中医针刺治疗脑卒中后偏瘫的临床疗效

Clinical Curative Effect of Acupuncture in the Treatment of Hemiplegia After Stroke

目的:探讨中医针刺治疗脑卒中后偏瘫的临床疗效,旨在为提高患者生活质量和治疗有效率提供理论依据。方法:选择2012年1月-2014年12月在本院接受治疗的脑卒中后偏瘫患者150例,按照随机数字表法将其分为研究组和对照组,每组75例。对照组患者给予康复训练,研究组患者在此基础上联合中医针刺治疗,应用Fugl-Meyer评定量表、Barthel评定量表、Ashworth痉挛评定量表评价治疗后运动及生活能力,并统计残疾率及治疗有效率。结果:研究组患者治疗后的Fugl-Meyer评分、Barthel评分、Ashworth评分分别为(54.93±1.32)分、(67.64±2.05)分、(9.84±0.46)分,均明显优于对照组;致残率9.33%(7/75)明显低于对照组的21.33%(16/75),治疗总有效率92.00%明显高于对照组的80.00%,差异均有统计学意义(P<0.05)。结论:中医针刺治疗脑卒中后偏瘫能显著改善患者运动及日常生活能力,提高治疗效果,值得临床推广。

Objective：To investigate the curative effect of Chinese medicine acupuncture in the treatment of hemiplegia after stroke,and to provide the theory basis for improving the quality of life and total effective rate.Method：150 patients with hemiplegia after stroke admitted to our hospital from January 2012 to January 2014 were selected,and they were divided into the study group and the control group according to the random number table method,75 cases in each group.The control group was given rehabilitation training,the study group was given acupuncture treatment on the basis of control group.The function and activities of daily living after treatment were evaluated by Fugl-Meyer scale,Barthel scale and Ashworth of spasticity scale,and the disability rate and effective rate were made statistical.Result：After treatment,the Fugl-Meyer score,Barthel score and Ashworth score of the study group were（54.93±1.32）points,（67.64±2.05）points,（9.84±0.46）points,which were significantly better than those of the control group,the disability rate was 9.33%（7/75）,which was significantly lower than 21.33%（16/75） of the control group,the total effective rate of the study group（92.00%） was significantly higher than 80.00% of the control group,the differences were statistically significant（P〈0.05）.Conclusion：Acupuncture treatment in the treatment of hemiplegia after stroke can significantly improve function and daily living skills of patients,improve the treatment effect,is worthy of clinical promotion.