针灸结合康复训练对中风偏瘫后遗症患者康复效果和生活质量影响研究

目的:研究针灸结合康复训练对中风偏瘫后遗症患者康复效果和生活质量的影响。方法:研究对象选取我院2017年10月-2018年10月间收治的中风偏瘫后遗症患者88例,采用随机数字法将其分为对照组和观察组,每组各44例。对照组给予常规治疗,观察组在常规治疗的基础上进行针灸结合康复训练,每周5次,治疗4周。比较两组患者的康复效果、生活质量和患者下肢的表面肌电值(iEMG)。结果:治疗后,观察组的神经功能缺损评分(Neurological Deficit Scale,NDS)明显低于对照组(P<0.05),观察组的功能综合评分(Functional Comprehensive Assessment,FCA)、四肢简化Fugl-Meyer评分及日常生活活动能力评分(Activity of Daily Living,ADL)均明显高于对照组(P<0.05)。治疗后观察组患者的iEMG值均显著高于对照组(P<0.05)。结论:针灸结合康复训练治疗中风偏瘫后遗症的临床疗效显著,能提高患者的康复效果和生活质量,值得在临床推广。

Efficacy of acupuncture and rehabilitation training on rehabilitation and quality of life in patients with sequelae of stroke hemiplegia

Objective:To study the effect of acupuncture plus rehabilitation training on rehabilitation and quality of life.Methods:88 patients were randomly divided into the control group and the observation group,44 cases in each.The control group was given conventional treatment;the observation group received acupuncture plus rehabilitation training more,5 times a week,for 4 weeks.Results:After treatment,NDS in the observation group was significantly lower than the control group(P<0.05).The FCA,the simplified Fugl-Meyer scale and ADL in the observation group was significantly higher than the control group(P<0.05).After treatment,the iEMG values in the observation group were significantly higher than the control group(P<0.05).Conclusion:Acupuncture plus rehabilitation training shows a significant clinical effect on sequelae of stroke and hemiplegia,can improve quality of life,and is worthy of clinical promotion.