针灸疗法联合康复训练治疗脑中风后遗症的临床疗效观察

Clinical observation on treating sequelae of cerebral apoplexy by acupuncture and rehabilitation training

目的:探讨分析针灸疗法联合康复训练治疗脑中风后遗症的临床疗效。方法:选取2013年2月-2017年12月本院康复科收治的90例脑中风后遗症患者随机分为观察组和对照组,观察组给予针灸疗法联合康复训练治疗,对照组仅给予康复训练治疗,比较两组患者临床疗效,治疗前后国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、日常生活活动能力(Activities of Daily Living,ADL)评分、炎性因子水平。结果:治疗后观察组临床疗效较对照组显著提高,差异具有统计学意义(P<0.05),治疗前两组患者NIHSS、ADL评分、炎性因子水平差异无统计学意义(P>0.05),治疗后两组患者NIHSS评分、白介素-6(Interleukin-6,IL-6)、肿瘤坏死因子α(Tumor Necrosis Factor,TNF-α)、胰岛素生长因子(Insulin Growth Factor,IGF-Ⅱ)指标水平均显著降低,ADL评分均显著提高,且治疗后观察组患者NIHSS评分、IL-6、TNF-α、IGF-Ⅱ指标水平下降更明显,ADL评分上升更显著,差异均具有统计学意义(P<0.05)。结论:针灸疗法联合康复训练治疗脑中风后遗症患者可提高临床疗效,减轻患者脑组织的炎性损伤,改善脑部血液供应、神经功能缺损,促进日常生活能力的提高,建议在临床上推广。

Objective:To explore the clinical effect of acupuncture and rehabilitation training on sequelae of cerebral apoplexy.Methods:90 patients were randomly divided into the observation group and control group.The observation group was given acupuncture and rehabilitation training.The control group was given rehabilitation training.Results:The clinical efficacy in the observation group was significantly higher than the control group(P<0.05).NIHSS score,IL-6,TNF-αand the level of IGF-II index between two groups was significantly reduced after treatment.The ADL score between two groups was significantly improved.Those in the observation group were significantly better(P<0.05).Conclusion:Acupuncture and rehabilitation training can improve the clinical effect,reduce the inflammatory injury of brain tissue,improve the blood supply in the brain and neurological impairment,promote the improvement of daily life ability,and suggest that it be popularized in clinic.