头针结合运动疗法治疗中风后偏瘫的临床研究

Clinical Study of Scalp Acupuncture combined with Exercise Therapy in Treatment of Post-apoplectic Hemiplegia

目的探讨头针结合运动疗法治疗中风后痉挛型偏瘫的临床研究。方法选择2017年11月—2018年11月治疗中风后痉挛型偏瘫患者60例,随机数字表将患者分为对照组(n=30)和观察组(n=30)。对照组采用头针治疗,观察组给予头针结合运动疗法,1个月后对患者的运动功能与疼痛程度进行评分,比较两组治疗效果。结果两组治疗前运动功能与疼痛程度差异无统计学意义(P>0.05);观察组Fugl-Meyer运动功能评分显著高于对照组(P<0.05),观察组VAS评分显著低于对照组(P<0.05)。经1个月治疗,观察组总有效率高于对照组。结论将头针结合运动疗法用于中风后痉挛型偏瘫患者的治疗中,有助于患者运动功能的恢复且治疗效果良好,值得推广应用。

Objective To explore the clinical study of scalp acupuncture combined with exercise therapy in the treatment of spasmodic hemiplegia after apoplexy.Methods From November 2017 to November 2018,60 patients with spasmodic hemiplegia after apoplexy were randomly divided into control group(n=30)and observation group(n=30).The patients in the control group were treated with routine treatment,and those in the observation group were given scalp acupuncture combined with exercise therapy.One month later,the motor function and pain degree of the patients were scored,and the therapeutic effects of the two groups were compared.Results There was no significant difference in motor function or pain between the two groups before treatment,but the score of Fugl-Meyer motor function in the observation group was significantly higher than that in the control group,and the VAS score in the observation group was significantly lower than that in the control group(P<0.05).After one month treatment,the therapeutic effect of the observation group was significantly higher than that of the control group.Conclusion The application of scalp acupuncture combined with exercise therapy in the treatment of spasmodic hemiplegia after apoplexy is helpful to the recovery of motor function of the patients and the therapeutic effect is good.It is worthy of popularizing and applying.