头针结合康复治疗对脑血栓形成恢复期偏瘫患者运动功能的影响

发布时间：2018-10-12 11:47

【摘要】：目的:探寻提高治疗脑血栓形成恢复期临床疗效的最佳方法。方法:采用随机单盲对照的方法,将90例脑血栓形成恢复期偏瘫患者随机分为3组:头针组(A组)、康复治疗组(B组)、头针结合康复治疗组(C组)。A组采用头针治疗,穴取健侧顶颞前斜线、顶颞后斜线;B组采用现代康复医学疗法,进行肢体功能治疗;C组采用A组与B组疗法相结合治疗。观察患者的神经功能缺损和日常生活能力(ADL)改善情况及临床疗效。结果:C组治疗后神经功能缺损评分(6.14±0.36)显著低于A组(8.94±0.56)和B组(8.64±0.49)(P0.05);且C组ADL能力评分(88.39±10.02)和临床疗效(90.0%)均显著高于A组(74.19±12.12,76.7%)和B组(72.29±11.52,73.3%)(均P0.05)。结论:头针结合康复治疗对脑血栓形成恢复期偏瘫患者运动功能的改善具有协同治疗作用,是治疗脑血栓形成恢复期的较佳疗法。
[Abstract]:Objective: to explore the best method to improve the clinical effect of cerebral thrombosis in convalescent stage. Methods: 90 patients with hemiplegia in convalescent stage of cerebral thrombosis were randomly divided into three groups: scalp acupuncture group (group A), rehabilitation group (group B), scalp acupuncture combined with rehabilitation therapy group (group C,). A group). Group B was treated with modern rehabilitation medicine, and group C was treated with combination of group A and group B. To observe the improvement and clinical effect of (ADL) in patients with neurological deficit and ADL. Results: the neurological deficit score (6.14 卤0.36) in group C was significantly lower than that in group A (8.94 卤0.56) and group B (8.64 卤0.49) (P0.05), and the scores of ADL ability (88.39 卤10.02) and clinical efficacy (90.0%) in group C were significantly higher than those in group A (74.19 卤12.1276.7%) and group B (72.29 卤11.52 卤73.3%) (P0.05). Conclusion: scalp acupuncture combined with rehabilitation therapy has synergistic effect on the improvement of motor function in patients with hemiplegia in convalescent stage of cerebral thrombosis, and it is a better treatment for cerebral thrombosis in convalescent stage.
【作者单位】：华中科技大学同济医学院附属同济医院康复医学科;华中科技大学同济医学院附属中西医结合医院针灸科;华中科技大学同济医学院附属中西医结合医院针灸科;
【分类号】：R246.6

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