康复训练联合针刺对中风后遗症患者神经功能和运动功能的影响

Effect of rehabilitation training combined with acupuncture on neurological function and motor ability in patients with sequela of stroke

目的观察康复训练联合针刺对中风后遗症患者神经功能和运动功能的影响.方法选取2018年2月-2019年2月医院收治的中风后遗症患者65例,随机分为观察组33例与对照组32例.对照组仅采取康复训练,观察组则在对照组的基础上加入针刺治疗.比较2组患者临床疗效、治疗前后Fugl-Meyer运动评分、NIHSS评分、血浆AngⅡ水平及血气指标.结果观察组总有效率为93.9%高于对照组的75.0%,差异有统计学意义(P<0.05).治疗前2组Fugl-Meyer运动评分及NIHSS评分比较差异均无统计学意义(P>0.05);治疗后2组Fugl-Meyer运动评分均升高,NHISS评分均降低,且观察组变化幅度大,差异均有统计学意义(P<0.05).治疗前2组血浆AngⅡ水平比较差异无统计学意义(P>0.05);治疗后2组血浆AngⅡ水平均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05).治疗前2组PaO2、PaCO2及pH值比较差异均无统计学意义(P>0.05).治疗后2组PaO2、pH均升高,PaCO2均降低,且观察组变化幅度更大,差异均有统计学意义(P<0.05).结论康复训练联合针刺治疗在中风后遗症患者中具有较好的应用价值.

Objective To analyze the effects of rehabilitation training combined with acupuncture on neurological function and motor ability of stroke sequelae patients. Methods 65 patients with stroke sequelae admitted to the hospital from February 2018 to February 2019 were randomly divided into observation group 33 cases and control group 32 cases. Control group only received rehabilitation training,while observation group was given acupuncture treatment on the basis of control group. The clinical efficacy,Fugl-Meyer exercise score,NIHSS score,plasma AngⅡ level and blood gas index were compared between two groups. Results The total effective rate of observation group was 93. 9% higher than 75. 0% of control group, and the difference was statistically significant( P < 0. 05). There were no significant differences in the Fugl-Meyer motor scores and NIHSS scores between two groups before treatment( P > 0. 05). After treatment,the Fugl-Meyer exercise scores were in- creased in both groups,and the NHISS scores were decreased,and the changes in observation group were large,and the differ- ences were statistically significant( P < 0. 05). There was no significant difference in plasma AngⅡ levels between two groups before treatment( P > 0. 05). After treatment,the plasma AngⅡ levels in two groups were lower than before treatment,and ob- servation group was lower than control group,the difference was statistically significant( P < 0. 05). There were no significant differences in PaO2,PaCO2 and pH between two groups before treatment( P > 0. 05). After treatment,the levels of PaO2 and pH were increased,PaCO2 was decreased,and the change of observation group was larger,and the difference was statistically signif- icant( P < 0. 05). Conclusion Rehabilitation training combined with acupuncture has a good application value in patients with sequela of stroke.