温针灸联合推拿康复治疗老年脑梗死的疗效观察

Efficacy Observation of Warm Needling Moxibustion Combined with Massage Rehabilitation Therapy in Elderly Patients with Cerebral Infarction

目的:探讨老年脑梗死患者采用温针灸联合推拿康复治疗的临床效果及对肢体功能恢复的影响。方法:选取2020年8月-2021年8月威海市市级机关卫生所收治的老年脑梗死患者50例,按照红蓝球随机分组法分为对照组与观察组,各25例。对照组单纯应用推拿康复治疗,观察组采用温针灸联合推拿康复治疗。观察两组患者治疗后临床疗效,肢体功能(关节活动度、肢体痉挛、运动功能、疼痛),神经功能[美国国立卫生研究院卒中量表(NIHSS)评分],日常生活能力(ADL评分)恢复情况。结果:观察组治疗总有效率为92.0%,明显高于对照组的60.0%,两组比较差异有统计学意义(P<0.05)。两组患者治疗后,观察组关节活动度、肢体痉挛评分、运动功能评分、疼痛评分改善程度均优于对照组,差异有统计学意义(P<0.05)。两组治疗前,NIHSS、ADL评分比较差异无统计学意义(P>0.05);两组治疗后,NIHSS、ADL评分均优于治疗前(P<0.05),且观察组明显优于对照组(P<0.05)。结论:老年脑梗死患者采用温针灸联合推拿康复治疗,可改善肢体功能和神经功能,提高临床疗效及生活质量,具有推广应用价值。

Objective: To explore the clinical effects of warm needling moxibustion combined with massage rehabilitation therapy in elderly patients with cerebral infarction and their influence on the recovery of limb function. Methods: From August 2020 to August 2021, 50 elderly patients with cerebral infarction admitted to Weihai Municipal Institutional Health Center were selected,and they were divided into control group and observation group according to the red and blue ball randomization method, with 25cases in each group. The control group received pure massage rehabilitation therapy and the observation group received warm needling moxibustion combined with massage rehabilitation therapy. Clinical efficacy, limb function(joint range of motion, limb spasm, motor function, pain), neurological function(NIHSS score), and recovery of activities of daily living(ADL score) in the two groups of patients after treatment were observed. Results: The overall effective rate of treatment rate in the observation group was92%, which was significantly higher than that 60% in the control group, and the difference was statistically significant(P<0.05).After treatment, the improvement in joint range of motion, limb spasm score, motor function score, pain score of the observation group were better than those of the control group, and the difference was statistically significant(P<0.05). Before treatment, there was no significant difference in NIHSS and ADL scores between the two groups(P>0.05);after treatment, NIHSS and ADL scores in the two groups were better than those before treatment(P<0.05), and the observation group was significantly better than the control group(P<0.05). Conclusion: For elderly patients with cerebral infarction, warm needling moxibustion combined with massage rehabilitation therapy can improve the limb function and neurological function, enhance the clinical efficacy and quality of life, and have the generalization and application value.