针刺联合康复疗法对老年脑血管病偏瘫患者的临床疗效

Analysis of Clinical Curative Effect of Acupuncture Combined with Rehabilitation Therapy in the Treatment of Hemiplegia of Senile Cerebrovascular Disease

目的分析针刺联合康复疗法对老年脑血管病偏瘫患者的临床疗效。方法选取该院2020年1—9月收治的160例老年脑血管病偏瘫患者,采用数字分组方法分为试验组与对照组,各80例。试验组在药物治疗基础上接受针刺联合康复疗法治疗,对照组接受常规药物治疗,评估治疗前后两组患者的日常生活能力以及神经功能缺损程度、临床疗效、满意度。结果试验组患者治疗前的日常生活活动能力(ADL)评分、美国国立卫生研究院卒中量表(NIHSS)评分与对照组比较,组间差异无统计学意义(P>0.05);治疗后,试验组患者的ADL与NIHSS评分均优于对照组,组间差异有统计学意义(P<0.05)。试验组患者治疗总有效率(96.25%)显著高于对照组(77.50%),差异有统计学意义(P<0.05)。试验组患者的满意度(97.50%)显著高于对照组(78.75%),差异有统计学意义(P<0.05)。结论老年脑血管病偏瘫患者采用针刺联合康复疗法治疗的临床效果优于常规药物治疗,可提高治疗效果,改善患者的生活能力,临床应用价值较高。

Objective To analyze the clinical curative effect of acupuncture combined with rehabilitation therapy in the treatment of hemiplegia of senile cerebrovascular disease.Methods 160 elderly patients with hemiplegia of cerebrovascular disease admitted to the hospital from January to September 2020 were selected divided into an experimental group and a control group by digital grouping method,with 80 cases in each group.The experimental group received acupuncture combined with rehabilitation therapy on the basis of drug treatment,and the control group received conventional drug treatment.The ability of daily living and neurological impairment before and after treatment,clinical efficacy,and satisfaction of the two groups of patients.Results Before treatment,there were no statistically significant differences between the experimental group and the control group between the activities of daily living(ADL)and the National Institutes of Health stroke scale(NIHSS)scores(P>0.05);after treatment,the ADL and NIHSS scores of the experimental group were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).The total effective rate of treatment in the experimental group(96.25%)was significantly higher than that in the control group(77.50%),and the difference was statistically significant(P<0.05).The satisfaction of patients in the experimental group(97.50%)was significantly higher than that of the control group(78.75%),and the difference was statistically significant(P<0.05).Conclusion The clinical effect of acupuncture combined with rehabilitation therapy for elderly patients with hemiplegia of cerebrovascular disease is better than conventional drug treatment,which can improve the therapeutic effect and improve the life ability of patients,and has high clinical application value.