温针灸联合运动康复在脑卒中偏瘫治疗中应用价值及安全性分析

Analysis on the Application Value and Safety of Warm Acupuncture and Moxibustion Combined with Motor Rehabilitation in the Treatment of Hemiplegia after Stroke

目的探究温针灸联合运动康复治疗脑卒中偏瘫的临床效果,并分析其应用价值及安全性。方法选取2016年9月—2018年10月收治的脑卒中偏瘫患者80例,按随机数字表法将其分为对照组(40例)和观察组(40例)。对照组给予运动康复治疗,观察组在此基础上给予温针灸治疗。统计2组治疗后临床疗效;比较2组患者治疗前后肌力、运动能力和日常生活能力的差异。结果治疗后观察组与对照组的临床总有效率分别为87. 50%、65. 00%,观察组显著高于对照组(P <0. 05);与治疗前比较,治疗后2组患者伸膝和屈膝PT均显著升高,且观察组明显高于对照组(P <0. 01);与治疗前比,治疗后2组运动能力和日常生活能力显著升高,且观察组显著高于对照组(P <0. 01);治疗后2组均无不良反应的发生。结论温针灸联合运动康复可有效缓解脑卒中偏瘫患者临床症状,提高患者的运动能力、日常生活活动能力,且安全性可靠。

Objective To explore the clinical effect of warm acupuncture and moxibustion combined combined with motor rehabilitation in the treatment of hemiplegia after stroke,and to analyze its application value and safety.Methods 80 stroke patients with hemiplegia admitted to our hospital from September 2016 to October 2018 were divided into the control group(n=40)and observation group(n=40)according to random number table method.The control group was given motor rehabilitation,while the observation group was given warm acupuncture combined on this basis.The clinical efficacy of the two groups after treatment was counted,and the differences of animal force,motor ability and daily living ability between the two groups before and after treatment were compared.Results After treatment,the total clinical effective rates of the observation group and the control group were 87.50%and 65.00%respectively,and the observation group was significantly higher than the control group(P<0.05).Compared with before treatment,PT of knee extension and knee flexion in both groups increased significantly after treatment,and the PT of observation group was significantly higher than that of control group(P<0.01).Compared with before treatment,the motor ability and daily living ability of the two groups increased significantly after treatment,and the observation group was significantly higher than the control group(P<0.01).There were no adverse reactions in the two groups after treatment.Conclusion Warm acupuncture and moxibustion combined with motor rehabilitation can effectively alleviate the clinical symptoms of stroke patients with hemiplegia,improve their motor ability and activities of daily life,and is safe and reliable.