穴位敷贴结合艾灸辅助综合康复疗法治疗缺血性脑卒中偏瘫的临床观察1.docxVIP

??

?

??

穴位敷贴结合艾灸辅助综合康复疗法治疗缺血性脑卒中偏瘫的临床观察

?

??

?

?

?

?

?

?

?

???

?

?

?

?

?

【摘要】目的:研讨缺血性脑卒中（CAT）偏瘫患者运用穴位敷贴及艾灸辅助综合康复治疗的临床价值。方法:以我院2015年1月-2017年5月收治的80例CAT后偏瘫患者为观察对象，按随机非盲法对其进行分组，Ⅰ组接受综合康复治疗，Ⅱ组同时配合穴位敷贴及艾灸治疗，对比评估两组的临床疗效、Barthel指数与肌力评分。结果:Ⅱ组的总有效率较Ⅰ组显著提高，比较差异显著（P＜0.05）。治疗前，两组的Barthel指数、肌力评分相比，差异不显著（P＞0.05）；治疗后，Ⅱ组两项指标较Ⅰ组均显著改善，比较差异显著（P＜0.05）。结论:在CAT后偏瘫患者的综合康复治疗基础上施加穴位敷贴及艾灸治疗，能够有效促进肌力恢复，提升患者的生活质量，值得推荐。

【关键词】缺血性脑卒中；偏瘫；穴位敷贴；艾灸；综合康复

Clinicalobservationofcerebralarterialthrombosishemiplegiatreatedwithacupointapplicationcombinedwithmoxibustionandcomprehensiverehabilitation

Abstract:Objective:Toinvestigatetheclinicalvalueofcerebralarterialthrombosis(CAT)hemiplegiatreatedwithacupointapplicationcombinedwithmoxibustionandcomprehensiverehabilitation.Methods:Inourhospital,fromJanuaryin2015toMayin2017,80casesofCATpatientswithhemiplegiawereselectedasobservationobject,andpidedintogroupsaccordingtotherandomnonblindmethod.Group1receivedcomprehensiverehabilitationtreatment,groupIIreceivedcomprehensiverehabilitationcombinedwithacupointapplicationandmoxibustiontreatment,theclinicalcurativeeffect,Barthelindexandmusclestrengthscoresoftwogroupswerecomparedandevaluated.Results:ThetotaleffectiverateofgroupIIwassignificantlyhigherthanthatofgroupI,withasignificantdifference(P0.05).Beforetreatment,therewasnosignificantdifferencebetweenthetwogroupsintheBarthelindexandmusclestrengthscore(P0.05).Aftertreatment,thetwoindexesingroupIIweresignificantlyimprovedcomparedwiththatingroupA(P0.05).Conclusion:TheapplicationofacupointapplicationandmoxibustiontreatmentonhemiplegiapatientsafterCATcaneffectivelypromotetherecoveryofmusclestrengthandimprovethequalityoflifeofpatientswithhemiplegia.Itisworthrecommending.

Keywords:Ischemicstroke;hemiplegia;acupointapplication;moxibustion;comprehensiverehabil