早期手指点穴配合康复功能训练治疗脑卒中偏瘫患者的效果

Effects of early finger acupuncture combined with rehabilitation functional training on stroke patients with hemiplegia

目的:观察脑卒中偏瘫患者予早期手指点穴配合康复功能训练的临床效果。方法:选取48例脑卒中偏瘫患者为研究对象,按照随机数字表法分为观察组和对照组,每组24例。对照组予常规康复功能训练,观察组在对照组基础上予早期手指点穴治疗,比较两组康复锻炼依从性和住院时间,治疗前后生命质量、运动功能及神经功能缺损程度。结果:治疗后,观察组康复锻炼依从性评分高于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);两组生命质量测定量表(QOL)、Fugl-Meyer运动功能评分法(FMA)评分高于治疗前,美国国立卫生研究院卒中量表(NIHSS)评分低于治疗前,且观察组QOL、FMA评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05)。结论:脑卒中偏瘫患者予早期手指点穴配合康复功能训练效果较好,可有效提高患者的康复锻炼依从性,缩短住院时间,提高生命质量,减轻神经功能缺损症状。

Objective: To observe clinical effects of early finger acupuncture combined with rehabilitation functional training on stroke patients with hemiplegia. Methods: 48 patients with stroke and hemiplegia were selected as the research objects and divided into observation group and control group according to the random number table method, 24 cases in each group. The control group was given routine rehabilitation function training, while the observation group was given early finger acupuncture based on that of the control group. The rehabilitation exercise compliance, hospitalization time, and quality of life, motor function and neurological deficits before and after the treatment were compared between the two groups. Results: After the treatment, the rehabilitation exercise compliance score of the observation group was higher than that of the control group, the hospitalization time was shorter than that of the control group, and the differences were statistically significant(P<0.05). The scores of the quality of life scale(QOL) and Fugl-Meyer motor function assessment(FMA) of the two groups were higher than those before the treatment, and the national institutes of health stroke scale(NIHSS) scores were lower than those before the treatment;the scores of QOL and FMA of the observation group were higher than those of the control group, and the NIHSS score was lower than that of the control group;and the differences were statistically significant(P<0.05). Conclusions: The early finger acupuncture combined with rehabilitation functional training on the stroke patients with hemiplegia is effective. Moreover, it can improve the patients’ compliance with rehabilitation exercises, shorten the hospital stay, improve the quality of life, and reduce the symptoms of neurological deficits.