早期针刺及康复治疗中风偏瘫临床疗效观察

Analysis on clinically curative effects of early using acupuncture, manipulation and cinesiotherapy on treatment for stroke hemiplegia

目的观察早期应用针刺及康复治疗中风偏瘫临床疗效。方法选择120例住院的中风偏瘫患者，随机分为治疗组60例和对照组60例。对照组单纯用药物治疗；治疗组在对照组药物治疗基础上，早期采用头针、体针、推拿及运动治疗。结果治疗组总有效率85．0％与对照组总有效率63．8％比较，差异有显著性（P〈0．05）。治疗组治疗后神经功能缺损积分（9．93±7．82）分明显少于治疗前（22．30±8．19）分（P〈0．01）及对照组治疗后（13．04±7．96）分（P〈0．05）。结论中风偏瘫患者早期应用头针、体针、推拿及运动治疗，能较大限度地恢复肢体功能，预防残疾，降低致残率，减轻残疾程度。

Objective To observe the clinically curative effects on patients with early using acupuncture of head, acupuncture of body, manipulation and cinesiotherapy. Methods One hundred and sixteen cases with apoplectic bemiplegia were randomly divided into two groups, the treated group （n = 60 ）and control group （ n = 60）. In control group, pharmacotherapy alone was used but in treated group, besides that, early use of acupuncture of head, acupuncture of body,manipulation and cinesiotherapy. Results The difference of total effective rate between treatment group 85.0% and control grou p63.3% was significant（ P 〈 0. 05 ）. The scores of nervous functional defect （9. 93 ± 7. 82 ）after therapy were significantly lower than those （22. 30 ± 8. 19 ）before therapy（P 〈0.01 ）in treated group and lower than those（ 13.04 ± 7.96）after therapy in control group （P 〈 0. 05 ）. Conclusion In early stage using acupuncture of head, acupuncture of body, manipulation and cinesiotherapy for treating patients with apoplectic hemiplegia can recovery extremly function in maximal limit ,prevent disability, decrease disability rate, and diminish disability degree.