腹针、腕踝针结合康复运动疗法治疗缺血性脑卒中偏瘫

Abdominal acupuncture and wrist-ankle acupuncture combined with rehabilitation exercise therapy on limb motor dysfunction in patients with hemiplegia after ischemic stroke

目的观察腹针、腕踝针结合康复运动疗法对缺血性脑卒中偏瘫患者肢体运动功能障碍以及神经康复的作用,并与单纯康复治疗方案相比较,以优化临床治疗方案。方法采用随机对照的临床研究方法,将60例确诊为缺血性脑卒中且肢体偏瘫的患者按就诊先后顺序随机分为治疗组(30例)和对照组(30例)。所有患者在试验前均经过结合患者具体病情给予控制血压、改善脑循环、稳定生命体征以及预防并发症等基础治疗。治疗组采用以腹针、腕踝针结合康复运动疗法为主治疗,对照组采用单纯康复治疗,上述治疗方案均在经过2个疗程后观察疗效。临床评价指标为对所有纳入患者于治疗前后均采用国际通用FMA、CSS以及Berg平衡量表评定法,患者2个疗程治疗结束后进行临床综合疗效比较。结果治疗组和对照组2组在FMA评价量表评分、CSS评价量表评分以及Berg平衡量表评定经统计学检验(P<0.05),且治疗组对以上评分表的改善最大,其分别为:(83.53±10.23);(10.30±3.99);(46.80±6.01)。2组有效率分别为90.0%和76.7%,2组比较差异有统计学意义(P<0.01)。结论采用以腹针、腕踝针结合康复运动疗法治疗缺血性脑卒中偏瘫的患者,安全可靠。

Objective To observe the effect of abdominal needle, wrist and ankle acupuncture combined with rehabilitation exercise therapy on the function of limb motor dysfunction and neurological rehabilitation in patients with hemiplegia after ischemic stroke, and to compare with the simple rehabilitation regimen to optimize the clinical treatment. Methods A total of 60 patients with ischemic stroke and hemiplegia were randomly divided into treatment group（n = 30） and control group（n = 30） according to the clinical study. All patients underwent basic treatment such as controlling blood pressure, improving cerebral circulation, stabilizing vital signs, and preventing complications before combining with the patient＇s specific condition. The treatment group was treated with abdominal needle, wrist and ankle combined with rehabilitation exercise therapy. The control group was treated with simple rehabilitation. The above treatment regimen was observed after 2 courses of treatment. Clinical evaluation index for all patients included in the treatment before and after the use of international common FMA, CSS and Berg balance scale assessment, the two patients after the end of treatment for clinical comprehensive efficacy comparison. Results Treatment group and control group in the two groups in the FMA evaluation rating scale, CSS evaluation rating scale and the Berg balance scale to assess the statistical test（P〈0.05）, and the treatment group to the improvement of the scale biggest above, it is respectively：（83.53±10.23）,（10.30±3.99）,（46.80±6.01）. Two groups of efficient were 90.0% and 76.7% respectively, two groups compare the difference was statistically significant（P〈0.01）. Conclusion Abdominal acupuncture, wrist and ankle rehabilitation rehabilitation exercise therapy are safe and reliable in the treatment of cerebral ischemic stroke.