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目的探讨分期取穴法结合康复训练治疗脑卒中后偏瘫的疗效。方法将108例脑卒中后偏瘫患者随机分为治疗组、对照1组、对照2组各36例,治疗组使用分期取穴法结合康复训练进行治疗;对照1组使用普通常规针刺结合康复训练进行治疗;对照2组使用单纯康复训练进行治疗。均使用Fugl-Meyer运动量表及改良巴氏指数评定量表作为疗效评定标准。结果各组受试者经治疗前后FMA评分差值比较,有统计学意义(P<0.05),三组间治疗前后差值比较,有统计学意义(P<0.05);各组受试者经治疗前后改良巴氏指数评分差值比较,有统计学意义(P<0.05),三组间治疗前后差值比较,治疗组优于对照1组、对照2组(P<0.05);对照1组与对照2组之间相比,差异无统计学意义(P<0.05)。结论分期取穴法结合康复训练治疗脑卒中后偏瘫的疗效优于普通针刺结合康复及康复组。
Objective To investigate the efficacy of staging acupoints combined with rehabilitation training for post-stroke hemiplegia. Methods A total of 108 patients with post-stroke hemiplegia were randomly divided into treatment group, control group 1 and control group 2 and 36 patients respectively. The treatment group was treated by acupoint combining with rehabilitation training. The control group 1 was treated with common conventional acupuncture combined with rehabilitation training The control group 2 was treated with simple rehabilitation training. Fugl-Meyer exercise scale and modified Papan’s index assessment scale were used as the evaluation standard of curative effect. Results The differences of FMA scores before and after treatment in each group were statistically significant (P <0.05), and the difference between the three groups before and after treatment was statistically significant (P <0.05). The subjects’ The differences of improved Papanicum index scores before and after treatment were statistically significant (P <0.05). The difference between the three groups before and after treatment was better in the treatment group than in the control group 1 and the control group 2 (P <0.05) Compared with the control group 2, the difference was not statistically significant (P <0.05). Conclusion Acupoint selective acupuncture combined with rehabilitation training in the treatment of post-stroke hemiplegia is superior to the general acupuncture combined rehabilitation and rehabilitation group.