针刺联合康复训练治疗脑血管意外后遗症临床研究

目的:观察针刺联合康复训练治疗脑血管意外后遗症的临床疗效及其对患者神经功能、中医证候、免疫力的影响。方法:将92例脑血管意外后遗症患者按随机数字表法分为对照组和观察组各46例,对照组给予常规疗法,观察组在对照组的基础上给予针刺联合康复训练治疗。比较两组治疗后的临床疗效、美国国立卫生院卒中量表(NIHSS)评分、中医证候评分及血清超敏C反应蛋白(hs-CRP)水平。结果:(1)观察组治疗后的临床总有效率明显高于对照组,差异有统计学意义(P0.05)。(2)两组治疗后的NIHSS和中医证候评分较治疗前均降低,差异有统计学意义(P0.05);观察组治疗后的NIHSS和中医证候评分均低于对照组,差异有统计学意义(P0.05)。(3)治疗后两组患者血清hs-CRP水平较治疗前均降低,差异有统计学意义(P0.05);治疗后观察组患者血清hs-CRP水平低于对照组,差异有统计学意义(P0.05)。结论:在常规治疗的基础上进行针刺联合康复训练能提高脑血管意外后遗症患者的临床疗效,改善其神经功能和中医证候,提高免疫力。

Clinical Study on Acupuncture Combined with Rehabilitation Training in Treatment of Cerebrovascular Accident Sequelae

Objective:To observe the clinical efficacy of acupuncture combined with rehabilitation training on patients with cerebrovascular accident sequelae,and to evaluate the effect of this comprehensive therapy on nerve function,traditional Chinese medicine(TCM) syndrome and immunity of the patients. Methods:A total of 92 patients with cerebrovascular accident sequelae were divided into control group and treatment group according to the random number table method,with 46 cases in each group. The control group was treated with conventional therapy. The observation group was treated with acupuncture combined with rehabilitation training in addition to coventional therapy. After treatment,the clinical efficacy,National Institute of Health Stroke Scale(NIHSS) score,TCM syndrome score and level of serum hypersensitive C-reactive protein(hs-CRP) of the patients in the two groups were compared. Results:(1)After treatment,the total effective rate of the observation group was obviously higher than that of the control group and the difference was statistically significant(P<0.05).(2)After treatment,the NIHSS score and TCM syndrome score of the two groups were all decreased. Compared with those before treatment,the difference was statistically significant(P<0.05). Moreover,after treatment,the NIHSS score and TCM syndrome score of the observation group were lower than those of the control group and the difference was statistically significant(P <0.05).(3)After treatment,the levels of serum hs-CRP of the two groups were all decreased. Compared with those before treatment,the difference was statistically significant(P<0.05). Moreover,after treatment,the level of serum hs-CRP of the observation group was lower than that of the control group and the difference was statistically significant(P<0.05). Conclusion:Acupuncture combined with rehabilitation training based on conventional therapy can improve the clinical efficacy on cerebrovascular accident sequelae. It also can improve the nerve function,TCM syndrome and immunity of the patients.