摘要
目的观察温针灸治疗中风偏瘫患者上肢功能障碍的临床疗效。方法选择2016年4月—2018年12月收治的122例中风偏瘫患者作为试验对象;按照随机数字表法分成2组,每组61例;对照组采用针刺治疗;观察组采用针刺+温针灸治疗,观察2组偏瘫患者的治疗效果,及治疗前后巴塞尔指数(Barthel指数)、Fugl-Meyer量表上肢部分评分(Fugl-Meyer assessment,FMA)以及临床痉挛指数(CSI指数)变化情况。结果观察组治疗总有效率(96. 72%)高于对照组(72. 13%),差异有统计学意义(P>0. 05)。治疗前,在Barthel指数、Fugl-Meyer评分以及CSI指数方面,组间差异不明显(P> 0. 05);治疗后,观察组Barthel指数、FuglMeyer评分明显高于对照组,CSI指数低于对照组,差异有统计学意义(P> 0. 05)。结论中风偏瘫患者在治疗期间,温针灸疗法的应用,对于提升疗效、Barthel指数、Fugl-Meyer评分,降低CSI指数,效果显著,最终为上肢功能障碍的改善以及加快病情康复奠定基础。
Objective To observe the clinical effect of warm acupuncture on upper limb dysfunction in patients with hemiplegia due to stroke.Methods 122 patients with hemiplegia due to stroke in our hospital from April 2016 to December 2018 were selected as experimental subjects.They were divided into two groups according to the random number table method,with 61 cases in each group.The control group was treated with acupuncture treatment.The observation group was treated with acupuncture and warm acupuncture.The therapeutic effect of two groups of hemiplegia patients,Barthel index(Basel index),Fugl-Meyer assessment of the upper limb part(FuglMeyer assessment,FMA)and CSI index(clinical spasm index)changes were observed.Results The total effective rate of the observation group(96.72%)was higher than that of the control group(72.13%),and the difference was statistically significant(P>0.05).Before treatment,there were no significant differences between the two groups in the Barthel index,Fugl-Meyer score and CSI index(P>0.05).After treatment,the Barthel index and Fugl-Meyer score in the observation group were higher than those in the control group,and the CSI index was lower than that in the control group.The difference was statistically significant(P>0.05).Conclusion During the treatment of stroke patients with hemiplegia,the application of warm acupuncture therapy,for the improvement of curative effect,the increase of Barthel index,Fugl-Meyer score,CSI index,the effect is significant,and finally lay the foundation for the improvement of upper limb dysfunction and the accelerated recovery of the disease.
作者
丁晓丹
郭孟琦
DING Xiaodan;GUO Mengqi(Acupuncture and Moxibustion Room of Department of Traditional Chinese Medicine,Yuncheng Central Hospital,Shanxi Province,Yuncheng 044000,China)
出处
《光明中医》
2019年第13期2047-2049,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
温针灸
偏瘫
上肢功能障碍
warm acupuncture
hemiplegia
upper limb dysfunction
