摘要
目的:分析系统性康复训练结合针灸改善缺血性脑卒中患者足下垂症状的临床疗效与安全性,为缺血性脑卒中患者足下垂症状的治疗提供参考依据。方法:选取我院2013年3月~2016年3月收治的120例缺血性脑卒中后足下垂患者,按照随机数字表法分为观察组、对照组,各60例,均实施常规处理与系统性康复训练,观察组加用针灸治疗,两组患者疗程均持续1个月。结果:观察组踝背屈改善优良率高于对照组,差异有统计学意义(P<0.05)。两组患者治疗1个月后胫前肌肌力、Fugl-meyer下肢功能评分、Barthel指数、Holden步行能力评分、Tinetti步态评分均升高、小腿三头肌肌张力均下降,观察组变化更为明显,差异有统计学意义(P<0.05)。两组患者治疗期间均未见明显不良反应发生。结论:在系统性康复训练的基础上结合针灸治疗能够进一步促进缺血性脑卒中患者足下垂症状的改善,其确切的疗效与良好的安全性值得肯定,建议广泛推广。
Objective： To analyze the clinical efficacy and safety of systemic rehabilitation training combined with acupuncture in improving the symptoms of foot drop in patients with ischemic stroke, and provide some references for the treatment of foot drop in patients with ischemic stroke. Methods： 120 ischemic stroke patients with foot drop in our hospital from March 2013 to March 2016 were selected and randomly divided into observation group and controlled group, with 60 cases in each group. All of the patients were given routine treatment and systematic rehabilitation training, while the patients in the observation group were supplementary treated with acupuncture, the treatment courses of the two groups lasted 1 month. Results ： The excellent improvement rate of the ankle dorsal flexion in the observation group was higher than that in the controlled group, the difference was sta- tistically significant （ P 〈 0. 05 ）. Compared with the indexes 1 month after treatment, the muscle strength of anterior tibial muscle, Fugl-meyer scores, Barthel scores, Holden scores, Tinetti score in both of the two groups increased, muscle tension of triceps of shank decreased, the difference was statistically significant （P 〈 0. 05）. There was no obvious adverse reaction in the two groups during the treatment period. Conclusion： The systemic rehabilitation training combined with acupuncture can further promote the improvement of the symptoms of foot drop in patients with ischemic stroke, the exact efficacy and safety of the treatment is worthy of affirmation and promotion.
出处
《四川中医》
2017年第6期207-210,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
系统性康复训练
针灸
缺血性脑卒中
足下垂
Systematic rehabilitation training
Acupuncture
Ischemic stroke
Foot drop
