早期康复结合针刺治疗对急性动脉血栓性脑梗死的临床疗效观察

摘要

Objective:To study and analyze the clinical curative effect of early rehabilitation combined with acupuncture treatment on acute arterial thrombosis cerebral infarction.Methods:A total of 200 patients with acute arterial thrombotic cerebral infarction who underwent clinical treatment from June 2014 to June 2016 were selected as subjects, and they were randomly divided into a treatment group, an electroacupuncture treatment group, a Bobath technique treatment group and a control group.The treatment group were treated with electric acupuncture combined with Bobath technology, electroacupuncture treatment group electric acupuncture, Bobath technology group the Bobath technology treatment, for 1 month, and the control group did not receive rehabilitation treatment.The four groups were compared after 1 month and 3 months after treatment effect.Results:The Fugl-Meyer score, the Barthel index score, the Brunnstrom hemiplegia motor function rating and the FIM score were significantly improved after 1 month of treatment and 3 months after treatment.After 3 months of treatment, the indexes of all groups were better than those after 1 month of treatment, and the indexes of the treatment group were better than the other three groups.Conclusion:For patients with acute artery thrombosis cerebral infarction, the effect of early rehabilitation combined with acupuncture treatment is better than pure early rehabilitation or acupuncture therapy, and the long-term curative effect is superior to the recent curative effect of patients.%目的:探讨和分析早期康复结合针刺治疗对急性动脉血栓性脑梗死的临床疗效.方法:选取2014年6月至2016年6月期间在商丘市中心医院接受临床治疗的200例急性动脉血栓性脑梗死患者作为研究对象,随机分为治疗组、电针治疗组、Bobath技术治疗组和对照组共4组,治疗组采取电针治疗结合Bobath技术治疗,电针治疗组采用电针治疗,Bobath技术治疗组采用Bobath技术治疗,均接受1个月治疗,对照组未接受康复治疗.对比4组治疗1个月后及3个月后治疗效果.结果:治疗组、电针治疗组、Bobath技术治疗组、对照组患者治疗1个月后及治疗3个月后的Brunnstrom偏瘫运动功能评定分级、Fugl-Meyer评分、Barthel指数评分、FIM评分与治疗之前比较均得到明显改善,4组患者治疗3个月后的各项指标均优于治疗1个月后的各项指标,而且,治疗组的各项指标均优于其他3组.结论:对急性动脉血栓性脑梗死患者实施早期康复结合针刺治疗的效果要优于单纯进行早期康复治疗或针刺治疗,且患者的远期疗效优于近期疗效.