针刺推拿联合运动疗法在急性缺血性卒中偏瘫患者康复治疗中的应用效果

Application effects of acupuncture and massage combined with exercise therapy in rehabilitation treatment of hemiplegia patients with acute ischemic stroke

目的:观察针刺推拿联合运动疗法在急性缺血性卒中(AIS)偏瘫患者康复治疗中的应用效果。方法:选取2019年3月至2021年3月该院收治的64例AIS偏瘫患者进行前瞻性研究,采用随机数字表法将其分为对照组和观察组各32例。对照组采用运动疗法治疗,观察组在对照组基础上联合针刺推拿治疗,两组均持续治疗14 d。比较两组治疗前后神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]评分、平衡功能[Fugl-Meyer评定量表(FMA)]评分、日常生活活动能力[Barthel指数(BI)]评分、临床疗效和并发症发生率。结果:治疗后,两组NIHSS评分均低于治疗前,且观察组低于对照组,两组FMA和BI评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为93.75%(30/32),高于对照组的75.00%(24/32),差异有统计学意义(P<0.05);两组治疗期间均未见明显并发症。结论:针刺推拿联合运动疗法可提高AIS偏瘫患者治疗总有效率,减轻神经功能缺损,改善平衡功能和日常生活活动能力,效果优于单纯运动疗法。

Objective:To observe application effects of acupuncture and massage combined with exercise therapy in rehabilitation treatment of hemiplegia patients with acute ischemic stroke(AIS).Methods:A prospective study was conducted on 64 hemiplegia patients with AIS admitted to the hospital from March 2019 to March 2021.They were divided into control group and observation group by using the random number table method,32 cases in each group.The control group was treated with exercise therapy,while the observation group was treated with acupuncture and massage on the basis of that of the control group.Both groups were treated for 14 d.The degree of neurological deficit[National Institutes of Health Stroke scale(NIHSS)]score,the balance ability[Fugl-Meyer rating scale(FMA)]score,the activities of daily living[Barthel Index(BI)]score,the clinical efficacy,and the complication rate were compared between the two groups before and after the treatment.Results:After the treatment,the NIHSS scores of the two groups were lower than those before the treatment,and that the observation group was lower than that of the control group;the FMA and the BI scores of the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 93.75%(30/32),which was higher than 75.00%(24/32)in the control group,and the difference was statistically significant(P<0.05).No obvious complications were found in the two groups during the treatment.Conclusions:Acupuncture and massage combined with exercise therapy can improve the total effective rate of treatment in the hemiplegia patients with AIS,reduce the neurological deficits,and improve the balance ability and the activities of daily living.Moreover,it is superior to single exercise therapy.