穴位注射配合康复治疗中风后肌痉挛临床研究

Comparison of Point Injection Combined with Rehabilitation Therapy and Conventional Rehabilitation in Improving Muscle Spasm after Stroke

目的:比较穴位注射配合康复治疗与常规针刺对改善中风后肌痉挛的效果。方法:选取医院收治的62例中风后偏瘫住院患者作为研究对象,采用数字随机表法将其分为观察组与对照组各31例,其中观察组采用穴位注射配合康复治疗,对照组应用常规针刺联合康复治疗,比较两组治疗后的上下肢功能康复情况以及生活质量改善情况。结果:治疗后2周、4周、2月、3月、6月观察组患者的上下肢运动功能均明显优于对照组,组间比较差异有统计学意义(P<0.05)。治疗后2周、4周、2月、3月、6月观察组患者的生活质量均明显优于对照组,组间比较差异有统计学意义(P<0.05)。结论:穴位注射配合康复治疗应用于中风后肌痉挛的治疗效果确切,能够显著改善患者的生活质量,值得临床推广应用。

Objective:To compare the effects of acupoint injection combined with rehabilitation therapy and conventional rehabilitation on improving muscle spasm after stroke.Methods:62 patients with hemiplegia after stroke with the first onset course of 1-3 months admitted to our hospital from December 2015 to December 2017 were selected as research objects,and were divided into observation group and control group by digital random grouping method,with 31 cases in each group.The observation group was injected with lidocaine and B vitamins into common spastic muscles,while the control group was treated with conventional rehabilitation.The functional rehabilitation and quality of life changes of upper and lower limbs after treatment were compared between the two groups.Results:The upper and lower extremity motor function of the observation group was significantly better than that of the control group at 2 weeks,4 weeks,2 months,3 months,and 6 months after treatment.The difference between the two groups was statistically significant(P<0.05).The quality of life of the observation group was significantly better than that of the control group at 2 weeks,4 weeks,2 months,3 months,and 6 months after treatment.The difference between the groups was statistically significant,P<0.05.Conclusion:Acupoint injection combined with rehabilitation therapy has definite therapeutic effect on post-stroke muscle spasm,can significantly improve the quality of life of patients,and is worthy of clinical application.