“扶正补土”法针灸联合现代康复训练对脑卒中后偏瘫患者康复的影响

何晓晓; 任谦; 李铁柱; 张茂亮

doi:10.7619/jcmp.20223237

“扶正补土”法针灸联合现代康复训练对脑卒中后偏瘫患者康复的影响

Effect of acupuncture and moxibustion by "Fuzheng Butu" method combined with modern rehabilitation training on rehabilitation of patients with hemiplegia after cerebral apoplexy

摘要

摘要:
目的探讨“扶正补土”法针灸联合现代康复训练对脑卒中后偏瘫患者康复的影响。
方法将86例脑卒中后偏瘫患者随机分为观察组和对照组。对照组采取常规西医基础治疗和现代康复训练, 观察组在对照组基础上给予“扶正补土”法针灸。比较2组治疗前后美国国立卫生研究院卒中量表(NIHSS)、姿势评定量表(PASS)、Berg平衡量表(BBS)评分及临床疗效、不良事件发生情况。
结果 2组治疗后NIHSS评分低于治疗前，且观察组低于对照组，差异有统计学意义(P < 0.05); 2组治疗后PASS、BBS评分均高于治疗前，且观察组高于对照组，差异有统计学意义(P < 0.05); 观察组治疗总有效率为95.35%, 高于对照组的81.40%, 差异有统计学意义(P < 0.05); 2组不良事件发生率比较，差异无统计学意义(P>0.05)。
结论 “扶正补土法”针灸联合现代康复训练在脑卒中后偏瘫患者中疗效显著，能有效改善患者的神经功能、核心肌群功能及平衡能力。

Abstract:
Objective To explore the effect of acupuncture and moxibustion of "Fuzheng-Butu" method combined with modern rehabilitation training on the rehabilitation of patients with hemiplegia after cerebral apoplexy.
Methods A total of 86 patients with hemiplegia after cerebral apoplexy were randomly divided into observation group and control group. The control group was treated with basic treatment of conventional western medicine and modern rehabilitation training, while the observation group was given "Fuzheng-Butu" acupuncture and moxibustion on the basis of the control group. The scores of National Institutes of Health StrokeScale (NIHSS), posture assessment scale (PASS) and Berg Balance Scale (BBS) before and after treatment, clinical efficacy and adverse events were compared between the two groups.
Results The NIHSS scores of the two groups after treatment were lower than those before treatment, and the observation group had lower NIHSS score than the control group (P < 0.05). The PASS scores and BBS scores of the two groups after treatment were higher than those before treatment, and were higher in the observation group than those of the control group (P < 0.05). The total effective rate of the observation group was 95.35%, which was higher than 81.40% of the control group (P < 0.05). The incidence of adverse events in the two groups showed no significant difference (P>0.05).
Conclusion "Fuzheng-Butu" acupuncture and moxibustion combined with modern rehabilitation training has a significant effect in patients with hemiplegia after cerebral apoplexy, and the therapy can effectively improve the neurological function, core muscle function and balance ability of patients.

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