首页|针灸结合综合性康复策略对脑梗死伴偏瘫患者康复质量的影响

针灸结合综合性康复策略对脑梗死伴偏瘫患者康复质量的影响

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目的 探究针灸结合综合性康复策略对脑梗死伴偏瘫患者康复质量的改善效果。方法 以 2020 年 2 月至2022 年2 月于徐州市中医院接受系统治疗及康复训练的110 例患者作为研究对象,遵循信封随机法将患者分别纳入对照组和观察组,各55 例。其中,对照组接受综合性康复策略,观察组基于综合性康复策略接受针灸。对2 组患者的神经功能、临床疗效、关节痉挛程度、肢体运动功能和日常生活能力进行对比。结果 2 组间在干预后的临床治疗总有效率经对比,观察组高于对照组(P<0。05)。干预8 周后,2 组改良Ashworth量表中的腕关节、踝关节、肘关节及膝关节评分均低于干预前(P均<0。05),且观察组的各关节评分均比对照组更低(P均<0。05)。干预 2 周和8 周后,2 组的日常生活活动能力量表、Fugl-Meyer运动功能评定量表和美国国立卫生院卒中量表评分均比干预前更优(P均<0。05),且观察组在上述对应时间点的评分均比对照组更优(P均<0。05)。结论 针灸结合综合性康复策略对于改善脑梗死伴偏瘫患者的神经功能、关节痉挛程度、肢体运动功能和日常生活能力,以及提升临床疗效均起到积极效果。
Effect of acupuncture and moxibustion combined with comprehensive rehabilitation strategy on rehabilitation quality of patients with cerebral infarction and hemiplegia
Objective To explore the improvement effect of acupuncture and moxibustion combined with comprehensive rehabilitation strategy on the rehabilitation quality of patients with cerebral infarction and hemiplegia.Methods A total of 110 patients who received systematic treatment and rehabilitation training at Xuzhou City Hospital of TCM from February 2020 to February 2022 were selected as the research subjects.Following the envelope randomization method,the patients were assigned into a control group and an observation group,with 55 cases in each group.The control group received comprehensive rehabilitation strategy,and the observation group received acupuncture and moxibustion based on the comprehensive rehabilitation strategy.The neurological function,clinical efficacy,degree of joint spasticity,limb motor function,and activities of daily living of the two groups were compared.Results The total effective rate of clinical treatment after intervention was compared between the two groups,and the observation group was higher than the control group(P<0.05).After 8 weeks of intervention,the wrist,ankle,elbow,and knee scores of the Modified Ashworth Scale in the two groups were lower than those before intervention(all P<0.05),and the observation group showed lower joint scores than the control group(all P<0.05).After 2 and 8 weeks of intervention,the scores of the activities of daily living scale,the Fugl-Meyer Assessment,and the National Institutes of Health Stroke Scale in the two groups were better than those before intervention(all P<0.05),and the observation group had better scores than the control group at the corresponding time points(all P<0.05).Conclusion Acupuncture and moxibustion combined with comprehensive rehabilitation strategy has a positive effect on improving the neurological function,joint spasticity,limb motor function,and activities of daily living of patients with cerebral infarction and hemiplegia,as well as improving the clinical efficacy.

cerebral infarction complicated with hemiplegiaacupuncture and moxibustioncomprehensive rehabilitation strategyneurological functionjoint spasticity

孔盼盼、王珣

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徐州市中医院,江苏 徐州,221000

脑梗死伴偏瘫 针灸 综合性康复策略 神经功能 关节痉挛

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(2)
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