分期针刺结合三级康复治疗脑卒中偏瘫的临床研究

Clinical study of staging acupuncture combined with three stage rehabilitation therapy in the treatment of cerebral apoplexy with hemiplegia

目的探讨分期针刺联合三级康复治疗脑卒中偏瘫的效果。方法选取本院2015年1~10月收治的132例脑卒中偏瘫患者作为研究对象,采用抽签法将入选患者分为观察组和对照组,各66例。对照组给予单纯的三级康复治疗,观察组给予分期针刺联合三级康复治疗。比较两组的NIHSS、ADL、Fugl-Meyer评分。结果观察组治疗3、6个月后的NIHSS评分显著低于对照组,Fugl-Meyer、ADL评分显著高于对照组,差异有统计学意义（P〈0.05）。结论分期针刺联合三级康复治疗脑卒中偏瘫能取得较为显著的效果,可以减轻神经缺损程度,提高患者的肢体运动功能和生活质量,值得临床推广应用。

Objective To explore the effect of staging acupuncture combined with three stage rehabilitation therapy in the treatment of cerebral apoplexy with hemiplegia.Methods 132 cases of cerebral apoplexy with hemiplegia from January 2015 to October in our hospital were selected and divided into the observation group and the control group by using lottery,66 cases in each group.The control group was only given three stage rehabilitation therapy,the observation group was given staging acupuncture combined with three stage rehabilitation therapy.The score of NIHSS,ADL and Fugl-Meyer in the two groups was compared.Results The score of NIHSS after treatment for 3 and 6 months in the observation group was lower than that in the control group,the score of ADL and Fugl-Meyer after treatment for 3 and 6months in the observation group was higher than that in the control group,with significant difference（P〈0.05）.Conclusion Staging acupuncture combined with three stage rehabilitation in the treatment of cerebral apoplexy with hemiplegia can achieve a more significant therapeutic effect,which can decrease nerve defect degree,enhance body movement function and life quality of patients,it is worthy of clinical promotion and application.