针刺五脏俞联合康复训练治疗脑血管意外后偏瘫临床研究

发布时间：2018-09-11 16:31

【摘要】：目的:探讨针刺五脏俞联合康复训练治疗脑血管意外后偏瘫的临床效果。方法:选取2013年8月至2015年8月在我院接受治疗的130例脑血管意外后偏瘫患者为研究对象,按就诊编号分为对照组(n=65)和研究组(n=65),对照组患者接受常规康复疗法及复方血栓通胶囊治疗,研究组患者在对照组的基础上接受针刺五脏俞治疗。将两组治疗前、后的神经功能缺损评分(NIHSS)、牛津残障评分(OHS)、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、日常生活能力评分(ADL)、Fugl-Meyer运动功能评分、中医症候积分、Berg平衡量表评分变化情况进行比较分析。结果:与治疗前比较,治疗后对照组、研究组患者的NIHSS评分、OHS评分、SDS评分、SAS评分及中医症候积分均明显下降,而ADL评分、Fugl-Meyer运动功能评分及Berg平衡量表评分均明显上升,差异具有统计学意义(P0.05);治疗后,研究组患者的NIHSS评分、OHS评分、SDS评分、SAS评分及中医症候积分均明显低于对照组,而ADL评分、Fugl-Meyer运动功能评分及Berg平衡量表评分均明显高于对照组,差异具有统计学意义(P0.05)。结论:对脑血管意外后偏瘫患者应用针刺五脏俞联合康复训练进行治疗,可有效缓解临床症状,提高治疗效果,促进患者身体恢复,可进一步推广。
[Abstract]:Objective: to explore the clinical effect of acupuncture combined with rehabilitation training on hemiplegia after cerebrovascular accident. Methods: 130 patients with hemiplegia after cerebrovascular accident received treatment in our hospital from August 2013 to August 2015 were selected as subjects. The patients in the control group were divided into two groups according to the number of the visit: the control group (nong65) and the study group (nny65). The patients in the control group were treated with routine rehabilitation therapy and compound Xueshuantong capsule, and the patients in the study group were treated with acupuncture on the basis of the control group. Before and after treatment, the scores of neurological impairment, (NIHSS), (OHS), (SDS), (SAS) and (ADL) Fugl-Meyer motor function were evaluated. The changes of Berg balance scale score of TCM symptom score were compared and analyzed. Results: compared with the control group, the NIHSS scores and the TCM symptom scores of the patients in the study group decreased significantly, while the ADL scores and the Fugl-Meyer motor function scores and the Berg balance scale scores increased significantly. The difference was statistically significant (P0.05), after treatment, the scores of NIHSS and TCM symptoms in the study group were significantly lower than those in the control group, while the ADL scores and the scores of Fugl-Meyer motor function and Berg balance scale were significantly higher than those in the control group. The difference was statistically significant (P0.05). Conclusion: the treatment of hemiplegia after cerebrovascular accident by acupuncture combined with five Zang Yu rehabilitation training can effectively relieve the clinical symptoms, improve the therapeutic effect, promote the recovery of patients, and can be further popularized.
【作者单位】：遂宁市中医院针灸康复科;
【分类号】：R246.6

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