摘要
目的:观察针刺联合常规康复训练治疗卒中后偏瘫患者的效果。方法:选取2021年1月至2023年1月该院收治的113例卒中后偏瘫患者进行前瞻性研究,按照随机数字表法将其分为对照组56例和观察组57例。对照组采用常规康复训练治疗,观察组在对照组基础上联合针刺治疗,两组均连续治疗8周。比较两组临床疗效,治疗前后血清学指标[环磷酸腺苷(cAMP)、环磷酸鸟苷(cGMP)]水平、运动功能[Fugl-Meyer运动功能评定量表(FMA)]评分、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分和日常生活活动能力[Barthel指数(BI)]评分。结果:观察组治疗总有效率为96.49%(55/57),高于对照组的82.14%(46/56),差异有统计学意义(P<0.05);治疗后,观察组cAMP水平高于对照组,cGMP水平低于对照组,差异均有统计学意义(P<0.05);治疗后,观察组FMA、BI评分高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。结论:针刺联合常规康复训练治疗卒中后偏瘫患者可提高治疗总有效率、运动功能评分和日常生活活动能力评分,改善血清学指标水平,降低神经功能缺损评分,效果优于单纯常规康复训练治疗。
Objective:To observe effects of acupuncture combined with routine rehabilitation training on patients with hemiplegia after stroke.Methods:A prospective study was conducted on 113 patients with hemiplegia after stroke admitted to the hospital from January 2021 to January 2023.According to the random number table method,they were divided into control group(56 cases)and observation group(57 cases).The control group was treated with routine rehabilitation training,while the observation group was treated with acupuncture on the basis of that of the control group.Both groups were treated for 8 weeks.The clinical efficacy,the serological indexes[cyclic adenosine monophosphate(cAMP),cyclic guanosine monophosphate(cGMP)]levels,the motor function[Fugl-Meyer motor assessment(FMA)]score,the neurological deficit[National Institutes of Health stroke scale(NIHSS)]score,and the activities of daily living[Barthel index(BI)]score were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 96.49%(55/57),which was higher than 82.14%(46/56)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the level of cAMP in the observation group was higher than that in the control group,the level of cGMP was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the FMA and BI scores of the observation group were higher than those of the control group,and the NIHSS score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:Acupuncture combined with routine rehabilitation training in the treatment of the patients with hemiplegia after stroke can improve the total effective rate,the motor function scores and the activity of daily living scores,improve the levels of serological indexes,and reduce the neurological deficit scores.Moreover,it is superior to single routine rehabilitation training.
作者
曾俊萍
吕国汉
李武生
周旸
江仁昌
ZENG Junping;LYU Guohan;LI Wusheng;ZHOU Yang;JIANG Renchang(Acupuncture Rehabilitation Department of Shanghang County Hospital of Traditional Chinese Medicine,Longyan 364200 Fujian,China)
出处
《中国民康医学》
2024年第14期83-86,共4页
Medical Journal of Chinese People’s Health
关键词
卒中
偏瘫
针刺
康复训练
运动功能
神经功能缺损
日常生活活动能力
Stroke
Hemiplegia
Acupuncture
Rehabilitation training
Motor function
Neurological deficit
Activity of daily living
