摘要
目的探究在急性脑梗死偏瘫患者中采用电针疗法联合早期康复训练对肢体运动功能、日常生活活动能力的影响.方法选择本院2017年5月—2022年5月收治的50例急性脑梗死偏瘫患者,按随机数字表法分为对照组(n=25)和观察组(n=25).对照组采用常规干预,观察组采用电针疗法联合早期康复训练,均持续干预1个月.对比两组神经功能、肢体功能、日常生活能力.结果两组干预前的美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评估量表(FMA)及Barthel指数评定量表(BI)评分对比,组间差异无统计学意义(P>0.05);干预2、4周后,观察组NIHSS评分分别为(22.14±2.29)分、(10.20±1.38)分,均低于对照组,FMA评分分别为(50.16±2.85)分、(75.42±3.94)分,BI评分分别为(52.02±2.48)分、(78.24±4.05)分,均高于对照组,组间差异有统计学意义(P<0.05).结论在急性脑梗死偏瘫患者中采取电针疗法联合早期康复训练能够有效减轻其神经功能损害,促进肢体功能恢复,提高生活能力.
Objective To investigate the effect of using electroacupuncture therapy combined with early rehabilitation training on limb motor function and activities of daily living in patients with acute cerebral infarction hemiplegia.Methods 50 patients with acute cerebral infarction hemiplegia admitted to the hospital from May 2017 to May 2022 were selected and divided into control group(n=25)and observation group(n=25)according to the random number table method.The control group used conventional intervention and the observation group used electroacupuncture therapy combined with early rehabilitation training,and both continued intervention for 1 month.The neurological function,limb function,and daily living ability of the two groups were compared.Results The National Institute of Health stroke scale(NIHSS),Fugl-Meyer assessment(FMA)and Barthel index(BI)scores before the intervention were not statistically significant differences between the two groups(P>0.05);after 2 and 4 weeks of intervention,the NIHSS scores of the observation group were(22.14±2.29)points and(10.20±1.38)points,respectively,which were lower than those of the control group,and the FMA scores were(50.16±2.85)points and(75.42±3.94)points,respectively,and the BI scores were(52.02±2.48)points and(78.24±4.05)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Electroacupuncture therapy combined with early rehabilitation training in patients with acute cerebral infarction hemiplegia can effectively reduce their neurological impairment,promote limb function recovery,and improve their living ability.
作者
郑彦林
ZHENG Yanlin(Department of Emergency Medicine,Anding Second People's Hospital,Dingxi District,Dingxi Gansu,743011,China)
出处
《反射疗法与康复医学》
2022年第18期38-40,44,共4页
Reflexology And Rehabilitation Medicine
关键词
急性脑梗死
偏瘫
电针疗法
早期康复训练
神经功能
肢体运动功能
日常生活活动能力
Acute cerebral infarction
Hemiplegia
Electroacupuncture therapy
Early rehabilitation training
Nerve function
Limb movement function
Activities of daily living
