摘要
目的:探究针灸联合康复治疗脑卒中后遗症的临床有效性。方法:选取2018年1月-2020年12月本院收治的100例脑卒中后遗症患者,按照数字随机法将其分为对照组和治疗组,每组50例。对照组开展内科基础用药治疗,治疗组在对照组的基础上加用康复治疗辅以针灸治疗。比较两组干预前后日常生活能力、肢体功能、生活质量、神经功能情况。结果:干预前,两组自理能力、转移、步行、括约肌控制评分比较,差异均无统计学意义(P>0.05);干预后,两组自理能力、转移、步行、括约肌控制评分均高于干预前,且治疗组均高于对照组,差异均有统计学意义(P<0.05)。干预前,两组环境、心理、生理、社会关系评分比较,差异均无统计学意义(P>0.05);干预后,两组环境、心理、生理、社会关系评分均高于干预前,且治疗组均高于对照组,差异均有统计学意义(P<0.05)。干预前,两组NIHSS、上肢FMA、下肢FMA评分比较,差异均无统计学意义(P>0.05);干预后,两组NIHSS评分均低于干预前,上肢FMA、下肢FMA评分均高于干预前,且治疗组NIHSS评分低于对照组,上肢FMA、下肢FMA评分高于对照组,差异均有统计学意义(P<0.05)。结论:开展康复治疗辅以针灸治疗脑卒中后遗症可改善患者日常生活能力、肢体功能、神经功能及生活质量。
Objective:To explore the clinical effectiveness of acupuncture combined with rehabilitation therapy in the treatment of patients with sequelae of stroke.Method:A total of 100 patients with sequelae of stroke treated in our hospital from January 2018 to December 2020 were selected,and they were divided into control group and treatment group according to the random number table,50 cases in each group.The control group was treated with basic medicine treatment,and the treatment group was treated with rehabilitation therapy and acupuncture on the basis of the control group.The daily living ability,limb function,quality of life and neurological function before and after intervention were compared between two groups.Result:Before intervention,there were no significant differences in self-care ability,metastasis,walking and sphincter control scores between two groups (P>0.05);after intervention,the self-care ability,metastasis,walking and sphincter control scores in both groups were higher than those before intervention,and those in the treatment group were higher than those in the control group,the differences were statistically significant (P<0.05).Before intervention,there were no significant differences in environmental,psychological,physiological and social relationship scores between two groups (P>0.05);after intervention,the environment,psychology,physiology and social relationship scores in both groups were higher than those before intervention,and those in the treatment group were higher than those in the control group,the differences were statistically significant (P<0.05).Before intervention,there were no significant differences in NIHSS,upper limb FMA and lower limb FMA scores between two groups (P>0.05);after intervention,NIHSS scores in both groups were lower than those before intervention,upper limb FMA scores and lower limb FMA scores were higher than those before intervention,and NIHSS score in the treatment group was lower than that in the control group,while upper limb FMA scores and lower limb FMA sc
作者
周向秀
ZHOU Xiangxiu(Taizhou Fourth People’s Hospital,Taizhou 225300,China)
出处
《中外医学研究》
2021年第33期165-168,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
康复治疗
针灸
脑卒中后遗症
日常生活能力
生活质量
Rehabilitation therapy
Acupuncture
Sequelae of stroke
Activities of daily living
Quality of life
