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醒脑开窍针法在中风后偏瘫患者治疗中的应用价值分析

Analysis of the Application Value of Xingnao Kaiqiao Acupuncture in the Treatment of Post-Stroke Hemiplegia Patients
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摘要 目的探讨中风后偏瘫患者采用醒脑开窍针法治疗的临床效果.方法选择该院2019年1月—2021年4月收治的中风后偏瘫患者60例为研究对象,以随机数字表法进行分组.对照组(n=30)接受常规康复训练,观察组(n=30)则在接受常规康复训练的同时采用醒脑开窍针法治疗.两组均治疗4周后评价疗效,比较两组治疗前以及治疗4周后的Fugl-Meyer运动功能评定量表(FMA)评分,并分别于治疗前以及治疗4周后采用焦虑自评量表(SAS)与抑郁自评量表(SDS)评估患者的不良情绪状态.结果观察组治疗总有效率为95.00%,高于对照组的77.50%,组间差异有统计学意义(P<0.05).观察组治疗后的FAM上肢、下肢评分分别为(38.54±5.53)分、(25.40±3.83)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组治疗后的SAS、SDS评分分别为(40.54±4.12)分、(39.65±4.35)分,均低于对照组,组间差异有统计学意义(P<0.05).结论临床对中风后偏瘫患者予以醒脑开窍针法治疗,可提高临床疗效,改善患者的神经与运动功能,并可调节患者的不良情绪. Objective To explore the clinical effect of Xingnao Kaiqiao acupuncture in the treatment of post-stroke hemiplegia patients.Methods A total of 60 patients with post-stroke hemiplegia who were treated in this hospital from January 2019 to April 2021 were selected as the research objects,and were divided into groups by random number table method.The control group(n=30)received conventional rehabilitation training,while the observation group(n=30)received conventional rehabilitation training and also received Xingnao Kaiqiao acupuncture treatment.The curative effect was evaluated after 4 weeks of treatment in both groups,the Fugl-Meyer assessment(FMA)scores before and after 4 weeks of treatment were compared between the two groups,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the adverse emotional state of the patients before treatment and after 4 weeks of treatment.Results The total effective rate of treatment in the observation group was 95.00%,which was higher than 77.50%in the control group,and the difference was statistically significant(P<0.05).The FAM upper and lower extremity scores of the observation group after treatment were(38.54±5.53)points and(25.40±3.83)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The SAS and SDS scores of the observation group after treatment were(40.54±4.12)points and(39.65±4.35)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Clinical treatment of poststroke hemiplegia patients with Xingnao Kaiqiao acupuncture can improve the clinical efficacy,improve the neurological and motor functions of the patients,and regulate the negative emotions of the patients.
作者 吕万娟 杨新贵 LYU Wanjuan;YANG Xingui(Department of Traditional Chinese Medicine,People's Hospital of Liuhe District of Nanjing City,Nanjing Jiangsu,211500,China)
出处 《反射疗法与康复医学》 2021年第23期4-7,共4页 Reflexology And Rehabilitation Medicine
关键词 中风 偏瘫 醒脑开窍针法 神经功能 运动功能 负性情绪 Stroke Hemiplegia Xingnao Kaiqiao acupuncture Neurological function Motor function Negative emotions
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