摘要
目的:观察中医艾灸联合康复训练对急性脑梗死(ACI)恢复期患者肢体功能、神经功能的影响。方法:根据随机数字表法将86例ACI恢复期患者随机分为治疗组和对照组各43例。对照组予以康复训练治疗,治疗组予以康复训练联合艾灸治疗,2组均治疗2个月。比较2组临床疗效及治疗前后神经功能、肢体疼痛情况、肢体功能及生活质量。结果:治疗组临床总有效率93.02%,显著高于对照组76.74%(P<0.05)。治疗后,2组视觉模拟评分法(VAS)、神经功能评定量表(NIHSS)评分均较治疗前显著下降(P<0.05),日本骨科协会评估治疗分数(JOA)评分上升(P<0.05),且治疗组VAS、NIHSS评分均低于对照组(P<0.05),JOA评分高于对照组(P<0.05)。治疗后,2组Fugl-Meyer运动评分量表(FMA)、日常生活活动能力量表(Barthel指数)、脑卒中专用生活质量量表(SS-QOL)评分均较治疗前显著增加(P<0.05),且治疗组FMA、Barthel指数、SS-QOL评分高于对照组(P<0.05)。结论:艾灸联合康复训练能提高ACI恢复期患者神经功能及肢体功能,缓解肢体疼痛和改善生活质量。
Objective:To observe the effect of moxibustion combined with rehabilitation training on limb function and activities of daily living in patients with acute cerebral infarction(ACI) in convalescence.Methods:A total of 86 cases of ACI patients in convalescence were randomly divided into the treatment group and the control group according to the random number table method,with 43 cases in each group.The control group was treated with rehabilitation training,and the treatment group was treated with rehabilitation training combined with moxibustion.Both groups were treated for two months.The neurological function,pain in limbs,limb function and quality of life before and after treatment and the clinical effects in the two groups were compared.Results:The total clinical effective rate was 93.02% in the treatment group,significantly higher than that of 76.74% in the control group(P<0.05).After treatment,the scores of Visual Analogue Scale(VAS) and National Institutes of Health Stroke Scale(NIHSS) in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the scores of Japanese Orthopaedic Association(JOA) were increased(P<0.05);the scores of VAS and NIHSS in the treatment group were lower than those in the control group(P<0.05),and the JOA score was higher(P<0.05).After treatment,the scores of Fugl-Meyer Assessment(FMA),Activities of Daily Living(Barthel Index),and Stroke Specific Quality of Life Scale(SS-QOL) in the two groups were significantly increased when compared with those before treatment(P<0.05),and the scores of FMA,Barthel index and SS-QOL in the treatment group were higher than those in the control group(P<0.05).Conclusion:Moxibustion combined with rehabilitation training can improve neurological function and limb function in patients with ACI in convalescence,relieve their pain in limbs and improve quality of life.
出处
《新中医》
CAS
2022年第9期203-207,共5页
New Chinese Medicine
关键词
急性脑梗死
艾灸
康复锻炼
恢复期
肢体功能
神经功能
视觉模拟评分法
Acute cerebral infarction
Moxibustion
Rehabilitation training
Convalescence
Limb function
Neurological function
Visual Analogue Scale
