穴位埋线配合针刺及康复训练治疗中风后肢体偏瘫的临床观察

目的观察穴位埋线配合针刺及康复训练治疗对中风后恢复期肢体偏瘫患者的临床治疗效。 方法选择2018年6月至2019年8月贵州省铜仁市碧江区中医院康复科收治住院的98例中风恢复期肢体偏瘫患者，按随机数值表法随机分为对照组48例(针刺联合康复训练治疗)和治疗组50例(穴位埋线配合针刺联合康复训练治疗)，连续治疗4周，治疗前和治疗后神经功能缺损程度评定量表(NDS)、Berg平衡功能进行评定量表(BBS)、巴氏(Barthe)指数组间比较采用两独立样本t检验，治疗前后比较采用自身配对t检验；2组总有效率比较采用χ²检验。 结果(1)总有效率：治疗组有效50例，无效0例，治疗总有效率100.0%(50/50)；对照组有效43例，无效5例，总有效率89.6%(43/48)，治疗组总有效率高于对照组(χ²＝12.163，P<0.05)。(2)2组治疗前后自身比较：治疗4周后，治疗组与对照组患者NDS评分均较治疗前降低(t＝18.39、16.22，均P<0.05)，治疗组治疗后Barthel指数、BBS评分均较治疗前评分增高(t＝145.00、54.25，均P<0.05)，对照组治疗后Barthel指数、BBS评分均较治疗前评分增高(t＝126.00、27.13，均P<0.05)，差异均有统计学意义。(3)治疗组与对照组比较：治疗4周后，治疗组患者NDS评分均较照组降低(t＝-5.299，P<0.05)，治疗组Barthel指数、BBS评分均较照组评分增高(t＝2.805、13.203，均P<0.05)。 结论埋线疗法结合针刺、康复训练对中风恢复期肢体偏瘫患者有良好治疗作用，能更好、更快地提高患者的运动功能和日常生活能力及生存的质量，此法值得临床推广。

Clinical observation on acupoint embedding combined with acupuncture and rehabilitation training in treatment of limb hemiplegia after stroke

ObjectiveTo observe the clinical therapeutic effect of acupoint embedding combined with acupuncture and rehabilitation training on patients with limb hemiplegia after stroke. Methods98 patients with hemiplegia during stroke recovery who were admitted to the Rehabilitation Department of Bijiang District Hospital of Traditional Chinese Medicine, Tongren City, Guizhou Province from June 2018 to August 2019, were selected and divided into two groups according to the random number table, 48 cases in the control group (acupuncture combined with rehabilitation training) and 50 patients in the treatment group (acupoint embedding combined with acupuncture and rehabilitation training), and treatment lasted for 4 weeks. The data were collected with the neurological deficit assessment scale (NDS), balance function assessment scale (Berg), and Barthe index before and after treatment. Comparison between groups was made by two independent samples t test; comparison of databefore and after treatment by self-paired t test; comparison of the total effective rates between the two groups by χ². Results(1) Total effective rates: 50 cases were effective in the treatment group, 0 case was ineffective, and the total effective rate was 100.0% (50/50); 43 cases in the control group were effective and 5 cases were ineffective, and the total effective rate was 89.6% (43/48). The total effective rate of treatment in the treatment group was higher than that in the control group (χ²=12.163, P<0.05); (2) Comparison of the two groups before and after treatment: After 4 weeks of treatment, the NDS scores of the treatment group and the control group were lower than before treatment (t=18.39, 16.22, both P<0.05); the Barthel index and BBS score of the treatment group after treatment were higher than those before treatment (t=145.00, 54.25, both P<0.05); the Barthel index and BBS score of the control group after treatment were higher than those before treatment (t=126.00, 27.13, all P<0.05), and the differences were statistically significant. (3) Comparison between the treatment group and the control group: After 4 weeks of treatment, the NDS scores of the treatment group were lower than those of the control group (t=-5.299, P<0.05), and the Barthel index and BBS score of the treatment group were higher than those of the control group (t=2.805, 13.203, all P<0.05). ConclusionAcupoint embedding therapy combined with acupuncture and rehabilitation training has a good therapeutic effect on patients with limb hemiplegia during stroke recovery period, which can better and faster improve the motor function, daily living ability and quality of life of patients, therefore this method is worthy of clinical promotion.