临床重点专科建设项目(050144)。

摘　　要：目的:探究针药并用联合康复训练治疗脑梗死后遗症的临床效果评价。方法:选取2019年4月-2021年5月厦门大学附属中山医院康复医学科收治的96例脑梗死后遗症患者作为研究对象,运用随机数表法将患者随机分成针药组和对照组,每组48例。对照组予常规康复训练,针药组在此基础上予补阳还五汤加减配合针刺回阳九针穴,14 d为1个疗程。以治疗总有效率、改良Barthel指数(MBI)及简化Fugl-Meyer运动功能评分(FMA)为疗效指标。结果:针药组治疗总有效率为97.92%,高于对照组的87.50%;针药组MBI评分为(56.38±6.76)分,高于对照组的(53.14±6.85)分;针药组上、下肢的FMA评分分别为(37.29±6.34)分和(24.69±4.38)分,高于对照组的(31.48±4.27)、(22.34±4.62)分,差异均有统计学意义(P<0.05)。结论:针药并用联合康复训练治疗脑梗死后遗症较单纯西医康复方案,更能获得确切疗效,有助于改善肢体功能,提高生活质量。Objective:To evaluate the clinical efficacy of acupuncture and medicine combined rehabilitation training to treat the sequelae of cerebral infarction.Method:A total of 96 patients with cerebral infarction admitted to the department of rehabilitation medicine of Zhongshan Hospital Affiliated to Xiamen University from April 2019 to May 2021 were selected as the study subjects,and were randomly divided into acupuncture medicine group and control group by using random number table method,with 48 patients in each group.The control group was given routine rehabilitation training,and on this basis,the acupuncture medicine group was given Buyang Huanwu Decotion modified and acupuncture Huiyang Jiuzhen acupoint,14 days was a course of treatment.Total treatment efficiency,modified Barthel index (MBI) and simplified Fugl-Meyer motor function score (FMA) were used as efficacy indicators.Result:After treatment,the total treatment efficiency of in the acupuncture medicine group was 97.92%,which was higher than 87.50% in the control group;the MBI score was (56.38±6.76) points in the acupuncture medicine group,which was higher than (53.14±6.85) points in the control group;the FMA scores of upper and lower limbs in the acupuncture medicine group were (37.29±6.34) and (24.69±4.38) points,which were higher than (31.48±4.27) and (22.34±4.62) points in the control group,respectively,the differences were statistically significant (P<0.05).Conclusion:Acupuncture and medicine combined rehabilitation training to treat the sequelae of cerebral infarction compared with the simple western medicine rehabilitation program,which obtains the exact curative effect and helps to improve limb function and quality of life.

关 键 词：脑梗死后遗症 针药治疗 康复训练 总有效率 改良BARTHEL指数 简化Fugl-Meyer运动功能评分 

分 类 号：R743.33[医药卫生—神经病学与精神病学]