针刺疗法联合常规综合治疗干预脑卒中偏瘫临床研究
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R246.6;R743

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Clinical Study on Acupuncture Therapy Combined with Routine Comprehensive Treatment for Stroke Hemiplegia
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    摘要:

    目的:观察针刺疗法联合常规综合治疗干预脑卒中偏瘫患者的临床疗效。方法:将71 例脑卒中偏瘫患者依据随机数字表法分为对照组35 例和研究组36 例。对照组给予常规综合治疗,包括药物治疗、强制性运动疗法、常规康复运动疗法;研究组在对照组的基础上加用针刺治疗。对2 组治疗前后采用临床神经功能缺损量表(CSS)、美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer 运动功能评定量表(FMA)、Barthel 指数(BI)、Holden 步行功能分级量表(FAC) 和Berg 平衡量表(BBS) 进行评分。结果:治疗前,2 组CSS、NIHSS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组CSS、NIHSS 评分均较治疗前降低(P<0.05),且研究组2 项评分均低于对照组(P<0.05)。治疗前,2 组FMA、BI、FAC、BBS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组FMA、BI、FAC、BBS 评分较治疗前升高(P<0.05),且研究组FMA、BI、FAC、BBS 评分高于对照组(P<0.05)。结论:针刺疗法联合常规综合治疗干预脑卒中偏瘫,可改善脑卒中患者肢体运动功能,增强生活自理能力、步行功能与平衡能力,疗效优于单用常规综合治疗。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture therapy combined with routine comprehensive rehabilitation treatment for patients with stroke hemiplegia. Methods:A total of 71 cases of patients with stroke hemiplegia were divided into the control group and the study group according to the random number table method,35 and 36 cases in each group respectively. The control group was treated with routine comprehensive treatment including medication, constraint- induced movement therapy and routine rehabilitation exercise therapy;the study group was additionally treated with acupuncture based on the treatment of the control group. Before and after treatment,the scores of China Stroke Scale (CSS),National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment of Motor Function(FMA),Barthel Index (BI),Holden Functional Ambulation Category Scale(FAC) and Berg Balance Scale(BBS) in the two groups were evaluated and compared. Results: Before treatment, there was no significant difference being found in the comparison of the scores of CSS and NIHSS between the two groups(P>0.05). After treatment,the scores of CSS and NIHSS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the study group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of FMA,BI,FAC and BBS between the two groups(P>0.05). After treatment,the scores of FMA,BI,FAC,BBS in the two groups were increased when compared with those before treatment(P<0.05),and the scores in the study group were higher than those in the control group(P<0.05). Conclusion: Acupuncture therapy combined with routine comprehensive rehabilitation treatment for stroke hemiplegia can improve the motor function of limbs in patients with stroke,and enhance their self- care ability as well as walking and balance ability, whose curative effect is superior to that of simple routine comprehensive rehabilitation treatment.

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杨洁,宋丽静.针刺疗法联合常规综合治疗干预脑卒中偏瘫临床研究[J].新中医,2021,53(13):143-147

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  • 在线发布日期: 2021-07-11
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