摘要
目的探讨气虚阻络型脑卒中后偏瘫患者应用针灸联合穴位按摩和康复训练的康复效果.方法选取2020年1月—2021年11月于我院就诊的88例脑卒中偏瘫患者,采用随机数字表法分为两组,每组44例.对照组进行康复训练,观察组在此基础上采用针灸联合穴位按摩,均连续干预8周.比较两组患者的肢体运动功能、日常生活能力和中医证候积分.结果干预后,观察组的上肢运动评分为(46.95±5.58)分、下肢运动评分为(26.24±2.15)分、Barthel指数评分为(75.24±10.23)分,高于对照组的(38.54±5.03)分、(22.42±1.59)分、(64.54±9.17)分,组间差异有统计学意义(P<0.05).干预后,观察组的半身不遂、语言蹇涩、口舌歪斜、感觉减退积分分别为(1.21±0.30)分、(1.03±0.14)分、(0.97±0.11)分、(0.85±0.16)分,低于对照组的(2.05±0.41)分、(1.62±0.23)分、(1.58±0.24)分、(1.27±0.22)分,组间差异有统计学意义(P<0.05).结论气虚阻络型脑卒中后偏瘫患者采用针灸联合穴位按摩和康复训练可缓解临床症状,促进肢体运动功能恢复,改善日常生活能力.
Objective To investigate the effect of acupuncture combined with acupoint massage and rehabilitation training on hemiplegia patients after stroke with Qi deficiency blocking collateral.Methods A total of 88 stroke patients with hemiplegia admitted to our hospital from January 2020 to November 2021 were selected and were divided into two groups by random number table method,with 44 cases in each group.The control group received rehabilitation training,and the observation group received acupuncture combined with acupoint massage on this basis.Intervention lasted for 8 weeks in both groups.The limb motor function,daily living ability and TCM symptom scores of the two groups were analyzed.Results After intervention,the upper limb movement score of the observation group was(46.95±5.58)points,lower limb movement score was(26.24±2.15)points,Barthel index score was(75.24±10.23)points,respectively,higher than(38.54±5.03)points,(22.42±1.59)points,(64.54±9.17)points of the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the scores of hemiplegia,language impairment,tongue asphyxia and hypoesthesia in the observation group were(1.21±0.30)points,(1.03±0.14)points,(0.97±0.11)points,(0.85±0.16)points respectively,lower than(2.05±0.41)points,(1.62±0.23)points,(1.58±0.24)points,(1.27±0.22)points of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Acupuncture combined with acupoint massage and rehabilitation training can relieve the clinical symptoms,promote the recovery of limb motor function and improve the ability of daily living in patients with hemiplegia after stroke with Qi deficiency blocking collateral.
作者
潘凤芹
PAN Fengqin(Department of Traditional Chinese Medicine Rehabilitation,the Second People's Hospital of Ningyang County,Tai'an Shandong,271411,China)
出处
《反射疗法与康复医学》
2022年第13期34-36,40,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中后偏瘫
针灸
穴位按摩
康复训练
肢体运动功能
日常生活能力
Post-Stroke hemiplegia
Acupuncture
Acupoint massage
Rehabilitation training
Limb motor function
Daily living ability
