醒脑开窍针法结合康复治疗中风偏瘫的临床疗效及其对患者肌力即刻效应的影响

Clinical effect of xingnao kaiqiao acupuncture combined rehabilitation in the treatment of apoplexy hemiplegia and the impact on muscle force immediate effect of patients

目的探讨醒脑开窍针法结合康复治疗中风偏瘫的临床疗效及其对患者肌力即刻效应的影响。方法选取浙江大学金华医院2015年3月—2016年9月收治的中风偏瘫患者120例,随机将患者分为对照组与观察组,各60例。对照组患者予以常规康复训练,观察组在对照组基础上予以醒脑开窍针法治疗,比较两组患者治疗前后上、下肢肢体运动功能评分量表(FMA)评分、日常生活能力评分量表(ADL)评分及治疗后上、下肢肌力即刻疗效。结果治疗前两组患者上、下肢FMA评分比较,差异无统计学意义(P>0.05);治疗后观察组患者上、下肢FMA评分高于对照组(P<0.05);治疗后两组患者上、下肢FMA评分高于治疗前(P<0.05)。治疗前两组患者ADL评分比较,差异无统计学意义(P>0.05);治疗后观察组患者ADL评分高于对照组(P<0.05);治疗后两组患者ADL评分高于治疗前(P<0.05)。观察组治疗后上、下肢肌力改善总有效率高于对照组(P<0.05)。结论醒脑开窍针法结合康复治疗中风偏瘫的临床疗效确切,可改善患者肢体运动功能及肌力即刻效应,提升生活质量。

Objective To investigate the clinical effect of xingnao kaiqiao acupuncture combined rehabilitation in the treatment of apoplexy hemiplegia and the impact on muscle force immediate effect of patients. Methods A total of 120 cases of patients with apoplexy hemiplegia were selected from March 2015 to September in Jinhua Hospital of Zhejiang University,which were randomly divided into control group and observation group,60 cases in each group. Control group was treated with rountine rehabilitation care,observation group was treated with xingnao kaiqiao acupuncture on the basis of control group. The FMA scores and ADL scores and muscle force immediate effect of upper and lower limb before and after treatment. Results Before treatment,no significant differences of FMA scores of upper and lower limb was found between the two groups( P > 0. 05); after treatment,the FMA scores of upper and lower limb of observation group were higher than control group( P < 0. 05),the FMA scores of upper and lower of two groups were higher than prior treatment( P < 0. 05). Before treatment, no significant differences of ADL scores was found between the two groups( P > 0. 05); after treatment,ADL scores of observation group were higher than control group( P < 0. 05), the ADL scores of two groups were higher than prior treatment( P < 0. 05). The effective rate of muscle force immediate improvement of the upper and lower limbs of observation group were higher than control group( P < 0. 05). Conclusion Xingnao kaiqiao acupuncture combined rehabilitation have an exactly clinical effect in the treatment of apoplexy hemiplegia,it can effectively improve the motor function and muscle force immediate effect of patients,and improve the quality of life.