摘要
目的分析中医针刺联合康复训练对中风偏瘫患者运动功能的影响.方法选取该院2019年6月—2020年6月收治的124例中风偏瘫患者为研究对象,随机分为对照组和研究组,各62例.对照组接受康复治疗,研究组在对照组基础上接受中医针刺治疗.比较两组患者的临床疗效、治疗前后运动功能与日常生活自理能力.结果研究组患者的治疗总有效率为96.77%,明显高于对照组的74.19%,差异有统计学意义(P<0.05).两组患者治疗前的Fugl-Meyer运动功能评定(Fugl-Meyer assessment,FMA)与日常生活活动能力(actioity of daily living,ADL)评分比较,组间差异无统计学意义(P>0.05);治疗后,两组患者的FMA与ADL评分均高于同组治疗前,且研究组患者的FMA与ADL评分分别为(62.08±3.57)分、(71.07±4.06)分,均明显高于对照组的(42.24±4.09)分、(59.26±3.19)分,组间差异有统计学意义(P<0.05).结论中医针刺联合康复训练对中风偏瘫患者的临床效果较好,能有效改善患者的运动功能,提高其日常生活自理能力,值得临床推广应用.
Objective To analyze the effect of Chinese medicine acupuncture combined with rehabilitation training on the motor function of stroke hemiplegic patients.Methods 124 patients with stroke hemiplegia admitted to the hospital from June 2019 to June 2020 were selected as the research objects,and they were randomly divided into a control group and a study group,with 62 cases in each group.The control group received rehabilitation treatment,and the study group received TCM acupuncture treatment on the basis of the control group.The clinical efficacy,motor function and daily self-care ability before and after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was 96.77%,which was significantly higher than 74.19%in the control group,and the difference was statistically significant(P<0.05).Before treatment,the Fugl-Meyer assessment(FMA)and the activity of daily living(ADL)scores were compared between the two groups,and there were no statistically significant difference between the groups(P>0.05);after treatment,the FMA and ADL scores of the two groups of patients were higher than those of the same group before treatment,and the FMA and ADL scores of the patients in the study group were(62.08±3.57)points and(71.07±4.06)points,which were significantly higher than(42.24±4.09)points and(59.26±3.19)points of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Traditional Chinese medicine acupuncture combined with rehabilitation training has a good clinical effect on stroke patients with hemiplegia.It can effectively improve the patient's motor function and their ability to take care of themselves in daily life.It is worthy of clinical application.
作者
宫永平
于善英
陈祥玉
张克伟
GONG Yongping;YU Shanying;CHEN Xiangyu;ZHANG Kewei(Department of Rehabilitation Medicine,Rizhao Central Hospital,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2021年第4期22-24,共3页
Reflexology And Rehabilitation Medicine
关键词
中风
偏瘫
中医针刺
康复训练
临床效果
运动功能
Stroke
Hemiplegia
TCM acupuncture
Rehabilitation training
Clinical effect
Motor function
