早期针刺、推拿配合运动疗法治疗中风偏瘫临床疗效分析

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

目的 :观察早期应用头针、体针、推拿及运动疗法治疗中风偏瘫患者的临床疗效。方法 :选择 116例住院的中风偏瘫患者 ,随机分为治疗组 6 1例和对照组 5 5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 (81.9% )与对照组总有效率 (6 3.6 % )比较 ,差异有显著性 (P<0 .0 5 )。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〔(2 2 .30±8.19)分 ,P<0 .0 1〕及对照组治疗后〔(13.0 4± 7.96 )分 ,P<0 .0 5〕。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 。

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 hemiplegia were randomly divided into two groups,the treated group ( n =61) and control group ( n =55 ).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(81 9%) and control group (63 6%) 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).Conclusions: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.