针灸联合三级康复疗法对脑卒中恢复期肢体运动功能及生活质量的影响

Effects of acupuncture combined with tertiary rehabilitation therapy on motor function and quality of life of convalescent stroke patients

目的:探讨针灸和康复训练对脑卒中恢复期的临床疗效。方法:选取2018年6月-2018年12月南京江北人民医院急性脑卒中患者76例,随机分为试验组38例和对照组38例。对照组在一般治疗的基础上联合三级康复疗法治疗;试验组在一般治疗的基础上,采取针灸联合三级康复疗法。观察患者治疗后的疗效、神经功能缺损(National Institute of Health Stroke Scale,NIHSS)、运动功能评定量表(Fugl-Meyer,FM)、平衡功能量表(Berg Balance Scale,BBS)、日常生活功能量表(Activity of Daily Living Scale,ADL)评分及社会功能活动问卷(Functional Activites Questionnaire,FAQ)评分等情况。结果:两组患者治疗后临床疗效、FM、BBS、ADL评分均高于治疗前,且试验组升高更明显,差异有统计学意义(P<0.05);而NIHSS评分、FAQ评分较治疗前减少,试验组减少更明显,差异有统计学意义(P<0.05)。结论:针灸和康复训练对脑卒中患者肢体功能恢复有很好临床疗效,提高患者生活质量,值得临床借鉴。

Objective:To analyze the effects of acupuncture and moxibustion combined with tertiary rehabilitation therapy on limb motor function and quality of life of convalescent stroke patients.Methods:76 patients with acute stroke in Nanjing Jiangbei People's Hospital from June 2018 to December 2018 were selected and randomly divided into the experimental group and the control group,with 38 cases in each group.The control group was treated with tertiary rehabilitation therapy on the basis of conventional treatment.On the basis of conventional treatment,the experimental group received acupuncture combined with tertiary rehabilitation therapy.The clinical efficacy,NIHSS,FM,BBS,ADL and FAQ of the two groups were evaluated.Results:After treatment,the clinical efficacy,FM,BBS,ADL scores of the two groups were all higher than those before treatment,the NIHSS score and FAQ score decreased compared with that before treatment,and the decrease was more significant in the experimental group.Conclusion:Acupuncture combined with three-stage rehabilitation therapy has a good effect on the recovery of limb function in patients with cerebral apoplexy.It can significantly reduce the neurological function defect score,improve the patients'exercise,balance and comprehensive ability,and improve the patients'quality of life,which is worthy of clinical reference.