[1]何 昕,舒 丹.早期针灸对急性脑卒中偏瘫患者肢体运动功能和生活活动能力影响*[J].陕西中医,2019,(6):799-802.
　HE Xin,SHU Dan..Effect of early acupuncture treatment on limb movement function and daily activity ability of patients with acute stroke hemiplegia[J].,2019,(6):799-802.
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早期针灸对急性脑卒中偏瘫患者肢体运动功能和生活活动能力影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年6期
页码:
799-802
栏目:
针灸经络
出版日期:
2019-06-05

文章信息/Info

Title:
Effect of early acupuncture treatment on limb movement function and daily activity ability of patients with acute stroke hemiplegia
文章编号:
DOI:10.3969/j.issn.1000-7369.2019.06.034
作者:
何 昕1; 舒 丹
1.河南省濮阳市安阳地区医院神经内科（濮阳 455000）；2.长沙市第四医院神经内科（长沙 410006）
Author(s):
HE Xin; SHU Dan.
Department of Neurology， Puyang City of Anyang District Hospital,in Henan Province (Puyang 455000)
关键词:
急性脑卒中; 早期; 针灸; 偏瘫; 肢体运动能力; 生活活动能力
Keywords:
Key words Acute stroke; Early; Acupuncture treatment; Hemiplegia; Physical ability; Ability to perform daily activities
分类号:
R255.2
文献标志码:
A
摘要:
摘 要 目的：探讨早期针灸治疗对急性脑卒中偏瘫患者肢体运动功能和日常生活活动能力的影响。方法：选取急性脑卒中偏瘫患者80例，按照数字表法将其随机分为两组。对照组患者进行常规治疗和运动康复训练，研究组患者在对照组基础上采用针灸治疗，比较两组患者的临床效果，以及对患者肢体运动能力和日常活动能力的影响。结果：对照组患者治疗有效率为67.5%，研究组为90.0%，组间差异有统计学意义（ P ＜0.05）。在治疗后3个月，对照组患者肢体运动能力评分为（34.9±3.9）分，研究组患者肢体运动能力评分为（43.2±4.1）分，研究高于对照组（ P ＜0.05）；在治疗后3个月，对照组患者日常生活能力评分为（44.9±4.9）分，研究组为（63.6±4.5）分，研究组高于对照组（ P ＜0.05）。治疗后对照组患者肌力评分（2.7±0.8）分，研究组（27.2±8.9）分，研究组明显高于对照组（ P ＜0.05），治疗后对照组神经功能缺损评分（65.6±12.2）分，研究组为（71.6±13.5）分，研究组明显高于对照组（ P ＜0.05）。研究组患者生活质量改善情况明显优于对照组（ P ＜0.05）。治疗后3个月，对照组患者中医症候积分为（6.55±1.67）分，研究组为（3.37±1.44）分，研究组明显低于对照组（ P ＜0.05）。结论：给予急性脑卒中偏瘫患者早期针灸治疗能够获得比较理想的临床效果，增强患者的肢体运动能力，提高患者生活质量，促进患者康复。
Abstract:
Abstract Objective：To explore the influence of early acupuncture treatment on limb movement function and daily activity ability of patients with acute stroke hemiplegia.Methods:80 cases of acute stroke hemiplegia admitted in our hospital were selected and randomly divided into two groups according to the numerical table.Patients in the control group received conventional treatment and exercise rehabilitation training.Patients in the study group were treated with acupuncture on the basis of the control group，and the clinical effects of the two groups were compared，as well as the effects on patients'limb movement ability and daily activity ability.Results：The effective rate of the control group was 67.5%，the study group was 90.0%.The treatment effect of the study group was significantly higher than that of the control group ( P ＜0.05).3 months after the treatment，the limb motor ability score of the control group was (34.9 ±3.9)，and the study group was (43.2± 4.1).The limb motor ability of the study group was higher than that of the control group ( P ＜0.05).After 3 months of treatment，the daily living ability of the control group was scored (44.9 ± 4.9)，the study group was scored (63.6 ± 4.5)，and the study group was higher than that of the control group ( P ＜0.05).Control group after treatment in patients with muscle strength score (2.7±0.8) points，the team strength score (27.2±8.9) in patients with points，the team was significantly higher than control group ( P ＜0.05)，the control group after treatment in patients with nerve function defect score (65.6±12.2) points，the team in patients with nerve function defect score (71.6±13.5) points，the team is significantly higher than the control group ( P ＜0.05).The quality of life of the study group was significantly better than that of the control group ( P ＜0.05).3 months after treatment，TCM syndromes score of the control group was (6.55 ±1.67)，and the study group was (3.37±1.44)，which was significantly lower than that of the control group ( P ＜0.05).Conclusion：Early acupuncture and moxibustion therapy for patients with acute stroke hemiplegia can achieve ideal clinical effects，enhance the limb movement ability of patients，improve the quality of life of patients，and promote the rehabil〖LM〗itation of patients.Therefore,it is worthy of further promotion and application in clinical practice.

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备注/Memo

备注/Memo:
*湖南省教育厅科学研究项目（16C1493）
更新日期/Last Update: 2019-06-20