目的 分析临床使用针刺结合康复训练治疗中风后偏瘫的临床效果.方法 选取2022年1月—2023年1月淄川区中医院脑病科收治的200例中风后偏瘫的患者为研究对象,以随机抽签法分为研究组(100例)和对照组(100例).对照组给予康复训练治疗,研究组在康复训练治疗基础上给予针灸治疗.对比两组功能性步行与下肢功能评分、神经功能、步频与步速及治疗有效率.结果 相对于对照组,研究组神经功能评分更低,差异有统计学意义(P＜0.05);研究组的功能性步行与下肢功能评分、日常生活活动能力测评量表(Activi-ties of Daily Living,ADL)评分高于对照组,差异有统计学意义(P均＜0.05);研究组步频与步速优于对照组,差异有统计学意义(P均＜0.05);研究组治疗总有效率(95.00%)高于对照组(84.00%),差异有统计学意义(χ2=6.348,P＜0.05).结论 临床中针对中风偏瘫的治疗时,针刺结合康复训练的具体效果可行,能够改善神经功能,促进肢体功能恢复,提升步频与步速,临床应用价值较高.
Clinical Effect of Acupuncture Combined with Rehabilitation Training on Hemiplegia after Stroke
Objective To analyze the clinical effect of acupuncture combined with rehabilitation training on hemiple-gia after stroke.Methods A total of 200 patients with hemiplegia after stroke admitted to the Department of Encepha-lopathy,Zichuan District Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as the study objects,and were divided into study group(100 cases)and control group(100 cases)by random drawing method.The control group was given rehabilitation training treatment,and the study group was given acupuncture treatment on the basis of rehabilitation training treatment.Functional walking and lower limb function score,neural function,stride frequency and pace,and treatment effectiveness were compared between the two groups.Results Com-pared with the control group,neural function scores of the study group was lower,and the difference was statistically significant(P＜0.05).The functional walking,lower limb function scores and score of Activities of Daily Living(ADL)in the study group were higher than those in the control group,and the differences were statistically significant(all P＜0.05).The step frequency and step speed of the study group were better than those of the control group,and the differ-ences were statistically significant(both P＜0.05).The total effective rate of the study group(95.00%)was higher than that of the control group(84.00%),and the difference was statistically significant(χ2=6.348,P＜0.05).Conclusion In the clinical treatment of stroke hemiplegia,acupuncture combined with rehabilitation training has practical effects,which can improve nerve function,promote limb function recovery,and enhance step frequency and pace,and has high clinical application value.
StrokeHemiplegiaAcupunctureRehabilitation training
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