早期针灸治疗对急性脑梗死后偏瘫患者的康复作用  

Rehabilitation Effect of Early Acupuncture and Moxibustion Treatment on Patients With Hemiplegia After Acute Cerebral Infarction

作　　者：梁琪 张泮 练镇飑 LIANG Qi;ZHANG Pan;LIAN Zhenbiao(Rehabilitation Medicine Center,Yangchun People's Hospital,Yangchun Guangdong 529600,China;Department of Neurosurgery,Yangchun People's Hospital,Yangchun Guangdong 529600,China)

机构地区：[1]阳春市人民医院康复医学中心,广东阳春529600 [2]阳春市人民医院神经外科,广东阳春529600

出　　处：《中国卫生标准管理》2025年第1期144-147,共4页China Health Standard Management

摘　　要：目的探讨早期针灸治疗在急性脑梗死后偏瘫患者康复中的价值。方法选取2021年12月—2023年11月阳春市人民医院收治的92例急性脑梗死后偏瘫患者为研究对象。按照随机数字表法分为对照组与试验组,各46例。对照组开展常规西药治疗,试验组则在对照组的基础上再进行早期针灸治疗。分析2组患者的临床疗效、生存质量、神经功能缺损评分、Barthel指数以及自护能力。结果试验组的总有效率为89.13%,高于对照组的67.39%,差异有统计学意义(P<0.05)。治疗后,试验组的躯体疼痛、生理功能、生理职能、活力指数、健康水平、情感职能、社会功能、精神健康评分分别为(78.23±9.40)分、(74.14±8.67)分、(78.17±8.27)分、(78.58±8.36)分、(79.15±10.42)分(、79.23±9.85)分(、78.34±6.62)分(、78.86±9.73)分,均高于对照组的(65.52±9.42)分(、65.96±8.84)分(、67.51±9.83)分、(66.15±9.53)分、(66.74±8.34)分、(67.55±9.34)分、(64.25±8.74)分、(66.53±10.32)分,差异有统计学意义(P<0.05)。试验组的神经功能缺损评分为(7.34±3.27)分,低于对照组的(11.76±3.85)分,Barthel指数为(84.35±15.64)分,高于对照组的(70.56±16.81)分,差异有统计学意义(P<0.05)。治疗后,试验组的自护能力评分为(147.29±10.36)分,高于对照组的(122.86±10.76)分,差异有统计学意义(P<0.05)。结论早期针灸治疗在急性脑梗死后偏瘫患者的康复中发挥着重要作用,不仅可有效帮助患者改善神经功能,促进身体更快康复,而且在改善患者生存质量与自护能力方面有着积极意义,整体疗效显著。Objective To explore the value of early acupuncture and moxibustion treatment in the rehabilitation of hemiplegia after acute cerebral infarction.Methods A total of 92 patients with hemiplegia after acute cerebral infarction treated in Yangchun People's Hospital from December 2021 to November 2023 were selected as the study objects.According to the random number table method,they were divided into control group and experimental group,46 cases in each groups.The control group received conventional western medicine treatment,and the experimental group received early acupuncture and moxibustion treatment on the basis of the control group.The clinical efficacy,quality of life,neurological deficit score,Barthel index and self-care ability of the 2 groups were analyzed.Results The total effective rate of the experimental group was 89.13%,which was higher than 67.39%of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of physical pain,physiological function,physiological function,vitality index,health level,emotional function,social function and mental health of the experimental groups were(78.23±9.40)points,(74.14±8.67)points,(78.17±8.27)points,(78.58±8.36)points,(79.15±10.42)points,(79.23±9.85)points,(78.34±6.62)points,(78.86±9.73)points,which were higher than(65.52±9.42)points,(65.96±8.84)points,(67.51±9.83)points,(66.15±9.53)points,(66.74±8.34)points,(67.55±9.34)points,(64.25±8.74)points,(66.53±10.32)points of the control group,the differences were statistically significant(P<0.05).The neurological impairment score of the experimental group was(7.34±3.27)points,which was lower than(11.76±3.85)points of the control group,the Barthel index was(84.35±15.64)points,which was higher than(70.56±16.81)points of the control group,and the differences were statistically significant(P<0.05).After treatment,the self-care ability score of the experimental group was(147.29±10.36)points,which was higher than(122.86±10.76)points of the control group,and the di

关 键 词：早期针灸治疗 急性脑梗死 偏瘫 康复作用 价值 生存质量 神经功能 

分 类 号：R224[医药卫生—中医基础理论]