针刺人中穴为主配合运动疗法对急性期脑梗死偏瘫肢体功能恢复的疗效观察

发布时间：2018-01-17 20:16

本文关键词：针刺人中穴为主配合运动疗法对急性期脑梗死偏瘫肢体功能恢复的疗效观察　出处：《辽宁中医杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的:观察针刺人中穴为主配合运动疗法对于急性期脑梗死偏瘫肢体功能恢复的临床疗效。方法:将60例脑梗死急性期患者随机分为治疗组和对照组,治疗组30例采用针刺人中等穴位并配合主动,被动康复运动疗法治疗,对照组30例,常规取穴,28 d后评价临床疗效。结果:两组患者中治疗组治疗后患侧大脑前动脉收缩期峰值流速(i VACA)与健侧大脑中动脉收缩期峰值流速(c VMCA)的比值增高明显优于对照组(P0.01);而两组患者治疗后大脑后动脉收缩期峰值流速(i VPCA)与健侧大脑中动脉收缩期峰值流速(c VMCA)的比值均无明显变化(P0.05);两组患者中治疗组治疗后NIHSS量表评分,FMA评分,及ALD评分与治疗前及与对照组比较均有明显减少(P0.01)。结论:针刺人中穴为主配合即刻的运动疗法治疗脑梗死急性期临床有效率优于常规单纯取穴针刺治疗方法,值得推广。
[Abstract]:Objective: to observe the clinical effect of acupuncture on the recovery of limb function of hemiplegic patients with acute cerebral infarction. Methods: 60 patients with acute cerebral infarction were randomly divided into treatment group and control group. The treatment group (30 cases) were treated with acupuncture at moderate points and combined with active and passive rehabilitation exercise therapy, while the control group (30 cases) were routinely taken points. Results: the peak systolic velocity of anterior cerebral artery (ACA) and the peak systolic velocity of contralateral middle cerebral artery (MCAV) in the treatment group were evaluated after 28 days. The ratio of c-VMCA was significantly higher than that of control group (P 0.01). There was no significant change in the ratio of peak systolic velocity of posterior cerebral artery (Pi) and peak systolic velocity of contralateral middle cerebral artery (C VMCA) between the two groups after treatment (P 0.05). In the treatment group, the NIHSS scale score and the FMA-score after treatment. And ALD score decreased significantly before treatment and compared with control group (P 0.01). Conclusion: the clinical effective rate of acupuncture at Renzhong point combined with immediate exercise therapy in acute cerebral infarction is better than that of conventional simple acupuncture therapy. It is worth popularizing.
【作者单位】：天津中医药大学第一附属医院针灸科;
【基金】：国家自然科学基金(81674056)
【分类号】：R246.6
【正文快照】： 脑梗死是我国常见病多发病之一,并逐渐由老年化趋于年轻化。由于近年来,人们对油脂类食物摄入越来越多,饮食不健康以及我国开始逐渐进入老龄化社会,这些因素均导致脑梗死患者呈现不断增加的趋势[1-2]。流行病学显示,超过70%急性脑梗死患者合并肢体功能活动障碍,不仅影响自己的

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