摘要
目的观察并讨论针刺结合中药与现代康复治疗中风偏瘫痉挛状态的临床效果.方法选取该院2019年1月—2020年8月收治的84例中风偏瘫痉挛状态患者为研究对象,按随机数字表法将患者分为两组,每组42例.常规组采用现代康复治疗,观察组在此基础上采用针刺结合中药治疗.比较两组患者的临床疗效及治疗前后的运动功能、日常活动能力、生活质量评分.结果常规组的治疗总有效率为76.19%,低于观察组的92.86%,差异有统计学意义(P<0.05).治疗前,两组的Fugl-Meyer评分比较,差异无统计学意义(P>0.05);治疗后,两组的Fugl-Meyer评分均高于各组治疗前,且常规组评分低于观察组,组间差异有统计学意义(P<0.05).治疗前,两组的Barthel指数评分比较,差异无统计学意义(P>0.05);治疗后,两组的Barthel评分均高于各组治疗前,且常规组评分低于观察组,组间差异有统计学意义(P<0.05).治疗后,常规组的各项生活质量评分均低于观察组,组间差异有统计学意义(P<0.05).结论针刺结合中药与现代康复治疗中风偏瘫痉挛状态,能够有效纠正患者的肌张力,改善其肢体运动功能,显著提升其日常活动能力和生活质量,值得在临床中应用和推广.
Objective To observe and discuss the clinical effects of acupuncture combined with traditional Chinese medicine and modern rehabilitation in the treatment of spasticity of stroke hemiplegia.Methods A total of 84 patients with apoplexy hemiplegia and spasticity who were admitted to the hospital from January 2019 to August 2020 were selected as the research objects.The patients were divided into two groups according to the random number table method,with 42 cases in each group.The conventional group was treated with modern rehabilitation therapy,and the observation group was treated with acupuncture combined with traditional Chinese medicine on this basis.The clinical efficacy,motor function,daily activity ability,and quality of life scores before and after treatment were compared between the two groups.Results The total effective rate of treatment in the conventional group was 76.19%,which was lower than 92.86%in the observation group,and the difference was statistically significant(P<0.05).Before treatment,the Fugl-Meyer scores of the two groups were not statistically different(P>0.05);after treatment,the Fugl-Meyer scores of both groups were higher than those of each group before treatment,and the score of the conventional group was lower than that of the observation group,and the differences between the groups were statistically significant(P<0.05).Before treatment,the Barthel index scores of the two groups were not statistically different(P>0.05);after treatment,the Barthel scores of both groups were higher than those of each group before treatment,and the Barthel score of the conventional group was lower than that of the observation group,and the differences between the groups were statistically significant(P<0.05).After treatment,all the quality of life scores in the conventional group were lower than those in the observation group,and the differences between the groups were statistically significant(P<0.05).Conclusion Acupuncture combined with traditional Chinese medicine and modern rehabilitation therapy can effectively correct the patient's muscle tension,improve the motor function of the limbs,and significantly improve the patient's daily activities and quality of life.It is worthy of clinical application and promotion.
作者
孔德建
KONG Dejian(Department of Traditional Chinese Medicine,the Second People's Hospital,Qufu City,Qufu Shandong,273100,China)
出处
《反射疗法与康复医学》
2021年第3期8-11,共4页
Reflexology And Rehabilitation Medicine
关键词
针刺
中药
现代康复治疗
中风
偏瘫
痉挛状态
临床效果
肢体运动功能
Acupuncture
Traditional Chinese medicine
Modern rehabilitation treatment
Stroke
Hemiplegia
Spasticity
Clinical effect
Limb motor function
作者简介
孔德建(1978-),男,山东曲阜人,本科,主治医师,研究方向:内科杂病(脾胃病、癌症的中医调理、亚健康调理等)、妇科病、乳腺病、小儿变异性哮喘、中风后遗症等。
