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目的:探讨热补针法结合康复训练对缺血性脑卒中偏瘫患者早期运动功能(Fugl-Meyer)的影响。方法:将80例缺血性脑卒中患者随机分为康复组40例、针刺结合康复组40例,康复组患者接受内科常规治疗的同时采用康复训练进行治疗,针刺结合康复组患者接受内科常规治疗的同时采用热补针法结合康复训练进行治疗。针刺治疗取穴肩髃、曲池、合谷、阳陵泉、阴陵泉、足三里、三阴交,施热补针法,留针20min,每日1次,共治疗3周。同时在治疗前和治疗3周后分别采用脑卒中患者临床神经功能缺损程度评分和Fugl-Meyer评定量表进行评估。结果:针刺结合康复组显著进步、进步、无变化分别为17(42.5%)、18(45.0%)、5(12.5%),康复组显著进步、进步、无变化分别为10(25.0%)、17(42.5%)、13(32.5%),总有效率分别为87.5%和67.5%,针刺结合康复治疗组的疗效显著优于单纯康复治疗组(P<0.05)。两组治疗后比较神经功能缺损程度和Fugl-Meyer评分差异均有统计学意义,针刺结合康复组神经功能缺损程度评分明显减少(P<0.05)、Fugl-Meyer评分明显增加(P<0.01)。结论:热补针法结合康复训练对脑卒中神经功能缺损程度和Fugl-Meyer的改善作用明显优于单纯康复治疗方法。
Objective: To investigate the effect of hot-dialing combined with rehabilitation training on early motor function (Fugl-Meyer) in patients with hemiplegia after ischemic stroke. Methods: Eighty patients with ischemic stroke were randomly divided into rehabilitation group (n = 40), acupuncture combined with rehabilitation group (n = 40). Patients in rehabilitation group received routine medical treatment and rehabilitation training. Acupuncture combined with rehabilitation group received medical treatment Routine treatment with hot needle repair combined with rehabilitation training. Acupuncture treatment acupoints shoulder acupoints, Quchi, Hegu, Yanglingquan, Yinlingquan, Zusanli, Sanyinjiao, heat acupuncture, needle retention 20min, day 1, a total of 3 weeks. At the same time, the clinical neurological deficit score and the Fugl-Meyer assessment scale were respectively used in the stroke patients before treatment and after 3 weeks of treatment. Results: The acupuncture combined with rehabilitation group showed significant improvement, progress and no change, respectively, with 17 (42.5%), 18 (45.0%) and 5 (12.5% , 17 (42.5%) and 13 (32.5%) respectively. The total effective rate was 87.5% and 67.5% respectively. The acupuncture combined with rehabilitation therapy group was significantly better than the pure rehabilitation therapy group (P <0.05). There was significant difference between the two groups in the degree of neurological deficit and Fugl-Meyer score (P <0.05). The score of Fugl-Meyer significantly increased (P <0.01) in acupuncture combined with rehabilitation group, . Conclusion: The effect of heat-acupuncture combined with rehabilitation training on neurological impairment and Fugl-Meyer in stroke is better than pure rehabilitation therapy.