摘要
目的探讨针灸联合运动疗法治疗脑卒中后运动功能障碍的临床疗效及对神经功能的影响。方法选取我院2015年1月-2016年1月期间收治的78例脑卒中患者,按照随机数字表法分为观察组和对照组,各39例。其中,对照组患者予以常规对症结合运动疗法进行治疗,观察组在此基础上加以针灸进行治疗,分别对2组患者的临床疗效及治疗前、治疗3周和治疗8周后的神经功能恢复(NIHSS)、改良Barthel指数评分(MBI)进行比较。结果观察组患者的临床总有效率为94.87%,对照组患者的临床总有效率为74.36%,两两比较,差异有统计学意义(P <0.05);观察组治疗3周和8周后的MBI评分和FMA显著优于对照组和治疗前,其中以治疗8周后的评分最优,差异有统计学意义(P <0.05)。结论针灸联合运动疗法治疗脑卒中后运动功能障碍的疗效确切,且在一定程度上改善了患者的运动功能,并协助提高了预后患者的生活质量,值得推广。
Objective To explore the eff ect of acupuncture and moxibustion combined with exercise therapy on motor dysfunction after stroke and its influence on nerve function.Methods 78 patients with stroke in our hospital from January 2015 to January 2016 were divided into the observation group(n=39)and the control group(n=39)according to the random number table.The patients in the control group were treated with routine therapy combined with exercise therapy,and the observation group was treated with acupuncture and moxibustion on this basis.The clinical efficacy of two groups of patients and the Nerve function recovery(NIHSS)and improved Barthel index score(MBI)were compared before treatment after 3 weeks and 8 weeks after treatment.Results The total clinical eff ective rate of the patients in the observation group was 94.87%,the total clinical effective rate of the control group was 74.36%,and the diff erence was significant(P<0.05).The MBI score and FMA in the observation group after 3 and 8 weeks were significantly better than the control group and before the treatment,and the score of the treatment group was the best after 8 weeks treatment,the diff erence was statistically significant(P<0.05).Conclusion Acupuncture and moxibustion combined with sports therapy is eff ective in the treatment of motor dysfunction after stroke,and it improves the motor function of the patients to a certain extent,and helps to improve the quality of life in the prognosis.It is worth popularizing.
作者
孙萍萍
齐瑞
施婕妤
马玉玺
SUN Pingping;QI Rui;SHI Jieyu;MA Yuxi(School of Rehabilitation Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Rehabilitation,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Third people's Hospital of Chongming District,Shanghai 202153,China)
出处
《吉林中医药》
2019年第1期129-132,共4页
Jilin Journal of Chinese Medicine
基金
上海市医学重点专科项目(ZK2015B25)
上海市卫计委中医康复临床基地建设项目(ZY3-LCPT-1-1008)
关键词
针灸
运动疗法
脑卒中
运动功能障碍
神经功能
acupuncture and moxibustion
exercise therapy
stroke
motor dysfunction
neurological function
