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目的探讨对于脑梗塞致偏瘫患者应用针灸治疗中的疏经调脏法进行康复治疗的疗效,以指导临床此类患者的康复治疗。方法将近5年来于我科行康复治疗的脑梗塞偏瘫患者90例,随机分为疏经治疗组、调脏治疗组和疏经调脏治疗组各30例,对比三组康复治疗的疗效。结果在FMMS评分及Barthel指数方面比较,疏经治疗组、调脏治疗组及疏经调脏治疗组均较治疗前明显提高(P<0.05),而疏经治疗组与调脏治疗组比较,提高未见明显差异(P>0.05),但是疏经调脏治疗组较疏经治疗组与调脏治疗组提高则有统计学意义(P<0.05)。在治疗过程中,疏经治疗组中有1例患者出现针刺部位感染,调脏治疗组中有1例患者出现针刺部位出血,疏经调脏治疗组中,有例患者出现针刺部位出血。三组比较,P>0.05,即在不良反应发生率上无明显差异。结论疏经调脏法治疗脑梗塞偏瘫患者的治疗效果较单用一种治疗方式更为优异,临床可以应用。
Objective To investigate the effect of rehabilitation therapy on patients with hemiplegia caused by cerebral infarction by acupuncture and moxibustion in order to guide the clinical rehabilitation of such patients. Methods Ninety patients with cerebral infarction hemiplegia who underwent rehabilitation therapy in our hospital in the recent 5 years were randomly divided into three groups: control group, spleen-regulating group and sparse-tonifying and regulating group, 30 cases each. The curative effect of the three groups was compared. Results Compared with FMMS score and Barthel index, the patients in Shumen treatment group, Tanshifuxu treatment group and Shujingfadan treatment group were significantly higher than those before treatment (P <0.05), while those in Shumen treatment group and Tanshou treatment group were significantly lower than those in control group (P> 0.05). However, there were significant differences between the Shu-mei and Tiao-miao treatment groups and the Shu-mei treatment group (P <0.05). In the course of treatment, there was 1 case of acupuncture spot infection in the treatment group, 1 case of bleeding in the treatment group had acupuncture bleeding, and some patients had acupuncture points Bleeding. Three groups, P> 0.05, that is, no significant difference in the incidence of adverse reactions. Conclusion The treatment of Hemifing and Dyspnea in the treatment of patients with hemiplegia of cerebral infarction is more excellent than one treatment and can be applied clinically.