针灸联合康复训练治疗对脑出血恢复期患者肢体功能的影响

Effect of Acupuncture and Moxibustion Combined with Rehabilitation Training on Limb Function of Patients with Cerebral Hemorrhage in Recovery Period

目的探究针灸联合康复训练对脑出血恢复期患者肢体功能的影响.方法抽取该院2019年1月—2020年11月收治的脑出血恢复期患者86例为研究对象,按照随机数字表法分为两组,每组43例.两组均采取规范治疗方案,对照组在此基础上进行常规康复训练,观察组在对照组基础上采用针灸治疗.对两组的神经功能缺损程度、肢体运动功能及生活质量进行分析比较.结果两组治疗前的神经功能缺损程度比较,差异无统计学意义(P>0.05);治疗后,观察组的美国国立卫生研究院卒中量表评分为(8.10±1.03)分,低于对照组的(10.37±1.15)分,差异有统计学意义(P<0.05).两组治疗前的肢体运动功能比较,差异无统计学意义(P>0.05);治疗后,观察组的Fugl-Meyer运动功能评定量表评分(88.35±8.09)分高于对照组的(73.29±6.13)分,差异有统计学意义(P<0.05).两组治疗前的生活质量综合评定问卷-74(generic quality of life inventory-74,GQOLI-74)总评分比较,差异无统计学意义(P>0.05);治疗后,观察组的GQOLI-74总评分(349.65±20.33)分高于对照组,差异有统计学意义(P<0.05).结论针灸联合康复训练对脑出血恢复期患者的治疗效果确切,可改善患者的神经功能,恢复肢体运动功能,提高生活质量,值得临床推广应用.

Objective To explore the effect of acupuncture and moxibustion combined with rehabilitation training on the limb function of patients with cerebral hemorrhage in recovery period.Methods A sample of 86 patients recovering from cerebral hemorrhage in the hospital from January 2019 to November 2020 was taken for the study,and they were divided into control and observation groups according to the random number table method,with 43 cases each.Both groups adopted a standardized treatment plan,with the control group undergoing conventional rehabilitation training on this basis and the observation group using acupuncture treatment on the basis of the control group.The degree of neurological deficit,limb motor function and quality of life of the two groups were analyzed and compared.Results There was no statistically significant difference in the National Institute of Health stroke scale(NIHSS)scores before treatment between the two groups(P>0.05);after treatment,the NIHSS score of the observation group(8.10±1.03)points was lower than that of the control group(10.37±1.15),and the difference was statistically significant(P<0.05).There was no statistically significant difference in the Fugl-Meyer assessment(FMA)scores before treatment between the two groups(P>0.05);after treatment,the FMA score of the observation group was higher(88.35±8.09)points than that of the control group(73.29±6.13)points,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total score of the general quality of life inventory-74(GQOLI-74)before treatment between the two groups(P>0.05);after treatment,the total GQOLI-74 score of the observation group(349.65±20.33)points was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with rehabilitation training have a definite therapeutic effect on patients with cerebral hemorrhage in the recovery period,which can improve the patient's neurological function,recovery of limb motor function,and improve the quality of life.It is worthy of clinical application.