腹针治疗脑血管病后痉挛性瘫痪的效果

Effect of abdominal acupuncture in the treatment of spastic paralysis after cerebrovascular disease

目的探讨腹针治疗脑血管病后痉挛性瘫痪的临床效果。方法选取2018年12月~2020年6月泉州市第一医院收治的90例脑血管病后痉挛性瘫痪患者,按照治疗方式不同分为对照组(45例)与观察组(45例)。对照组患者采用Bobath疗法治疗,观察组患者采用腹针联合Bobath疗法治疗。比较两组患者的临床治疗效果、肢体痉挛程度、肢体运动功能、日常生活能力等评价指标。结果观察组患者的治疗总有效率为95.56%,高于对照组的77.78%,差异有统计学意义(P<0.05)。观察组患者治疗后的肢体痉挛程度评分为(6.42±0.23)分,低于对照组的(8.59±0.46)分,差异有统计学意义(P<0.05)。观察组患者治疗后的肢体运动功能评分为(0.68±0.17)分,低于对照组的(1.23±0.22)分,差异有统计学意义(P<0.05)。观察组患者治疗后的日常生活能力评分为(79.75±2.65)分,高于对照组的(68.69±4.21)分,差异有统计学意义(P<0.05)。结论采用腹针治疗脑血管病后痉挛性瘫痪患者的效果显著,能够减轻患者的肢体痉挛程度,提高日常生活能力及肢体运动功能,值得临床应用。

Objective To explore the clinical effect of abdominal acupuncture in the treatment of spastic paralysis after cerebrovascular disease.Methods A total of 90 patients with spastic paralysis after cerebrovascular disease in Quanzhou First Hospital from December 2018 to June 2020 were selected and divided into the control group(45 cases)and the observation group(45 cases)according to different treatment methods.The control group was treated with Bobath therapy,while the observation group was treated with abdominal acupuncture combined with Bobath therapy.The clinical therapeutic effect,degree of limb spasm,limb motor function and activities of daily living were compared between the two groups.Results The total effective rate of the observation group was 95.56%,which was higher than 77.78%of the control group,the difference was statistically significant(P<0.05).The score of degree of limb spasm of the observation group after treatment was(6.42±0.23)points,which was lower than(8.59±0.46)points of the control group,the difference was statistically significant(P<0.05).After treatment,the limb motor function score of the observation group was(0.68±0.17)points,which was lower than(1.23±0.22)points of the control group,the difference was statistically significant(P<0.05).The score of activities of daily living in the observation group after treatment was(79.75±2.65)points,which was higher than(68.69±4.21)points in the control group,the difference was statistically significant(P<0.05).Conclusion Abdominal acupuncture has a significant effect in the treatment of spastic paralysis after cerebrovascular disease,which can reduce the degree of limb spasm,improve the ability of daily living and limb motor function,it is worthy of clinical application.