脑卒中痉挛性偏瘫采用温针灸治疗的疗效分析  

Efficacy Analysis of Warm Acupuncture and Moxibustion in the Treatment of Spastic Hemiplegia after Cerebral Apoplexy

作　　者：李淑敏 LI Shumin(Department of Traditional Chinese Medicine,Guangdong Industrial Injury Rehabilitation Hospital,Guangzhou,Guangdong Province,510440 China)

机构地区：[1]广东省工伤康复医院中医科,广东广州510440

出　　处：《中外医疗》2022年第17期188-191,共4页China & Foreign Medical Treatment

摘　　要：目的分析脑卒中痉挛性偏瘫采用温针灸治疗的疗效。方法随机选取广东省工伤康复医院收治的脑卒中痉挛性偏瘫患者52例进行观察,时间控制在2020年10月—2021年10月之间。将所有纳入研究者按照随机抽签分组法分为两个不同小组,对照组26例患者应用常规方式治疗,研究组26例患者在常规方式治疗基础上使用温针灸治疗。分析不同组别脑卒中痉挛性偏瘫患者治疗后的痉挛情况、肢体运动能力、生活质量情况、自理能力、临床疗效。结果在对脑卒中痉挛性偏瘫患者进行治疗后,研究组患者的上肢痉挛情况为(1.72±0.81)分、下肢痉挛情况为(8.06±1.49)分均轻于对照组,差异有统计学意义(t=2.083、6.899,P<0.05);研究组患者的肢体运动能力为(69.46±3.52)分、生活质量情况为(70.06±3.74)分、自理能力为(69.57±3.58)分均优于对照组,差异有统计学意义(t=4.273、4.542、4.301,P<0.001);研究组患者的临床疗效为96.15%高于对照组的69.23%,差异有统计学意义(χ^(2)=4.837,P=0.027)。结论在对脑卒中痉挛性偏瘫患者进行治疗时,使用温针灸治疗能够减轻患者痉挛情况,恢复患者肢体运动能力,改善生活状态,增强自理能力,提高临床疗效,建议研究使用。Objective To analyze the curative effect of warm acupuncture and moxibustion in the treatment of spastic hemiplegia after stroke.Methods A total of 52 stroke patients with spastic hemiplegia treated in Guangdong Industrial Injury Rehabilitation Hospital were randomly selected for observation,and the time was controlled between October 2020 and October 2021.All the included researchers were divided into two different groups according to random drawing,26 patients in the control group were treated with conventional methods,and 26 patients in the research group were treated with warm acupuncture and moxibustion on the basis of conventional treatment.The spasticity,limb movement ability,quality of life,self-care ability and clinical efficacy of different groups of stroke patients with spastic hemiplegia after treatment were analyzed.Results After the treatment of stroke patients with spastic hemiplegia,the upper limb spasticity and lower limb spasticity of the study group were(1.72±0.81)points and(8.06±1.49)points were both lighter than those of the control group,the difference was statistically significant(t=2.083,6.899,P<0.05);the limb movement ability of the patients in the study group was(69.46±3.52)points,the quality of life was(70.06±3.74)points,and the self-care ability was(69.57±3.58)points,which were all better than those in the control group,the difference was statistically significant(t=4.273,4.542,4.301,P<0.001);the clinical efficacy of the patients in the study group was 96.15%higher than that in the control group 69.23%,the difference was statistically significant(χ^(2)=4.837,P=0.027).Conclusion In the treatment of stroke patients with spastic hemiplegia,the use of warm acupuncture therapy can reduce the spasticity of the patients,restore the patient´s limb movement ability,improve the living state,enhance the self-care ability,and improve the clinical efficacy.It is recommended for research and use.

关 键 词：脑卒中 痉挛性偏瘫 温针灸 自理能力(ADL) 

分 类 号：R246[医药卫生—针灸推拿学]