摘要
目的观察运动康复功能锻炼联合针灸疗法对急性脑卒中偏瘫患者肢体运动功能和日常生活活动能力的影响。方法将80例患者按随机数字表法分为对照组和治疗组,各40例。对照组在常规治疗的基础上给予运动康复功能锻炼,治疗组在常规治疗的基础上同时给予运动康复功能锻炼和针灸疗法,两组疗程均为4周。结果治疗前两组患者的临床资料、运动功能、日常生活能力和肌力等差异无统计学意义(P>0.05)。治疗4周后,治疗组的总有效率为92.50%,显著高于对照组的72.50%(P<0.05)。治疗后两组患者运动功能评分、日常生活活动能力和神经功能缺损评分均高于治疗前,且治疗组评分显著高于对照组(P<0.05)。两组患者治疗后肌力均有不同程度提高,治疗组患者的肌力与对照组差异有统计学意义(P<0.05)。结论运动康复功能锻炼联合针灸疗法治疗急性脑卒中偏瘫患者,可提高患者的临床疗效,改善患者日常生活活动能力,增强患者的运动功能,改善患者的肌力和神经功能缺损程度,临床疗效显著。
Objective： To discuss the effects of functional training of exercise rehabilitation combined with acupuncture on motor function and the ability of daily living activities of patients with acute cerebral apoplexy hemiplegia. Methods： 80 cases of hemiplegia patients with acute stroke were randomly divided into the control group and the treatment group,40 cases in each group. On the basis of routine treatment,the control group were given functional training of exercise rehabilitation,while the treatment group was added acupuncture therapy. The treatment courses were 4 weeks. Results： Before treatment,there was not statistically significant difference of the two groups in patients′ general information,motor function,daily life ability,muscle strength and so on（P〈 0.05）.After 4 weeks′ treatment,the total effective rate of the treatment group was 92.50%,which was significantly higher than that of the control group（P〈 0.05）. After treatment,the scores of motor function,daily living activity and neurologic impairment of the two groups were higher than those before treatment,and the scores of the treatment group was much higher than those of the control group. The difference was statistically significant（P〈 0.05）. After treatment,the muscle strength of both groups was improved in different degree. There was significant difference between the treatment group and the control group（P〈 0.05）. Conclusion： Functional training of exercise rehabilitation combined with acupuncture on the treatment of Acute cerebral apoplexy hemiplegia can improve the clinical efficacy and the ability of daily living activities,enhance motor function,and improve patient′ s muscle strength and the degree of neurological deficits. Clinical curative effect is remarkable,worth popularizing and applying.
出处
《中国中医急症》
2016年第3期502-504,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
陕西省中医药管理局科研项目(SXZ-20130222)
关键词
急性脑卒中偏瘫
运动康复功能锻炼
针灸
运动功能
日常生活活动能力
神经功能缺损
Acute cerebral apoplexy hemiplegia
Functional training of exercise rehabilitation
Acupuncture
Motor function
Ability of daily living activities
Neurologic impairment
