普通针刺结合颞三针联合康复锻炼治疗脑卒中后肢体功能障碍临床有效性研究

Efficacy of ordinary acupuncture with three-temporal acupuncture and rehabilitation exercises on limb dysfunction after stroke

目的:探究普通针刺结合颞三针联合康复锻炼治疗脑卒中后肢体功能障碍的临床有效性。方法:将高邮市中医医院收治的72例脑卒中后肢体功能障碍患者按照随机数字表法分成对照组(行常规治疗、普通针刺联合康复锻炼治疗)、试验组(行常规治疗基础上的普通针刺结合颞三针联合康复锻炼治疗),各36例。比较两组患者的疗效。结果:治疗后,相比对照组,试验组乏力、偏身麻木、偏瘫、走路不稳等中医症状积分及血浆粘度、纤维蛋白原、红细胞压积等血液流变学指标水平更低,Fugl-Meyer评分、Berg平衡量表及Barthel指数更高,肌力Ⅴ~Ⅵ级占比更高,Ⅰ~Ⅳ级占比更低,P<0.05,差异有统计学意义。结论:予脑卒中后肢体功能障碍患者普通针刺结合颞三针联合康复锻炼的效果确切,利于患者肌力及肢体功能改善,可予以推广及应用。

Objective:To explore the clinical effectiveness of ordinary acupuncture with three-temporal acupuncture and rehabilitation exercises in the treatment of limb dysfunction after stroke.Methods:Seventy-two patients with post-stroke limb dysfunction were divided into the control group(took conventional treatment,ordinary acupuncture with rehabilitation exercise treatment)and the experimental group(took conventional treatment,ordinary acupuncture with three-temporal acupuncture and rehabilitation exercise therapy),36 cases in each case.Results:After treatment,compared with the control group,the test group has lower levels of fatigue,numbness,hemiplegia,walking instability and other TCM symptoms,and blood rheology indexes such as plasma viscosity,fibrinogen,and hematocrit.Fugl-Meyer score,Berg balance scale score and Barthel index were higher,muscle strength ofⅤ~Ⅵgrades has a higher proportion,andⅠ~Ⅳgrades has a lower proportion,P<0.05,there are more differences.Conclusion:The effect of ordinary acupuncture with threetemporal acupuncture and rehabilitation exercise on limb dysfunction after stroke is definite,which is beneficial to the improvement of muscle strength and limb function.It can be promoted and applied.