摘要
目的探讨针刺介入时机对脑梗死肢体功能障碍的影响.方法选取该院针灸脑病科2019年2月—2020年11月收治的80例脑梗死患者,根据不同疗法分为A组与B组,各40例.两组均予以常规治疗,在此基础上,A组于发病后48 h进行针刺介入治疗,B组于生命体征稳定后48 h进行针刺介入治疗,均治疗6周.对比两组患者治疗前后的神经功能、肢体功能、下肢平衡能力、日常生活活动能力、生存质量以及治疗后的临床疗效.结果两组治疗前的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分对比,差异无统计学意义(P>0.05);治疗后,A组的NIHSS评分为(5.61±1.17)分,低于B组的(6.95±1.29)分,差异有统计学意义(P<0.05).治疗前,两组的Fugl-Meyer运动量表(Fugl-Meyer assessment,FMA)评分、Berg平衡量表(berg balance scale,BBS)评分、Barthel指数(Barthel index,BI)量表评分、健康调查简表(the MOS item short from health survey,SF-36)评分对比,组间差异无统计学意义(P>0.05);治疗后,A组的上述各项评分均高于B组,组间差异有统计学意义(P<0.05).A组的临床总有效率为90.00%,高于B组的72.50%,差异有统计学意义(P<0.05).结论脑梗死发病后48 h进行针刺介入治疗的效果更好,可明显改善患者的神经功能、肢体功能、下肢平衡、日常生活活动能力及生存质量,临床总有效率高,值得推广.
Objective To explore the influence of the acupuncture intervention timing on the limb dysfunction of cerebral infarction.Methods 80 patients with cerebral infarction admitted to the acupuncture and encephalopathy department of the hospital from February 2019 to November 2020 were selected and divided into group A and group B,40 cases each,according to different therapies,and both groups received conventional treatment.On this basis,group A received acupuncture interventional therapy 48 hours after the onset of cerebral infarction,and group B received acupuncture interventional therapy 48 hours after the vital signs were stabilized,and both groups were treated for 6 weeks.The neurological function,limb function,lower limb balance,activities of daily living,quality of life,and clinical efficacy after treatment were compared between the two groups of patients before and after treatment.Results The comparison of the National Institute of Health stroke scale(NIHSS)scores between the two groups before treatment was not statistically significant(P>0.05);after treatment,the NIHSS score of group A was(5.61±1.17)points,which was lower than the(6.95±1.29)points of group B,and the difference was statistically significant(P<0.05).Before treatment,Fugl-Meyer assessment scores,Berg balance scale scores,Barthel index scale scores,and The MOS 36-item short-from health survey score comparison,the differences between groups were not statistically significant(P>0.05);after treatment,the above scores of group A were higher than those of group B,and the difference between the groups was statistically significant(P<0.05).The total clinical effective rate of group A was 90.00%,which was higher than 72.50%of group B,and the difference was statistically significant(P<0.05).Conclusion The effect of acupuncture interventional therapy 48 hours after the onset of cerebral infarction is better,and it can significantly improve the patient's neurological function,limb function,lower limb balance,activities of daily living and quality of life.The clinical curative effect is high and it is worthy of promotion.
作者
齐光辉
QI Guanghui(Department of Acupuncture and Encephalopathy,Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou Jiangsu,221000,China)
出处
《反射疗法与康复医学》
2021年第15期27-30,共4页
Reflexology And Rehabilitation Medicine
关键词
针刺介入治疗
时机
脑梗死
肢体功能障碍
Acupuncture interventional therapy
Time
Cerebral infarction
Limb dysfunction
