针灸联合康复训练对中风后遗症的临床治疗效果研究

Clinical effects of acupuncture and moxibustion combinedwith rehabilitation training on sequelae of stroke

目的:分析研讨针灸联合康复训练对中风后遗症的临床效果。方法:随机从聊城市第三人民医院2016年4月-2018年9月收治的中风后遗症患者中抽取80例进行讨论,用随机数字表法分组,其中40例接受康复训练(对照组),另40例接受针灸联合康复训练治疗(研究组),然后观察比较两组患者的治疗疗效、美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、Fugl-Meyer评分量表(Fugl-Meyer Assessment,FMA)、Barthel指数。结果:研究组患者中显效23例,有效15例,治疗总疗效为95.00%(38/40);对照组患者中显效11例,有效13例,治疗总疗效为60%(24/40)。研究组患者的治疗总疗效显著高于对照组(P<0.05)。组内比较,两组患者治疗后的NIHSS评分均显著低于治疗前(P<0.05),Fugl-Meyer评分、Barthel指数均显著高于治疗前(P<0.05);组间比较,治疗前两组患者的NIHSS评分、Fugl-Meyer评分、Barthel指数之间的差异无统计学意义(P>0.05),治疗后研究组患者的NIHSS评分显著低于对照组(P<0.05),Fugl-Meyer评分、Barthel指数均显著高于对照组(P<0.05)。结论:针灸联合康复训练治疗中风后遗症,疗效突出,可有效改善肢体运动功能和日常生活能力,患者神经功能得到显著改善,值得推广。

Objective:To analyze and discuss the clinical effect of acupuncture and moxibustion combined with rehabilitation training on sequelae of apoplexy.Methods:80 patients with apoplexy sequelae admitted to Liaocheng Third People's Hospital from April 2016 to September 2018 were randomly selected for discussion.They were grouped by random number method,of which 40 received rehabilitation training(the control group)and the other 40 received acupuncture and moxibustion combined rehabilitation training(the study group).and then the treatment efficacy,NIHSS score,fugl-meyer score and Barthel index of the two groups were observed and compared.Results:Among the patients in the study group,there were 23 effective cases cured and 15 effective cases,and the total therapeutic effect was 95.00%(38/40).Among the patients in the control group,there were 11 case cured,13 cases were effective,and the total therapeutic effect was 60%(24/40).The total therapeutic effect of the study group was significantly higher than that of the control group(P<0.05).In comparison,the NIHSS score of the two groups after treatment was significantly lower than that before treatment(P<0.05),and the fuglmeyer score and Barthel index were significantly higher than that before treatment(P<0.05).The NIHSS score,fugl-meyer score and Barthel index of patients in the two groups before treatment were not significantly different(P>0.05).After treatment,the NIHSS score of patients in the study group was significantly lower than that of the control group(P<0.05),and the fugl-meyer score and Barthel index were significantly higher than those of the control group(P<0.05).Conclusion:Acupuncture and moxibustion combined with rehabilitation training has a prominent curative effect in the treatment of apoplexy sequelae,which can effectively improve the limb movement function and the ability of daily living,and the neurological function of patients has been significantly improved,so it is worth promoting.