针刺结合运动康复治疗急性脑卒中偏瘫临床观察  

Acupuncture Combined with Exercise Rehabilitation in the Treatment of Acute Stroke Hemiplegia

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作  者:廖曼子 邱慧静 吕素文 LIAO Manzi;QIU Huijing;LYU Suwen(Department of Acupuncture Rehabilitation,Xingguo County Hospital of Traditional Chinese Medicine,Jiangxi Province,Ganzhou 342400,China)

机构地区:[1]江西省兴国县中医院针灸康复科,江西赣州342400

出  处:《中国中医药现代远程教育》2024年第18期126-128,共3页Chinese Medicine Modern Distance Education of China

摘  要:目的研究针刺结合运动康复治疗急性脑卒中偏瘫的临床效果。方法选择2021年12月—2022年12月就诊于江西省兴国县中医院的急性脑卒中偏瘫患者120例,采用随机数字表法分为对照组和观察组,各60例。对照组予运动康复治疗,观察组在对照组基础上予针刺治疗,均持续治疗1个月,比较两组治疗前后的神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、肢体功能(Fugl-Meyer运动功能评分量表评分)、生活质量[生活质量综合评定问卷-74(GQOL-74)评分]。结果治疗后,两组患者的NIHSS评分均下降,Fugl-Meyer评分、GQOL-74评分均上升,且观察组NIHSS评分低于对照组,Fugl-Meyer评分、GQOL-74评分高于对照组,差异均有统计学意义(P<0.05)。结论针刺结合运动康复治疗急性脑卒中偏瘫有较好的临床效果,可显著提升患者神经功能、肢体功能,帮助其尽快恢复日常生活能力,值得推广应用。Objective To study the clinical effect of acupuncture combined with exercise rehabilitation on acute stroke patients with hemiplegia.Methods A total of 120 patients with acute stroke hemiplegia admitted to Xingguo County Hospital of Traditional Chinese Medicine from December 2021 to December 2022 were selected and divided into control group and observation group by random number table method,with 60 cases in each group.The control group received exercise rehabilitation treatment,and the observation group received acupuncture treatment on the basis of the control group.Both groups received continuous treatment for 1 month.The neurological function(NIHSS),Fugl-Meyer limb function and quality of life score(GQOL-74)of the two groups were compared before and after treatment.Results After 1 month of treatment,the NIHSS score of 2 groups was decreased,and the Fugl-Meyer score and GQOL-74 were increased,with statistical significance(P<0.05).The NIHSS of the observation group was lower than that of the control group,and the Fugl-Meyer score and GQOL-74 were higher than those of the control group,and the difference was statistical significance(P<0.05).Conclusion Acupuncture combined with exercise rehabilitation in the treatment of acute stroke hemiplegia has good clinical effect,can significantly improve the neurological function and limb function of patients,help patients to recover the ability of daily life as soon as possible,and is worthy of popularization and application.

关 键 词:偏枯 急性脑卒中 偏瘫 针刺疗法 运动康复治疗 中医外治法 

分 类 号:R743.3[医药卫生—神经病学与精神病学]

 

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