摘要
目的探讨中药加针刺配合早期康复训练在脑梗死肢体功能障碍患者中的应用效果。方法选取泰州市中西医结合医院康复科和针灸科在2020年8月—2023年8月收治的90例脑梗死肢体功能障碍患者为研究对象,随机将其分为对照组和治疗组,各45例。对照组采用早期康复训练,治疗组采用中药加针刺配合早期康复训练。对比两组的运动功能、日常生活能力、神经功能、治疗效果。结果治疗前,两组上肢Fugl-Meyer运动功能评定量表(FMA)、下肢FMA、Barthel指数评分对比,组间差异无统计学意义(P>0.05);治疗4周后,治疗组的上肢FMA、下肢FMA、Barthel指数评分分别为(52.78±4.35)分、(26.35±3.47)分、(70.58±4.62)分,均高于对照组的(45.37±2.67)分、(21.48±2.65)分、(64.38±5.23)分,组间差异有统计学意义(P<0.05)。治疗前,两组NHISS评分对比,差异无统计学意义(P>0.05);治疗2、4周后,治疗组的NHISS评分分别为(17.32±2.45)分、(12.34±1.53)分,均低于对照组的(18.67±3.05)分、(15.41±2.04)分,组间差异有统计学意义(P<0.05)。治疗组治疗总有效率为95.56%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论脑梗死肢体功能障碍患者应用中药加针刺配合早期康复训练的效果显著,能明显缓解患者的神经功能缺损程度,改善其肢体运动功能和生活质量。
Objective To evaluate the effect of traditional Chinese medicine and acupuncture and early rehabilitation training in patients with cerebral infarction and limb dysfunction.Methods 90 patients with limb dysfunction due to cerebral infarction who were admitted by the Rehabilitation Department and the acupuncture and moxibustion Department of Taizhou Integrated Hospital of Traditional Chinese and Western Medicine from August 2020 to August 2023 were selected as the research objects,and they were randomly divided into the control group and the treatment group,with 45 cases in each group.The control group received early rehabilitation training,while the treatment group received traditional Chinese medicine and acupuncture combined with early rehabilitation training.Compare the motor function,daily living ability,neurological function,and treatment effects between two groups.Results Before the treatment,there was no statistically significant difference in the upper limb Fugl Meyer Motor Function Assessment(FMA),lower limb FMA,and Barthel index score between the two groups(P>0.05);after 4 weeks of treatment,the upper limb FMA,lower limb FMA,and Barthel index score of the treatment group were(52.78±4.35)points,(26.35±3.47)points,and(70.58±4.62)points,respectively,which were higher than the control group's(45.37±2.67)points,(21.48±2.65)points,and(64.38±5.23)points,and the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in NHISS scores between the two groups(P>0.05);after 2 and 4 weeks of treatment,the NHISS scores of the treatment group were(17.32±2.45)points and(12.34±1.53)points,respectively,which were lower than the control group's(18.67±3.05)points and(15.41±2.04)points,with statistical significance(P<0.05);The total effective rate of the treatment group was 95.56%,higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of traditional Chinese medicine and acupuncture with early rehabilitation training can obviously alleviate the patients with cerebral infarction and limb dysfunction degree of neurological deficit and improve the limb movement function and quality of life.
作者
冯建金
FENG Jianjin(Department of Traditional Chinese Medicine Rehabilitation,Taizhou Integrated Traditional Chinese and Western Medicine Hospital,Taizhou Jiangsu,225300,China)
出处
《反射疗法与康复医学》
2024年第7期8-11,共4页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
肢体功能障碍
中药
针刺
早期康复训练
神经功能
肢体运动功能
生活质量
Cerebral infarction
Limb dysfunction
Traditional Chinese medicine
Acupuncture
Early rehabilitation training
Nerve function
Limb motor function
Quality of life
