电针疗法对急性脑梗死偏瘫患者的影响观察

Clinical observation of electroacupuncture therapy for patients with acute cerebral infarction hemiplegia

目的探讨电针疗法对急性脑梗死偏瘫(Acute cerebral infarction hemiplegia,ACIH)的疗效情况。方法按照随机数字表将84例ACIH患者随机分为观察组以及对照组,各42例。两组均接受常规治疗及康复训练,对照组配合施以患侧肢体电针疗法,观察组配合双侧肢体电针疗法;比较两组卒中神经功能缺损(NDS)评分、日常生活能力(ADL)评分、运动功能(FMA)评分及治疗总有效率。结果 1个疗程后,观察组NDS评分、ADL评分及FMA评分均显著优于对照组(P<0.05)。观察组治疗总有效率达92.8%,显著高于对照组76.2%(P<0.05)。结论与传统患侧肢体电针疗法相比,采用双侧肢体电针疗法可显著改善ACIH患者日常生活能力及运动能力,促进患者神经功能恢复,提高患者临床疗效,值得推广。

Objective To study the effect of electroacupuncture therapy in patients with acute cerebral infarction hemiplegia(ACIH).Methods84cases of patients with ACIH were randomly divided into2groups.2groups were received routine treatment and rehabilitation training.The controlgroup(n=42)were treated with electroacupuncture therapy of ipsilateral limb,the bservation group(n=42)were treated with electroacupuncture therapyof bilateral limb.The neurological deficit score(NDS),activity daily liviing(ADL),Fugl-Meyer motor function assessment(FMA)of2groupswere compared.Results After a course of treatment,the NDS,ADL and FMA of the observation group were significantly better than the controlgroup(P<0.05).The total effective rate of the treatment group was92.8%,which was significantly higher than that of the control group76.2%(P<0.05).Conclusion Compared with the traditional electroacupuncture of the ipsilateral limbs,the electroacupuncture therapy of bilateral limb can significantlyimprove the ability of daily life and exercise capacity,promote nerve function recovery,improve clinical efficacy,it is worth promoting.