针灸联合康复疗法治疗脑血管意外后偏瘫疗效观察

Observation on Curative Effect of Acupuncture and Moxibustion Combined with Rehabilitation Therapy on Hemiplegia after Cerebral Vascular Accident

目的：研究分析针灸联合康复疗法治疗脑血管意外后偏瘫疗效。方法：选择2014年10月—2016年10月本院收治的60例脑血管意外后偏瘫患者为研究对象,依据随机数表法分为对照组和观察组,各30例。对照组接受康复疗法治疗,观察组应用针灸联合康复疗法治疗。评价治疗前后两组肌力水平、运动功能及日常生活能力的改善情况,并进行对比分析。结果：治疗前,两组患者的肌力水平差异无统计学意义（P〉0.05）;治疗3个月,两组后肌力水平好于治疗前,观察组肌力水平优于对照组,差异有统计学意义（P〈0.05）。治疗前,两组Fugl-Meyer量表评分差异无统计学意义（P〉0.05）;治疗1、3个月后,两组Fugl-Meyer量表评分均高于治疗前,观察组高于对照组,差异有统计学意义（P〈0.05）。治疗前,两组Barthel指数评分差异无统计学意义（P〉0.05）;治疗1、3个月后,两组Barthel指数评分均高于治疗前,观察组高于对照组,差异有统计学意义（P〈0.05）。结论：在脑血管意外后偏瘫患者中应用针灸联合康复疗法治疗疗效显著,可有效增强患者患肢肌力水平,提高运动功能,减轻偏瘫对中日常生活能力的影响,改善预后。

Objective： To study the effect of acupuncture and moxibustion combined with rehabilitation therapy on hemiplegia after cerebral vascular accident. Methods： Sixty cases of patients with hemiplegia after cerebrovascular accident from October 2014 to October 2016 were selected as the subjects of this study. All the patients were divided into control group and observation group according to the random number table method,30 cases in each group. The patients in the control group received rehabilitation therapy,and the patients in the observation group were treated with acupuncture combined with rehabilitation therapy. The improvement of muscle strength,motor function and daily living ability of the two groups before and after treatment were evaluated and compared. Results： There was no significant difference in the muscle strength between the two groups before treatment（P〈0. 05）. After treatment for 3 months,the two groups＇ level of muscle strength was better than that before treatment. The observation group＇s muscle strength was better than that of the control group,and the difference was statistically significant（P〈0. 05）. There was no significant difference in Fugl-Meyer scale between the two groups before treatment（P〈0. 05）. After 1 and 3 months of treatment,the scores of Fugl-Meyer were higher than those before treatment. The observation group＇s was higher than that of the control group and the difference was statistically significant（P〈0. 05）. There was no significant difference in Barthel index between the two groups before treatment（P〉0. 05）. After 1 and 3 months of treatment,the Barthel index of the two groups was higher than that before treatment. The observation group＇s was higher than that of the control group and the difference was statistically significant（P〈0. 05）. Conclusion： Acupuncture combined with rehabilitation therapy has significant effect on cerebral vascular accident after hemiplegia patients and can effectively enhance the patients＇ limb muscle strength levels,improve motor function,reduce hemiplegia in the daily life ability,improve the prognosis.