马振合

[摘要] 目的 分析针药结合康复训练治疗中风痉挛性偏瘫的临床效果。方法 方便选取该院在2013年6月—2015年10月收治的106例中风痉挛性偏瘫患者作为研究目标，按照抽签法分为两组，即对照组（53例）和观察组（53例），对照组予以单纯康复训练治疗，观察组在康复训练基础上予以针药治疗，比较两组日常生活能力、肢体运动功能改善情况及整体治疗效果。结果 两组治疗后FMA和MBI评分均显著高于治疗前，组间统计比较对照组低于观察组，差异有统计学意义（P<0.05）；观察组治疗总有效率为92.5%，对照组治疗总有效率为75.5%，经统计比较观察组优于对照组（P<0.05）。结论 中风痉挛性偏瘫采用针药结合康复训练治疗可显著减轻患者临床症状，提高其运动功能并改善其生活质量，该治疗方案值得在临床中普及推广。

[关键词] 中风痉挛性偏瘫；康复训练；针药

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0019-03

Clinical Analysis of Ampoule and Rehabilitation Training Treatment for Post-stroke Spastic Hemiplegia

MA Zhen-he

Ningjin Hospital of Traditional Chinese Medicine， Dezhou， Shandong Province， 253400 China

[Abstract] Objective To analyze the clinical effect of ampoule and rehabilitation training treatment for post-stroke spastic hemiplegia. Methods 106 cases of patients with post-stroke spastic hemiplegia admitted and treated in our hospital from June 2013 to October 2015 were convenient selected as the research objects and randomly divided into two groups with 53 cases in each， the control group adopted the simple rehabilitation training treatment， while the observation group adopted the ampoule treatment on the basis of the control group， and the daily living abilities， extremity motor function improvement and holistic treatment effect of the two groups were compared. Results After treatment， the FMA and MBI scores in the two groups were obviously higher than those before treatment， and the FMA and MBI scores in the control group were lower than those in the observation group， and the difference had statistical significance（P<0.05）， and the total treatment effective rate in the observation group was better than that in the control group（92.5% vs 75.5%）（P<0.05）. Conclusion The ampoule and rehabilitation training treatment for post-stroke spastic hemiplegia can obviously relieve the clinical symptoms of patients， improve the motor function and quality of life， which is worth clinical promotion in clinic.

[Key words] Post-stroke spastic hemiplegia； Rehabilitation training； Ampoule

中風是临床常见的脑神经疾病之一，其具有非常高的致残率和死亡率，严重威胁人类身体健康和生命安全。中风患者会表现出肢体麻木、口舌歪斜、半身不遂等临床症状，其最常见的功能障碍就是偏瘫痉挛。一旦中风患者出现偏瘫痉挛症状，其运动功能和生活质量都会受到严重影响，故应及时进行康复治疗，以减轻病症，改善预后[1-2]。该文方便选取该院在2013年6月—2015年10月收治的106例中风痉挛性偏瘫患者作为研究目标，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的106例中风痉挛性偏瘫患者作为研究目标，所有入选病例均符合脑血管病研究组在全国第4届学术会议上制定的相关诊断标准[3]，同时经MRI或CT等确诊为脑血管疾病。按照抽签法分为两组，即对照组（53例）和观察组（53例）。对照组男患者28例，女患者25例，患者年龄39～74岁，平均年龄（59.8±6.3）岁。……