早期针刺联合康复治疗急性脑梗死偏瘫患者的预后分析

PROGNOSTIC ANALYSIS OF EARLY ACUPUNCTURE COMBINED WITH REHABILITATION THERAPY ON HEMIPLEGIA AFTER ACUTE CEREBRAL INFARCTION

目的探讨急性脑梗死偏瘫患者的治疗方法。方法将120例急性脑梗死偏瘫患者随机分为观察组和对照组,各60例。对照组给予常规药物治疗,观察组在常规治疗的基础上给予早期针刺联合康复治疗。评价两组的疗效、Barthel指数、ADL及SF-36评分。结果观察组有效率为91.67%,高于对照组的70%(χ2=7.75,P=0.005);观察组ADL评分提高幅度大于对照组(P<0.01);观察组Barthel指数及SF-36评分均高于对照组(t=3.61,14.16;P<0.01)。结论早期针刺联合康复治疗急性脑梗死偏瘫患者,疗效显著。

Objective To investigate the treatment of hemiplegia in patients with acute cerebral infarction. Methods 120 patients with hemiplegia with acute cerebral infarction were randomly divided into observation group and control group, 60 cases each. The control group was given conventional drug treatment, and the observation group was given early acupuncture combined with rehabilitation treatment in addition to conventional treatment. The efficacy, Barthel index, ADL and SF-36 scores of the two groups were evaluated. Results The effective rate of the observation group was 91.67%, which was higher than 70% of the control group (χ 2=7.75, P =0.005). The increase of ADL score in the observation group was greater than that of the control group ( P <0.01). The Barthel index and SF-36 score of the observation group were observed. Both were higher than the results in the control group ( t =3.61, 14.16;P <0.01). Conclusion Early acupuncture combined with rehabilitation for patients with hemiplegia due to acute cerebral infarction has significant curative effects.