头皮针抽提法配合运动训练治疗脑血栓形成后恢复期偏瘫患者的疗效观察

发布时间：2018-09-08 07:00

【摘要】：目的探讨头皮针抽提法配合运动训练对脑血栓形成后恢复期偏瘫患者的疗效。方法选择93例脑血栓形成后恢复期偏瘫患者,均给予神经内科常规药物治疗(维脑路通片0.2 g,每日3次,肠溶阿斯匹林片100 mg,每日1次),采用随机单盲对照法分为3组。头皮针抽提法组31例,同时给予头皮针抽提疗法和运动训练;头皮针捻转法组31例,同时给予头皮针捻转疗法和运动训练;药物对照组31例,仅采用神经内科常规药物治疗,治疗4周为1个疗程。1个疗程后进行疗效评定。结果头皮针抽提法组治愈显效率为67.74%,头皮针捻转法组治愈显效率为45.16%,药物对照组治愈显效率为29.03%,3组间疗效比较,差异有统计学意义(P0.01);且头皮针抽提法组疗效明显优于头皮针捻转法组,差异有统计学意义(P0.01)。结论在神经内科常规药物治疗的基础上给予头皮针抽提疗法或捻转疗法配合运动训练对脑血栓形成后恢复期偏瘫患者的治疗作用较好,且给予头皮针抽提疗法的患者效果优于头皮针捻转疗法。
[Abstract]:Objective To explore the curative effect of scalp acupuncture extraction combined with exercise training on convalescent hemiplegia after cerebral thrombosis.Methods 93 patients with hemiplegia in convalescent stage after cerebral thrombosis were selected and treated with routine medication of Neurology (Weinaolutong tablet 0.2 g, 3 times a day, enteric-coated aspirin tablet 100 mg, once a day). 31 cases in scalp needle extraction group were given scalp needle extraction therapy and exercise training; 31 cases in scalp needle rotation group were given scalp needle rotation therapy and exercise training; 31 cases in drug control group were treated with routine drugs only in neurology department, and the curative effect was evaluated after 4 weeks. The effective rate of treatment group was 67.74%, that of scalp needle twisting group was 45.16%, and that of drug control group was 29.03%. There was significant difference among the three groups (P 0.01). The curative effect of scalp needle extraction group was better than that of scalp needle twisting group, and the difference was statistically significant (P 0.01). On the basis of treatment, scalp needle extraction therapy or twisting therapy combined with exercise training has a better therapeutic effect on hemiplegic patients in convalescent stage after cerebral thrombosis, and the effect of scalp needle extraction therapy is better than that of scalp needle twisting therapy.
【作者单位】：浙江大学医学院附属第一医院城站院区康复针灸科;浙江大学医学院附属第一医院城站院神经内科;
【分类号】：R246;R49;R743

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