针刺康复疗法在脑卒中相关性肺炎治疗中的应用效果分析

目的分析针刺康复疗法在脑卒中相关性肺炎治疗中的应用效果。方法随机将70例脑卒中相关性肺炎患者分为A、B组,每组35例。以接受常规治疗者为A组,以接受常规联合针刺康复疗法治疗者为B组。比较两组的治疗效果。结果两组治疗前的血常规:白细胞(WBC)计数、中性粒细胞百分比(N%)及C反应蛋白(CRP)比较,差异无统计学意义(P>0.05),治疗1周后,B组的WBC、N%、CRP改善情况明显优于A组(P<0.05),体温正常、咳嗽消失及啰音消失时间均短于A组(P<0.05)。B组的总有效率明显高于A组(P<0.05)。结论针刺康复疗法用于治疗脑卒中相关性肺炎可显著提高临床效果。

针刺康复疗法治疗中风后吞咽障碍的效果分析

探究中风后吞咽障碍患者运用针刺康复疗法治疗的临床效果。方法:选取100例在2018年3月-2019年6月本院收治的中风后吞咽障碍患者,随机分为观察组(针刺康复疗法治疗)和对照组(常规康复疗法治疗)各50人。结果:相比于对照组,观察组治疗总有效率(92%)较高(P<0.05),且治疗后,观察组VGF评分优于对照组(P<0.05)。结论:中风后吞咽障碍患者运用针刺康复疗法治疗后,能够获得更加显著的治疗效果,有效改善患者的吞咽功能。

针刺联合康复疗法治疗痉挛型脑瘫尖足30例回顾性临床分析

目的 观察用长针透刺联合康复疗法治疗痉挛型脑瘫尖足的回顾性临床分析.方法 将60例患儿随机分为治疗组30例和对照组30例,治疗组采用针刺联合康复疗法治疗,对照组采用药物及肌电生物反馈治疗,观察患儿在治疗前后神经体征改善情况.结果 治疗组和对照组总有效率分别为86.67％和66.67％,治疗组明显高于对照组(P＜0.05).结论 长针透刺联合康复疗法治疗痉挛型脑瘫尖足可以明显改善患儿的临床症状和体征,提高患儿的生活质量,具有经济实用、有效提高的优点.

针刺结合运动康复疗法对中风偏瘫患者肢体运动功能和日常生活能力的影响

目的：分析针刺结合运动康复疗法对中风偏瘫患者肢体运动功能和日常生活能力的影响。方法：将2012年9月~2013年9月期间所收治的80例中风偏瘫患者纳入本次研究，根据随机数字表法将其均分为对照组与观察组各40例，对照组服用神经内科常规药物治疗，并开展运动康复训练，观察组在此基础上采取针刺治疗，分别观察2组运动功能、肌力分布情况、神经功能缺损程度评分以及日常生活活动能力改善情况，并对研究结果相关数据作统计学处理。结果：与对照组相比，观察组运动功能、肌力分布情况、神经功能缺损程度评分以及日常生活活动能力改善情况更优，组间差异显著而具有统计学意义（P＜0.05）。结论：神经内科药物常规治疗以及康复运动疗法可有效改善患者日常生活质量及运动功能，而与针刺治疗方案联合应用则具有更为显著的改善效果，可予以推广使用。

联用针刺推拿、康复疗法及西药治疗脑梗死的效果探究

目的:探讨联用针刺推拿、康复疗法及西药治疗脑梗死的临床效果。方法:选取2014年至2018年期间在中国人民解放军联勤保障部队第九二五医院接受诊治的60例脑梗死患者作为研究对象。将这60例患者分为单纯西药组(n=28)和中西医结合组(n=32)。对两组患者均使用西药进行治疗。在此基础上,对中西医结合组患者进行针刺推拿治疗及康复锻炼指导。然后,比较两组患者治疗的总有效率及各项临床指标。结果:接受治疗前,两组患者日常生活能力量表(ADL)的评分、步态功能的级数、平衡功能的级数及美国国立卫生研究院卒中量表(NIHSS)的评分相比,P>0.05。接受治疗后,中西医结合组患者治疗的总有效率、ADL的评分、步态功能的级数及平衡功能的级数均高于单纯西药组患者,其NIHSS的评分低于单纯西药组患者,P<0.05。结论:联用针刺推拿、康复疗法及西药治疗脑梗死的临床效果较好。

针刺与康复结合治疗中风

目的观察针刺结合康复疗法对中风患者的治疗效果。方法对26例中风患者采用针刺结合康复疗法治疗。结果针刺结合康复治疗中风总有效率为96.67%。结论针刺结合康复疗法是治疗中风的一种重要方法,早期进行系统规范和个体化康复治疗能够大大提高临床治疗效果。

蒙医针刺疗法治疗脑梗死恢复期疗效观察

观察蒙医针刺疗法治疗脑梗死恢复期的临床疗效。方法:根据治疗方法的不同,选取了82例脑梗死患者,分为试验组(41例)和对照组(41例)。对照组接受康复训练,试验组接受针刺治疗。记录两组治疗后的临床疗效,肢体康复功能,日常自我保健水平和神经功能缺损。结果:试验组临床有效率为90.24%,高于对照组的73.17%(P<0.05)。治疗后,试验组的FMA评分为(47.36±2.59)分,Barthel评分为(58.12±3.64)分。对照组(45.91±2.25)和(47.31±3.02)分,NIHSS得分比对照组(15.82±3.31)分低(12.17±2.11)分,差异有统计学意义(P<0.05)。结论:针刺治疗脑梗死比康复治疗更有效,可以提高患者的身体素质,保证日常生活的自我保健水平,促进患者神经损伤功能的快速恢复。

综合康复疗法干预脑卒中后认知功能障碍的研究

目的：探讨针刺综合康复疗法对脑卒中后认知功能障碍预后的影响.方法：本研究为随机对照研究,均为我院神经内科门诊及住院的56例脑卒中患者,随机分为康复组和对照组,康复组以针灸综合康复疗法进行规范化康复治疗;对照组未给予规范化的康复治疗,但两组内科常规治疗相同.分别于入组时和两个月后采用神经行为认知状况评估量表（NCSE）评估患者的认知功能.结果：两个月后康复组在语言表达、解决问题和交流等方面均优于对照组,比较差异有显著意义.结论：针刺综合康复疗法对脑卒中患者的认知功能改善有一定促进作用.

Research of efficacy assessment of post-stroke hemiplegic spasticity treated with acupuncture and rehabilitation:a multi-centre randomized controlled trial

Objective To observe the therapeutic effect of acupuncture and rehabilitation on poststroke hemiplegic spasticity, and probe into the indices of efficacy assessment of the disease. Methods According to the randomized, controlled and blind clinical trial design, 229 cases enrolled in accordance with the inclusive criteria were divided into 3 groups based on visiting sequence： treatment group 1 （74 cases）, treated with acupuncture [Jianyu （肩髃 LI 15）, Quchi （曲池 LI 11）, Waiguan （外关 TE 5） etc. on the affected side]; treatment group 2 （75 cases）, treated with acupuncture as treatment group 1 and combined with rehabilitation as control group; control group （80 cases）, treated with rehabilitation （Bobath facilitation technique）. 5 treatments were given each week, continuously for 4 weeks. The clinical efficacy on post-stroke hemiplegic spasticity was observed systematically after the treatment of acupuncture combined with rehabilitation. Results The research showed that the baseline situations of 3 groups were good, the group division was proportionate, indicating strong comparability （P〉0.05）. Based on the modified Ashworth Spasticity Scale （modified ASS）, the total effective rate was 63.01% （46/73） in treatment group 1, 66.67%（50/75） in treatment group 2 and 44.00% （33/75） in control group, indicating a statistical significant difference among 3 groups （P〈0.05）. Based on MAS motor function scale, the function improvement in treatment group 2 was superior to that in treatment group 1 and control group, indicating statistical significant differences among 3 groups （both P〈0.05）. Based on modified Barthel index, the daily life activity in treatment group 2 was superior in the improvement as compared with treatment group 1 and control group, but without statistical significant difference indicated （P〉0.05）. Conclusion The efficacy of post-stroke hemiplegic spasticity is definite with acupuncture combined with rehabilitation, and the acupuncture program is safe and effective.

Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke

Objective： To observe the effect of warm joint needling plus rehabilitation techniques on the balance function and quality of life （QOL） of patients with spastic hemiplegia after ischemic cerebral stroke. Methods： Ninety patients with spastic hemiplegia after ischemic cerebral stroke were randomized into a rehabilitation group, a warm joint needling group and an observation group, with 30 cases in each group. The rehabilitation group was intervened by Bobath therapy, the warm joint needling group was treated with joint needling on the affected side plus warm needling, and the observation group was given the same rehabilitation treatment as the rehabilitation group together with the same warm joint needling as the warm joint needling group. The three groups were treated once another day, 1 month as a treatment course for 6 months. Before the treatment, and respectively after 2-week, 1-month, 3-month, and 6-month treatment, the modified Ashworth scale （MAS） was used to measure the anti-spasm ability of the lower limb, the Berg balance scale （BBS） was adopted to evaluate the balance function, and the stroke-specific quality of life scale （SS-QOL） was employed to estimate the QOL. Results： After 3-month and 6-month treatment, the lower-limb MAS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 1-month, B-month and 6-month treatment, the BBS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 2-week, 1-month, 3-month and 6-month treatment, the SS-QOL scores in the observation group were markedly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. Conclusion： Warm joint needling plus rehabilitation can effectively improve the lower-limb spasticity state, balance function and QOL in patients with spastic hemiplegia after ischemic cerebral stroke.

Governor vessel-unblocking and mind-regulating acupuncture therapy for sensory and motor dysfunction after spinal cord injury

Objective： To observe the difference in clinical efficacy between governor vessel-unblocking and mind- regulating acupuncture therapy combined with conventional rehabilitation therapy and simply conventional rehabilitation therapy for sensory and motor dysfunction of patients with spinal cord injury. Methods： Forty patients with spinal cord injury （SCI） were randomly assigned into rehabilitation combined with acupuncture group （group A） and rehabilitation group （group B）, with 20 patients in each group. In group A, governor vessel-unblocking and mind-regulating acupuncture therapy combined with conventional rehabilitation therapy was adopted, and Baihui（百会 GV 20）, Fengffu （风府GV 16）, Dazhui （大椎GV 14）, Zhiyang （至阳GV 9）, Mingmen （命门 GV 4） and Yfioyangguan （腰阳关 GV 3） were adopted as the main acupoints. Conventional rehabilitation therapy was also applied, including the rehabilitation training of joint, motion, respiration, urinary bladder and intestinal tract. In group B, conventional rehabilitation therapy was adopted as same as the group A. Treatment in the two groups was conducted for once a day, 6 times a week, and 12 weeks in total. ASIA motor score （MS）, ASIA sensory score （SS） and activity of daily living （ADL） score of patients in the two groups were observed before and after the treatment. Results： Before treatment, the differences in MS, SS and ADL score of patients in the two groups were not statistically significant （all P 〉 0.05）, and the results were comparable. After treatment, MS, SS and ADL score of patients in the two groups were all higher than that before the treatment （all P 〈 0.05）, and MS, SS and ADL score of the patients in group A were all higher than that in group B （all P 〈 0.05）. Conclusion： The curative effect of governor vessel-unblocking and mind-regulating acupuncture therapy combined with conventional rehabilitation therapy was superior to that of simply conventional rehabilitation therapy in the treatment of sensory and motor dysfunction of the patients with SCI.

Clinical Observation of Electroacupuncture and Rehabilitation Training in Treating Cerebral Infarction

Objective： To observe the clinical efficacy of electroacupuncture and rehabilitation exercises in the treatment of cerebral infarction. Methods： Seventy-four patients with cerebral infarction were randomized into treatment group and control group in visit sequence. Thirty-seven cases in treatment group were treated with electroacupuncture and rehabilitation exercises, and other 37 cases in control group were treated with electro- acupuncture alone. The treatment was given once a day and there was a 2-day interval after any consecutive 5 treatments. After total 30 treatments, Fugl-Meyer scale was used to evaluate motor function and Barthel Index to evaluate the activities of daily living. Results： After treatments, the motor function of paralyzed limb and activities of daily living were obviously improved in both groups, with more significant improvement in treatment group than in control group （P〈0.05）. Conclusion： Combination of electroacupuncture and rehabilitation exercises has better effects than simple electroacuvuncture in the treatment of cerebral infarction.

Clinical Study on Acupuncture Effect for Spastic Paralysis Following Cerebrovascular Disease

Objective： To investigate the acupuncture effect for post-apoplectic spasticity. Methods： Modified Ashworth spasticity rating, Brunnstrom grades, Barthel ADL （Activity of Daily Living） indexes were employed to assess the spasticity, motor function and activities of daily living （ADL）, and thus observe the effect of combined scalp and body acupuncture for post-apoplectic hemiplegic patients. Results： Combined scalp and body acupuncture can obtain significantly better effects than body acupuncture alone in relieving spasticity and improving the patients＇ motor function and ADL （P〈0.01）. Conclusion： Combined scalp and body acupuncture has a distinct advantage in relieving spasticity and can improve the patients＇ motor function and ADL.

Effect of Acupuncture and Rehabilitation Training on Barthel Index in Early-stage of Stroke Cases

Objective： To study the effect of combined acupuncture and rehabilitation training on early-stage Barthel index of ischemic stroke cases. Method： Fifty ischemic stroke cases were randomized into a treatment group of 24 cases and control group of 26 cases. In addition to routine internal treatment methods, rehabilitation training was applied to cases in the control group, and combined acupuncture and rehabilitation training were applied to cases in the treatment group. Warming and reinforcing manipulations were applied to Jianyu （LI 15）, Quchi （LI 11）, Hegu （LI 4）, Yanglingquan （GB 34）, Yinlingquan （SP 9）, Zusanli （ST 36）, and Sanyinjiao （SP 6）, 20 rain of needle retaining for each point in one treatment. Then the scores of clinical neurological impairment and Barthel index of stroke cases were evaluated before the treatment and 3 weeks after respectively. Results： The significant progress and progress cases in the treatment group were 14 and 12 respectively, whereas that in the control group were 6 and 11 respectively, coupled with 7 cases of no progress. The therapeutic effect in the treatment is substantially better than the control group （P〈0.05）. There was no significant difference （P〉0.05） in neurological impairment and scores of Barthel index of the two groups before the treatment, whereas significant difference （P〈0.05） after the treatment. The scores of neurological impairment in the treatment group were significantly reduced after the treatment （P〈0.05）, and the scores of Barthel index were significantly increased （P〈0.05）. Conclusion： Combined acupuncture and rehabilitation training can produce significantly better effect on early neurological impairment and Barthel index of stroke cases than rehabilitation training alone.

Study on Rehabilitating Effect of Acupuncture plus Kinetotherapy for Early Hemiplegia

Objective： To investigate the rehabilitating effect of acupuncture plus kinetotherapy for early hemiplegia due to cerebral apoplexy. Methods： Fifty cases of apoplectic hemiplegia were treated by acupuncture plus kinetotherapy and were compared with another fifty cases treated by single medications, in the therapeutic effect and for follow-up observation. Results： After the treatment for one month on average, the remarkable effective rate was 82% in the rehabilitation group and 54% in the control group, in a significant difference （P〈0.05）. After the treatment, the scores in the motor function of the limbs and daily life ability were obviously increased in the rehabilitation group, and there was a significant difference in comparison with the control group （P〈0.05）. Moreover, there was a good regulatory effect on blood theology and blood lipid in the rehabilitation group. Conclusion： A combination of acupuncture and kinetotherapy has a better effect on apoplectic hemiplegia than single medications.

Clinical Study on 28 Cases of Acute Cerebral Hemorrhage Treated by Scalp Acupuncture plus Rehabilitation Therapy

Objective： To evaluate the clinical efficacy of scalp penetrating technique plus rehabilitation therapy in treating acute cerebral hemorrhage. Methods： The patients were allocated randomly by computer into scalp acupuncture plus rehabilitation group （A）, rehabilitation group （B） and Western medication control group （C）. Results： The total effective rate and the curative and remarkable effective rate were 92.9% and 75.0% respectively in Group A, and 84.6% and 69.2% respectively in Group B and 75.9% and 37.9% respectively in Group C. There was a very significant difference in comparison of Group A and Group B with Group C （P〈0.01, P〈0.05）. There was no significant difference between Group A and Group B （P〉0.05）. But the total effective rate was significantly higher in Group A than in Group B. Conclusion： Scalp acupuncture plus rehabilitation therapy can obviously enhance the clinical effect in cerebral hemorrhage, reduce the neural deficit due to acute cerebral hemorrhage and improve the ability in daily life.

Treatment of 40 Cases of Poststroke Shoulder-Hand Syndrome by Acupuncture

Acupuncture and rehabilitation therapies were used to treat 40 cases of shoulder-hand syndrome, the results show that integration of acupuncture and rehabilitation can increase therapeutic effects and shorten treatment courses to accelerate recovery.

Effect of acupuncture and tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy

Objective： To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy. Methods： A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale （MAS）. Results： The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment （P〉O.OS）; after the treatment of six months, the above items were obviously improved in the two groups （P〈O.01）, better in the treatment group than in the control group, with the statistical significance in the differences between the groups （P〈O.01）. Conclusion： Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.

Clinical observation of acupuncture plus Frenkel exercises for ataxia after cerebral stroke

Objective:To observe the clinical efficacy of mind-refreshing and balance-restoring needling method combined with Frenkel exercises in treating ataxia after cerebral stroke.Methods:The recruited 120 patients were randomized into an observation group and a control group,with 60 cases in each group.The control group was intervened by mind-refreshing and balance-restoring needling method,while the observation group was given additional lower-limb Frenkel exercises.Before and after treatment and at the follow-up,the ataxic lower-limb function was scored using Berg balance scale(BBS)and international cooperative ataxia rating scale(ICARS),and Barthel index(BI)was adopted to score the activities of daily living(ADL).Results:After treatment,the markedly effective rate was 70.2%and the total effective rate was 96.5%in the observation group,versus 39.7%and 87.9%in the control group,and the differences in the markedly effective rate and the total effective rate were statistically significant(P<0.01,P<0.05).The intra-group comparisons showed that the BBS,ICARS and BI scores after treatment and at the follow-up were significantly different from those before treatment in both groups(all P<0.01).There were significant differences in the BBS score between the two groups after treatment and at the follow-up(P<0.05,P<0.01);the between-group differences in the ICARS and BI scores were statistically insignificant after treatment(both P>0.05),while the between-group differences in the ICARS and BI scores were statistically significant at the follow-up(both P<0.05).The interaction effects between the scoring time of BBS and BI and the group factor were statistically significant(P<0.01,P<0.05).Conclusion:Mind-refreshing and balance-restoring needling can effectively improve the lower-limb ataxic symptoms and ADL after stroke;when combined with Fenkel exercises,this needling method can produce more significant efficacy.

Effect of Combined Acupuncture and Rehabilitation on High-risk Infants with Perinatal Brain Injuries

Objective： To investigate the effect of combined acupuncture and rehabilitation on intelligence and motor development of high risk infants with perinatal brain injuries. Methods： Ninety-seven survived cases in the neonatal intensive care unit （NICU） were allocated into a treatment group of 53 cases and a control group of 44 cases following the consent of the parents. Cases in the treatment group were treated by combined acupuncture and rehabilitation; whereas cases in the control group were treated by conventional child care methods. Systemic follow-up has been made for 2 years. Then the infants＇ intelligence was evaluated respectively in the 6th, 12th and 34th months. Results： Compared with the control group, the mental development indexes （MDI） and physical development indexes （PDI） in the treatment group were increased by 14.96 and 9.82 respectively. There was a significant difference （χ2=8.1659, P〈0.01 ） in the abnormal intelligence rates between the treatment group （15.1%） and the control group （40.9%,）. Conclusion： Combined acupuncture and rehabilitation can effectively improve the mental and physical development of high-risk infants with perinatal brain injuries. Additionally, this therapy can decrease the disability rates and increase the infants＇ quality of life.