针灸结合康复治疗中风弛缓瘫和痉挛瘫的临床研究

Clinical Study of Acupuncture and Rehabilitation Stroke Flaccid Paralysis and Spastic Paralysis

目的研究分析针灸与康复治疗联合用于中风迟缓瘫与痉挛瘫的效果。方法选2014年9月—2015年9月该院接收的40例中风迟缓瘫与40例痉挛瘫患者,行随机数字表法分作实验组(20例中风迟缓瘫+20例痉挛瘫患者,采取针灸与康复治疗联合疗法)和对照组(20例中风迟缓瘫+20例痉挛瘫患者,单纯采取针灸治疗),比较两组治疗效果与四肢运动功能恢复情况(FMA评分)。结果实验组总有效率较对照组高(95.00%vs 77.50%),差异有统计学意义(P<0.05);实验组FMA评分迟缓瘫(70.22±5.20)分,痉挛瘫(72.35±4.10)分比对照组高[迟缓瘫(58.30±6.35)分,痉挛瘫(60.10±5.55)分],差异有统计学意义(P<0.05)。结论联合使用针灸与康复治疗用于中风迟缓瘫与痉挛瘫具有理想效果,可促进患者四肢运功能的恢复。

Objective To study and analysis of acupuncture for stroke rehabilitation therapy combined with slow paral- ysis and spastic paralysis effect. Methods Selected from September 2014 - September 2015 the Court received 40 cas- es and 40 cases of stroke slow paralysis spastic paralysis patients rows randomly divided into experimental group （20 cases of stroke patients with spastic paralysis ＋20 slow paralysis patients taking acupuncture and rehabilitation therapy combined therapy） and control group （20 cases of stroke patients with spastic paralysis ＋20 slow paralysis patients take acupuncture alone）, were compared with treatment limb motor function recovery （FMA score）. Results The total experi- mental group was higher in the control group （95.00% vs 77.50%）, a statistically significant difference（P 〈0.05）; FMA score in the experimental group [（70.22±5.20）points of slow paralysis,（72.35 ± 4.10）points of spastic paralysis] higher than the control group [（58.30 ± 6.35）points of slow paralysis,（60.10 ± 5.55）points of spastic paralysis], the difference was statistically significant（P 〈0.05）. Conclusion Combined acupuncture and rehabilitation therapy for stroke paralysis and spastic paralysis has delayed the desired effect, can promote the recovery of function in patients with limb opera- tion.