中医针灸联合早期康复训练对脑卒中偏瘫患者神经功能及肢体运动功能的影响研究

Study on the Effect of Traditional Chinese Medicine Acupuncture and Early Rehabilitation Training on Neurological Function and Limb Motor Function of Patients with Hemiplegia after Stroke

目的探讨中医针灸联合早期康复训练对脑卒中偏瘫患者神经功能及肢体运动功能的影响.方法选择2019年10月—2020年10月该院收治的80例脑卒中偏瘫患者为研究对象,按照随机数表法分为对照组(n=40)与研究组(n=40).对照组采用早期康复训练,研究组在对照组基础上联合中医针灸干预.比较两组的治疗效果、治疗前后的神经功能及肢体运动功能.结果研究组的治疗总有效率为92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05).干预后,研究组的美国国立卫生研究院卒中量表评分为(9.55±3.92)分,低于对照组的(12.10±4.08)分,上肢Fugl-Meyer运动功能评定量表评分、下肢Fugl-Meyer运动功能评定量表评分分别为(49.11±5.16)分、(25.48±2.27)分,均高于对照组的(44.90±5.34)分、(21.30±2.14)分,组间差异有统计学意义(P<0.05).结论对脑卒中偏瘫患者在早期康复训练基础上联合采用中医针灸干预的临床效果理想,能够改善患者的神经功能与肢体运动功能,值得推广.

Objective To explore the effect of traditional Chinese medicine acupuncture combined with early rehabilitation training on the neurological function and limb motor function of patients with hemiplegia after stroke.Methods 80 patients with hemiplegia after stroke admitted to the hospital from October 2019 to October 2020 selected as the research objects,and they were divided into a control group(n=40)and a study group(n=40)according to the random number table method.The control group used early rehabilitation training,and the study group combined traditional Chinese medicine acupuncture intervention on the basis of the control group.The treatment effect,nerve function and limb motor function before and after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was 92.50%,which was higher than 75.00%in the control group,and the difference was statistically significant(P<0.05).After the intervention,the National Institute of Health stroke scale score of the study group was(9.55±3.92)points,which was lower than(12.10±4.08)points of the control group,the Fugl-Meyer assessment score of upper limb and the Fugl-Meyer assessment score of lower limb were(49.11±5.16)points and(25.48±2.27)points,respectively,which were higher than(44.90±5.34)points and(21.30±2.14)points of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The combined use of traditional Chinese medicine acupuncture intervention on the basis of early rehabilitation training for stroke patients with hemiplegia has an ideal clinical effect,which can improve the patient's neurological function and limb motor function,and is worthy of promotion.