通督调神针法结合康复技术治疗中风后弛缓性瘫痪

目的观察通督调神针刺法结合康复技术与传统针刺治疗中风后弛缓性瘫痪的疗效差异。方法将40例中风后弛缓性瘫痪患者随机分为治疗组和对照组,每组20例。治疗组20例采用通督调神针法结合康复方案,对照组20例采用普通针刺结合康复技术,两组患者均同时给予常规营养脑神经、改善循环等对症治疗。每周治疗6次,连续3周,使用神经功能缺损程度评分(NDS)、日常生活活动能力(ADL指数)、四肢运动功能(FMA评分)三项量表分别对治疗前、治疗后以及疗程结束3月后随访当日予以评定积分变化。结果两组治疗前后,临床疗效差异具有统计学意义(P0.05);治疗组在治疗后以及治疗结束后3月随访中患者神经功能缺损、日常生活能力、四肢运动功能等方面疗效与治疗前差异均有显著意义(P0.01);对照组治疗后、以及治疗后3月回访中日常生活能力及运动功能方面与治疗前有显著差异(P0.01)。结论通督调神针法结合康复技术可明显改善中风后弛缓性瘫痪患者神经功能缺损、日常生活能力以及四肢运动功能等症状,效果显著,并具有较好的远期疗效。

Tongdu Tiaoshen acupuncture combined with rehabilitation technique on flaccid paralysis after stroke

Objective To observe therapeutic effects of Tongdu Tiaoshen acupuncture combined with rehabilitation technique and traditional acupuncture on flaccid paralysis after stroke. Methods 40 cases of flaccid paralysis after stroke patients were randomly divided into treatment group and control group, 20 cases in each group. In the treatment group,20 cases were treated by the Tongdu Tiaoshen combination of acupuncture and rehabilitation,while 20 cases in the control group were treated by general acupuncture combined with rehabilitation techniques. Two groups of patients were given conventional nutrition brain nerve, improving circulation and other symptomatic treatments at the same time. Treatment was 6 times a week for 3 consecutive weeks, the scores of neurological deficit scale (NDS), activities of daily living (ADL index) and limb movement function (FMA scale) were used to evaluate the integral changes before treatment, after treatment, and 3 months after the end of treatment, respectively. The three points were used to evaluate the integral changes. Results The difference of clinical curative effect was statistically significant before and after treatment in the two groups (P<0.05); in the treatment group, there were significant differences in neurological function, activities of daily living and motor function in the 3 months after treatment and at the end of treatment (P<0.01); There was a significant difference between the control group after treatment, and the daily living ability and exercise function in the 3 months after treatment(P< 0.01).Conclusion Tongdu Tiaoshen acupuncture combined with rehabilitation can significantly improve flaccid paralysis after stroke in patients with neurologic impairment, limb motor function and ability of daily life and other symptoms, the curative effect is remarkable, and has better long-term effect.