针灸疗法结合康复训练治疗脑梗死后上肢麻木的效果分析

Effect Analysis of Acupuncture and Moxibustion Combined with Rehabilitation Training in Treatment of Upper Limb Numbness After Cerebral Infarction

目的:探讨针灸疗法结合康复训练治疗脑梗死后上肢麻木的效果。方法:选取2019年3月—2021年3月北京市西三旗社区卫生服务中心收治的82例脑梗死后上肢麻木患者作为研究对象,根据随机数字表法分为对照组与观察组,各41例。对照组给予常规对症治疗,观察组在对照组基础上辅以康复训练、针灸疗法。比较两组上肢麻木症状评分、临床疗效、日常生活活动能力、生活质量。结果:治疗前,两组上肢麻木症状评分比较,差异无统计学意义(P>0.05)。治疗后,两组上肢麻木症状评分均低于治疗前,差异有统计学意义(P<0.05);观察组上肢麻木症状评分低于对照组,差异有统计学意义(P=0.000)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.012)。治疗前,两组基本生活活动能力(BADL)、辅助生活活动能力(IADL)评分比较,差异无统计学意义(P>0.05)。治疗后,两组BADL、IADL评分均高于治疗前,差异有统计学意义(P<0.05);观察组BADL、IADL评分高于对照组,差异有统计学意义(P=0.000)。治疗前,两组生活质量综合评定问卷(GQOLI-74)评分比较,差异无统计学意义(P>0.05)。出院后6个月,两组GQOLI-74评分均高于治疗前,差异有统计学意义(P<0.05);观察组GQOLI-74评分高于对照组,差异有统计学意义(P=0.000)。结论:在脑梗死后上肢麻木患者的治疗中联合采用针灸疗法、康复训练,可取得较为理想的效果,改善麻木症状,提高患者日常生活活动能力与生活质量,值得推广。

Objective:To explore the effect of acupuncture and moxibustion combined with rehabilitation training in the treatment of upper limb numbness after cerebral infarction.Methods:A total of 82 patients with upper limb numbness after cerebral infarction treated in Xisanqi Community Health Service Center of Beijing from March 2019 to March 2021 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 41 cases in each group.The control group was given conventional symptomatic treatment,and the observation group was supplemented with rehabilitation training and acupuncture and moxibustion therapy on the basis of the control group.The upper limb numbness symptom scores,clinical efficacy,daily living activity ability,and quality of life were compared between the two groups.Results:Before treatment,there was no significant difference in upper limb numbness symptoms between the two groups(P>0.05).After treatment,the scores of upper limb numbness symptom in both groups were lower than those before treatment,and the difference was statistically significant(P<0.05).The upper limb numbness symptom score in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.000).The overall effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.012).Before treatment,there was no significant difference in the scores of Basic Activities of Daily Living(BADL)and Instrumental Activities of Daily Living Assistance(IADL)between the two groups(P>0.05).After treatment,the scores of BADL and IADL in the two groups were higher than those before treatment,and the difference was statistically significant(P<0.05).The BADL and IADL scores in the observation group were higher than those in the control group,and the differences were statistically significant(P=0.000).Before treatment,there was no significant difference in the scores of the Generic Quality of Life Inventory-74(GQOLI-74)between the two groups(P>0.05).At 6 months after discharge,the GQOLI-74 scores in the two groups were higher than those before treatment,and the difference was statistically significant(P<0.05).The GQOLI-74 score in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.000).Conclusion:The combination of acupuncture and moxibustion with rehabilitation training in the treatment of patients with upper limb numbness after cerebral infarction can achieve ideal results,improve numbness symptoms,enhance patients'activities of daily living and quality of life,and it is worth promoting.