摘要
目的 观察在对中风恢复期患者进行治疗中开展中医康复治疗、穴位针灸治疗的综合价值。方法 遵照纳入病例对比观察的方式开展探究,纳入患者68例,开始时间为2021年2月至2022年6月,双盲法均分为对照组(34例,中医康复治疗)和观察组(34例,中医康复治疗+穴位针灸治疗)。对比两组患者恢复情况。结果 对比两组患者生活自理能力以及肢体运动能力,在治疗前两组患者无差异,P>0.05,在治疗后,观察组明显优于对照组,P<0.05。对比两组神经功能恢复情况以及偏瘫侧肢体疼痛程度,在治疗前两组患者无差异,P>0.05,在治疗后,观察组明显优于对照组,P<0.05。结论 在对中风恢复期患者进行治疗中按照中医康复治疗与穴位针灸共同进行治疗,可以促使患者生活自理能力以及肢体运动能力得到有效提升,改善患者偏瘫侧疼痛症状并促使患者受损神经功能进行恢复。
关键词: 中医康复治疗;穴位针灸;中风恢复期
Abstract
Objective: To observe the comprehensive value of traditional Chinese medicine rehabilitation therapy and acupoint acupuncture therapy in the treatment of patients with stroke in the convalescent period. Methods According to the method of comparative observation of included cases, 68 patients were included, starting from February 2021 to June 2022. Double blind method was used to divide them into control group (34 patients, treated with traditional Chinese medicine rehabilitation) and observation group (34 patients, treated with traditional Chinese medicine rehabilitation+ acupuncture). The recovery of the two groups was compared. Results There was no difference between the two groups in the ability of self-care and limb movement before treatment (P>0.05). After treatment, the observation group was significantly better than the control group (P<0.05). The recovery of nerve function and the degree of hemiplegic limb pain in the two groups were compared. There was no difference between the two groups before treatment (P>0.05). After treatment, the observation group was significantly better than the control group (P<0.05). Conclusion In the treatment of stroke patients in the recovery period, the combination of traditional Chinese medicine rehabilitation treatment and acupuncture and moxibustion can effectively improve the patients' self-care ability and limb movement ability, improve the patients' pain symptoms on the hemiplegic side and promote the recovery of the patients' damaged nerve function.
Key words: TCM rehabilitation therapy; Acupoint acupuncture; Stroke recovery period
参考文献 References
[1] 唐林.中医康复治疗对中风后痉挛性偏瘫患者肢体功能的影响[J].中国当代医药,2022,29(19):139-142.
[2] 薛文文.中医康复护理对早期中风偏瘫患者功能康复和抑郁症状的影响评价[J].黑龙江医学,2021,45(22): 2376-2377.
[3] 郭思敏.探讨早期中医康复护理干预对脑中风患者预后的效果[J].中外医疗,2021,40(30):145-149.
[4] 杨亚男,刘小江.中医康复治疗联合针灸在中风患者康复中的效果[J].吉林中医药,2021,41(09):1244-1247.
[5] 耿花蕾,王雅惠,王月.中医综合康复方案治疗不同程度中风后偏瘫痉挛的疗效研究[J].现代中医临床,2021, 28(03):17-21.
[6] 孙伊婷,周莉,张喆.基于智能运动反馈测评系统评价中医综合康复方案治疗中风后肩手综合征54例[J].环球中医药,2021,14(05):959-963.
[7] 李文兰.中药汤剂联合中医康复治疗缺血性脑卒中临床观察[J].光明中医,2021,36(04):524-527.
[8] 李丹丹,陈小芳.中医康复护理对中风后偏瘫病人肢体功能恢复及生存质量的影响[J].全科护理,2020, 18(30): 4134-4136.
[9] 边静,张为民,王宇峰.基于文献分析与德尔菲法筛选制定中风后吞咽障碍中医康复标准化诊疗方案体会[J].吉林中医药,2020,40(03):302-305.
[10] 志玛翁召.早期中风偏瘫患者行中医康复护理对神经功能及日常生活能力的影响[J].人人健康,2017(14): 218+182.