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目的探讨头皮针抽提法配合运动训练对脑血栓形成后恢复期偏瘫患者的疗效。方法选择93例脑血栓形成后恢复期偏瘫患者,均给予神经内科常规药物治疗(维脑路通片0.2 g,每日3次,肠溶阿斯匹林片100 mg,每日1次),采用随机单盲对照法分为3组。头皮针抽提法组31例,同时给予头皮针抽提疗法和运动训练;头皮针捻转法组31例,同时给予头皮针捻转疗法和运动训练;药物对照组31例,仅采用神经内科常规药物治疗,治疗4周为1个疗程。1个疗程后进行疗效评定。结果头皮针抽提法组治愈显效率为67.74%,头皮针捻转法组治愈显效率为45.16%,药物对照组治愈显效率为29.03%,3组间疗效比较,差异有统计学意义(P<0.01);且头皮针抽提法组疗效明显优于头皮针捻转法组,差异有统计学意义(P<0.01)。结论在神经内科常规药物治疗的基础上给予头皮针抽提疗法或捻转疗法配合运动训练对脑血栓形成后恢复期偏瘫患者的治疗作用较好,且给予头皮针抽提疗法的患者效果优于头皮针捻转疗法。
Objective To investigate the curative effect of scalp acupuncture combined with exercise training on patients with hemiplegia during convalescence after cerebral thrombosis. Methods Ninety-three patients with hemiplegia during convalescence after cerebral thrombosis were enrolled in the routine medical treatment of neurology (0.2 g Venoru-Lok Tong, 3 times a day, 100 mg enteric-coated aspirin once daily) Randomized single-blind control was divided into 3 groups. Scalp acupuncture and acupuncture treatment group, 31 cases were given scalp acupuncture and exercise training; scalp acupuncture and twisting method group of 31 cases, while giving scalp acupuncture and twisting therapy and exercise training; drug control group of 31 cases, only using neurology Conventional drug treatment, treatment for 4 weeks for a course of treatment. After a course of treatment efficacy evaluation. Results The effective rate of scalp acupuncture was 67.74%, the effective rate of scalp acupuncture treatment was 45.16%, and the cure rate of drug control group was 29.03%. There was significant difference between the three groups (P <0.01). The curative effect of scalp acupuncture was better than scalp acupuncture, the difference was statistically significant (P <0.01). Conclusions The scalp acupuncture therapy or twisting therapy combined with exercise training on the basis of routine medical treatment of neurology is effective in patients with hemiplegia after convalescence after cerebral thrombosis and the effect of scalp acupuncture needle extraction is better than that Scalp needle twist therapy.