针灸及功能锻炼对脑卒中瘫痪恢复期疗效及脑血流、功能恢复的影响分析  

Effect Analysis of Acupuncture and Functional Exercise on Cerebral BloodFlow and Functional Recovery in Recovery Period ofCerebral Apoplexy Paralysis

作　　者：曾丽燕 ZENG Liyan(Liangjiang New Area The Second People's Hospital,Chongqing 401120)

机构地区：[1]重庆市两江新区第二人民医院,重庆401120

出　　处：《智慧健康》2023年第1期52-55,共4页Smart Healthcare

摘　　要：目的 研究针灸功能锻炼对脑卒中瘫痪恢复期患者的临床疗效以及脑血流、功能康复的影响效果。方法 选取2018年7月-2020年7月本院收治的60例脑卒中瘫痪患者,按照随机数字表法分组,对照组患者采用常规功能康复训练,观察组患者在此基础上,应用针灸干预。比较两组患者的肌力恢复情况,干预前后的生活能力、髋关节活动度、膝关节活动度、上肢功能评分,干预满意度,大脑前动脉、中动脉、后动脉的平均血流速度。结果 观察组患者的肌力恢复总有效率高于对照组患者(P<0.05);干预后,观察组患者的干预满意度为96.7%,对照组患者的干预满意度为73.3%(P<0.05);干预前,观察组患者和对照组患者的生活能力、髋关节活动度、膝关节活动度评分以及上肢功能评分比较无明显差异(P>0.05),干预后,观察组患者的生活能力、髋关节活动度、膝关节活动度评分以及上肢功能评分明显优于对照组(P<0.05);干预前,两组患者的血流速度比较无明显差异(P>0.05),干预后,观察组患者的血流速度均高于对照组患者(P<0.05)。结论 脑卒中瘫痪患者于恢复期采用针灸和功能锻炼进行干预,能够有效提升临床疗效,改善脑血流以及各功能,影响效果明显,值得推广。Objective To study clinical effect of acupuncture and functional exercise on cerebral blood flow and functional rehabilitation for patients with cerebral apoplexy at recovery stage.Methods The paper chose 60 patients with cerebral apoplexy paralysis admitted to our hospital from July 2018 to July 2020,and divided them into groups according to random number table method.Control group was treated with routine functional rehabilitation training,observation group with acupuncture intervention on above basis.Muscle strength recovery;living ability scores,hip joint range of motion,knee joint range of motion and upper limb function before and after intervention;intervention satisfaction degree;average blood flow velocity of anterior cerebral artery,middle cerebral artery and posterior cerebral artery;changes of serum basic fibroblast growth factor and vascular endothelial growth factor were compared between two groups.Results Total effective rate of muscle strength recovery in observation group was higher than control group(P<0.05).After intervention,intervention satisfaction degree in observation group was 96.7%,that of control group was 73.3%(P<0.05).Before intervention,scores of living ability,hip joint motion range,knee joint motion range and upper limb function between observation group and control group comparison showed(P>0.05).After intervention,scores of living ability,hip joint motion range,knee joint motion range and upper limb function in observation group were significantly better than control group(P<0.05).Before intervention,blood flow velocity between two groups comparison showed(P>0.05).After intervention,blood flow velocity observation group was higher than control group(P<0.05).Before intervention,there was no significant difference between two groups in serum levels of basic fibroblast growth factor and vascular endothelial growth factor(P>0.05).Conclusion Acupuncture and functional exercise can improve clinical effect,cerebral blood flow and various functions effectively of patients with cerebral ap

关 键 词：针灸 功能锻炼 脑卒中瘫痪 临床疗效 脑血流 肢体功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]