中风后偏瘫患者行针灸推拿联合康复训练治疗的效果分析  

Analysis of the Effect of Acupuncture and Massage Combined with Rehabilitation Training on Hemiplegia Patients after Stroke

作　　者：李子康[1] 张静[1] 陈彩容 LI Zikang;ZHANG Jing;CHEN Cairong(Department of Rehabilitation,the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong Province,510405 China;Department of Rehabilitation,Community Health Service Center,Zhuguang Street,Yuexiu District,Guangzhou,Guangdong Province,510115 China)

机构地区：[1]广州中医药大学第一附属医院康复科,广东广州510405 [2]广州市越秀区珠光街社区卫生服务中心康复科,广东广州510115

出　　处：《中外医疗》2023年第10期189-193,198,共6页China & Foreign Medical Treatment

摘　　要：目的研究中风后偏瘫患者采用中医针灸推拿联合康复训练模式实施治疗的临床效果。方法随机选择2019年10月—2021年10月在广州中医药大学第一附属医院接受治疗的中风后偏瘫患者80例,以治疗方式为依据分成两组,对照组40例,实施常规康复训练治疗;治疗组40例,实施中医针灸推拿联合康复训练治疗。对比两组治疗效果。结果治疗组治疗后步长(51.38±0.75)cm、步频(81.75±1.54)步/h、步速(59.47±5.16)cm/s均显著优于对照组,差异有统计学意义(t=39.501、23.53、5.573,P<0.05);治疗组神经功能相关指标治疗后优于对照组,差异有统计学意义(P<0.05);治疗组肢体活动能力评分(83.47±5.16)分、生活能力评分(90.38±7.86)分、神经功能缺损程度评分(6.34±0.86)分优于对照组,差异有统计学意义(t=8.822、5.287、10.181,P<0.05);治疗组病情控制总有效率(90.00%)高于对照组,差异有统计学意义(χ^(2)=6.050,P<0.05);治疗组不良反应少于对照组,差异有统计学意义(P<0.05);治疗组治疗总时间短于对照组,差异有统计学意义(P<0.05);治疗组对治疗方案及效果满意度高于对照组,差异有统计学意义(P<0.05)。结论中风后偏瘫患者采用中医针灸推拿联合康复训练模式实施治疗,能够帮助改善步长、步频、步速、神经功能以及患者肢体活动能力、生活能力,降低不良反应发生率,缩短治疗时间,使病情控制效果和满意度得到同步提升。Objective To study the clinical effect of TCM acupuncture and massage combined with rehabilitation training for hemiplegia patients after stroke.Methods A total of 80 patients with post-stroke hemiplegia who were treated in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from October 2019 to October 2021 were randomly selected.Based on the treatment methods,they were divided into two groups,40 cases in the control group were treated with routine rehabilitation training;40 cases in the treatment group were treated with traditional Chinese medicine acupuncture and moxibustion,massage and rehabilitation training.The treatment effects of the two groups were compared.Results After treatment,the step length(51.38±0.75)cm,step frequency(81.75±1.54)step/h,and step speed(59.47±5.16)cm/s in the treatment group were significantly better than those in the control group,and the difference was statistically significant(t=39.501,23.532,5.573,P<0.05).The neurological function related indicators in the treatment group were better than those in the control group after treatment,and the difference was statistically significant(P<0.05);the limb activity score(83.47±5.16)points,life ability score(90.38±7.86)points,and neurological function defect score(6.34±0.86)points in the treatment group were better than those in the control group,and the difference was statistically significant(t=8.822,5.287,10.181,P<0.05).The total effective rate of disease control in the treatment group(90.00%)was higher than that in the control group,and the difference was statistically significant(χ^(2)=6.050,P<0.05).The adverse reactions in the treatment group were less than those in the control group,and the difference was statistically significant(P<0.05).The total treatment time in the treatment group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction of the treatment group with the treatment plan and effect was higher than that of the control g

关 键 词：中风 偏瘫 针灸 推拿 康复训练 肢体活动能力、神经功能 

分 类 号：R246.6[医药卫生—针灸推拿学]