针刺时机对脑梗死患者运动功能康复的影响

The Influence of Acupuncture Timing on Motor Function Rehabilitation in Patients with Cerebral Infarction

目的:观察针刺时机对脑梗死患者运动功能康复的影响。方法:选取漯河市源汇区妇幼保健院2020年6月至2021年9月治疗的脑梗死患者86例,按照随机数字表法分为对照组与观察组,各43例。两组患者都给予常规治疗,观察组在患者临床发病3~5 d开始针刺治疗,对照组在患者临床发病10~14 d开始针刺治疗,两组针刺方法相同。结果:观察组治疗后美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分低于对照组,改良Rankin量表(modified Rankin scale,mRS)评级优于对照组,Barthel指数和Fugl-Meyer运动功能评估量表评分高于对照组,差异具有统计学意义(P<0.05)。结论:针刺治疗的时机应选择在脑梗死患者发病的早期,能显著提高患者的肢体运动功能和预后生活质量,降低致残率。

Objective:To observe the influence of acupuncture timing on motor function rehabilitation in patients with cerebral infarction.Methods:A total of 86 patients with cerebral infarction treated in Yuanhui District Maternal and Child Health Care Hospital of Luohe from June 2020 to September 2021 were randomly divided into the control group and the observation group,with 43 cases in each group.Both groups were given routine treatment.The observation group began acupuncture treatment 3-5 days after the clinical onset,and the control group began acupuncture treatment 10-14 days after the clinical onset.The acupuncture methods of the two groups were the same.Results:After treatment,the national institute of health stroke scale(NIHSS)score of the observation group was lower than that of the control group,the modified Rankin scale(mRS)score was better than that of the control group,and the Barthel index and Fugl Meyer motor function evaluation scale scores were higher than those of the control group(P<0.05).Conclusion:The timing of acupuncture treatment in the early stage of cerebral infarction can significantly improve the limb motor function,prognosis and quality of life,and reduce the disability rate.