分期整体针灸法治疗脑梗塞偏瘫综合疗效评价

Evaluation of Synthetic Effect of Holistic Acupuncture for Hemiplegia After Cerebral Infarction

[目的]观察整体针灸法治疗脑梗塞偏瘫综合疗效。[方法]采用简单随机法将113例患者随机分为整体针灸法组(治疗组)63例和传统针灸法组(对照组)50例,以神经功能缺损评分、日常生活能力评分(ADL)、残疾率为评价指标评价两组治疗前后的变化;并以生存质量SF-36量表评价63例社区病人的生存质量改善情况。[结果]治疗组在降低神经功能缺损评分、提高ADL和降低残疾率方面优于对照组;社区病人通过适当的康复训练或治疗,生活质量可以得到明显提高。[结论]整体针灸法能更好、更全面地提高脑梗塞病人的治疗效果和生活质量。

[ Objective] To observe the synthetic effect of holistic acupuncture for hemiplegia after cerebral infarction （HACI）. [Methods] One hundred and thirteen cases of HACI were randomized into two groups： group A （n = 63） was treated with holistic acupuncture, a therapy combined with traditional acupuncture with specific acupoints selected according to the disease stage, and group B （ n = 50） was treated with traditional acupuncture therapy. The therapeutic effect was evaluated with neurological function impairment scoring, activity of daily life （ADL）, and disability rate as the parameters. The life quality of 63 cases from the community was evaluated with life quality questionnaire of SF-36. [Results ] The effect of group A was superior to that of group B in decreasing the score of neurological function impairment, improving ADL and reducing disability rate. The life quality of community patients was much improved after proper rehabilitation training and treatment. [ Conclusion] Holistic acupuncture is effective for the enhancement of therapeutic effect and life quality for patients with hemiplegia after cerebral infarction.