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靳三针联合康复训练治疗老年卒中后痉挛性偏瘫患者的效果

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目的:观察靳三针联合康复训练治疗老年卒中后痉挛性偏瘫患者的效果.方法:回顾性分析 2020 年 1 月至 2023 年 6 月该院收治的 60 例老年卒中后痉挛性偏瘫患者的临床资料,按照治疗方法不同将其分为观察组与对照组各 30 例.两组均予以基础治疗,在此基础上,对照组采用康复训练治疗,观察组在对照组基础上联合靳三针治疗,两组均连续治疗 8 周.比较两组临床疗效,治疗前后痉挛程度[临床痉挛指数(CSI)]、肢体运动功能[Fugl-Meyer运动功能评定量表(FMA)]、生命质量[基于中风痉挛性瘫痪患者报告的结局评价(PRO)]评分.结果:观察组治疗总有效率为93.33%(28/30),高于对照组的73.33%(22/30),差异有统计学意义(P<0.05);治疗后,观察组CSI评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组上肢、下肢等FMA评分均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组躯体症状、心理感受、社会功能等PRO各维度评分均低于对照组,差异有统计学意义(P<0.05).结论:靳三针联合康复训练治疗老年卒中后痉挛性偏瘫患者可提高治疗总有效率和肢体运动功能评分,降低痉挛程度和生命质量评分,效果优于单纯康复训练治疗.
Effects of Jin's three-needle combined with rehabilitation training on spastic hemiplegia after stroke in elderly patients
Objective:To observe effects of Jin's three-needle combined with rehabilitation training on elderly patients with spastic hemiplegia after stroke.Methods:The clinical data of 60 elderly patients with spastic hemiplegia after stroke admitted to this hospital from January 2020 to June 2023 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,30 cases in each group.Both groups were given basic treatment.On this basis,the control group was treated with rehabilitation training,while the observation group was treated with Jin's three-needle therapy on the basis of that of the control group.Both groups were treated for 8 weeks.The clinical efficacy,the spasm degree[clinical spasm index(CSI)],the limb motor function[Fugl-Meyer assessment scale(FMA)],and the quality of life[patient reported outcomes(PRO)of stroke patients with spastic paralysis]were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 93.33%(28/30),which was higher than 73.33%(22/30)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the CSI scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the FMA scores of upper limbs and lower limbs in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the scores of physical symptoms,psychological feelings,social function and other PRO dimensions in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Jin's three-needle combined with rehabilitation training in the treatment of the elderly patients with spastic hemiplegia after stroke can improve the total effective rate of treatment and the limb motor function scores,and reduce the spasm degree scores and the quality of life scores.Moreover,it is superior to simple rehabilitation training.

Jin's three-needleStrokeSpastic hemiplegiaElderlyLimb movementSpasm degreeQuality of life

郝佳欢

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商丘市第三人民医院康复科,河南 商丘 476000

靳三针 卒中 痉挛性偏瘫 老年 肢体运动 痉挛程度 生命质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(20)