针刺联合康复训练治疗中风恢复期偏瘫气虚血瘀证临床观察

Clinical Observations of Acupuncture Combined with Rehabilitation Training for Stroke Recovery Patients with Qi Deficiency and Blood Stasis Syndrome

目的:观察在常规内科治疗基础上以针刺联合康复训练治疗中风恢复期偏瘫气虚血瘀证患者的临床疗效。方法:选择中风恢复期偏瘫气虚血瘀证患者共120例,按照随机数字表法分为治疗组和对照组各60例。所有患者给予内科常规治疗,对照组采用针刺疗法,治疗组在对照组治疗基础上给予康复训练疗法,2组疗程均为4周。比较2组的神经功能缺损程度(MESSS)评分、博格(Berg)平衡量表(BBS)评分和巴塞尔(Barthel)指数、临床疗效。结果:总有效率治疗组为91.67%,对照组为76.67%,治疗组疗效优于对照组(P<0.05)。治疗2周和4周,2组MESSS评分均较治疗前下降(P<0.01);治疗组2个时间点的MESSS评分均低于对照组同期,差异均有统计学意义(P<0.01)。治疗后,2组Barthel指数和BBS评分均较治疗前升高(P<0.01);治疗组Barthel指数和BBS评分均高于对照组,差异均有统计学意义(P<0.01)。结论:在常规内科治疗基础上以针刺联合康复训练治疗中风恢复期偏瘫气虚血瘀证患者疗效显著。

Objective：To observe the clinical effect of acupuncture combined with rehabilitation training for stroke recovery hemiplegia patients with qi- deficiency and blood stasis syndrome based on conventional medical treatments. Methods：One hundred and twenty cases of patients were divided into the treatment group and the control group in accordance with the random number table,60 cases in each group. All patients were given conventional medical treatments. The acupuncture treatment was carried out in the control group;the rehabilitation training treatment was given in the treatment group based on the treatment of the control group. The treatment course was all 4 weeks in each group. Compared neurological function deficiency scale scores（MESSS）,Berg balance scales（BBS） and Barthel Indexes（BI）in both groups;analyzed the clinical effect of the two groups. Results：The total effective rate in the treatment group was 91.67%,as well as 76.67% in the control group, the clinical effect in the treatment group being superior to that in the control group（P〈0.05）. After treatment of 2weeks and 4 weeks,the MESSS in both groups were dropped（P〈0.01 compared with those before treatment）;the MESSS on all 2 time points in the treatment group were lower than those on the same term in the control group（P 〈0.01）. After treatment,BI and BBS scores in both groups were all increased（P〈0.01 compared with those before treatment）;BI and BBS scores in the treatment groups were all higher than those in the control group after treatment（P 〈0.01）. Conclusion： The clinical effect of acupuncture combined with rehabilitation training for stroke recovery hemiplegia patients with qi- deficiency and blood stasis syndrome based is significant on conventional medical treatments.