早期针灸康复治疗急性脑梗死后偏瘫的效果分析

Effect analysis of early acupuncture rehabilitation on hemiplegia after acute cerebral infarction

目的 分析早期针灸康复治疗急性脑梗死后偏瘫患者的临床效果。方法 60例急性脑梗死后偏瘫患者,随机分为对照组和研究组,每组30例。对照组采用常规方法治疗,研究组在对照组基础上采用早期针灸康复治疗。对比两组治疗前后神经功能缺损程度、生活活动能力评分及生存质量评分、并发症发生情况。结果 治疗前,两组神经功能缺损程度及生活活动能力评分对比,差异无统计学意义(P>0.05);治疗后,研究组神经功能缺损程度评分(10.4±5.8)分明显低于对照组的(20.5±6.7)分,生活活动能力评分(90.2±2.4)分明显高于对照组的(77.2±2.6)分,差异有统计学意义(P<0.05)。研究组社会功能、心理状态、生理状态、睡眠质量评分分别为(8.4±1.4)、(9.1±0.9)、(9.6±0.3)、(9.4±0.6)分,均明显高于对照组的(7.1±0.5)、(7.5±0.4)、(8.1±0.5)、(8.2±0.2)分,差异有统计学意义(P<0.05)。研究组并发症发生率3.33%明显低于对照组的33.33%,差异有统计学意义(P<0.05)。结论 对急性脑梗死后偏瘫患者实施早期针灸康复治疗,可以有效改善其神经功能缺损情况、生活活动能力及生存质量,减少并发症发生,临床可积极推广。

Objective To analyze the clinical effect of early acupuncture rehabilitation on hemiplegia after acute cerebral infarction. Methods A total of 60 patients with hemiplegia after acute cerebral infarction were randomly divided into control group and research group, with 30 patients in each group. The control group was treated with conventional methods, while the research group was treated with early acupuncture rehabilitation on the basis of the control group. The neurological deficit, activities of daily living score, quality of life score, and occurrence of complications before and after treatment were compared between the two groups. Results Before treatment, there was no statistically significant difference between the two groups in terms of neurological deficit score and activities of daily living score(P>0.05). After treatment, the neurological deficit score(10.4±5.8) points in the research group was significantly lower than(20.5±6.7) points in the control group, and the activities of daily living score(90.2±2.4) points was significantly higher than(77.2±2.6) points in the control group, and the differences were statistically significant(P<0.05). The scores of social function, psychological state, physiological state and sleep quality in the research group were(8.4±1.4),(9.1±0.9),(9.6±0.3) and(9.4±0.6) points, which were significantly higher than(7.1±0.5),(7.5±0.4),(8.1±0.5) and(8.2±0.2) points in the control group, and the differences were statistically significant(P<0.05). The incidence of complications in the research group was 3.33%,which was significantly lower than 33.33% in the control group, and the difference was statistically significant(P<0.05). Conclusion Early acupuncture rehabilitation for patients with hemiplegia after acute cerebral infarction can effectively improve their neurologic deficit and activities of daily living, and reduce the occurrence of complications, which can be actively promoted in clinical practice.