窦艳玲

摘 要：目的：观察针灸推拿联合康复训练对脑梗死偏瘫患者的临床治疗效果观察。方法：将60例脑梗死偏瘫患者随机分为联合组、针灸推拿组和康复训练组，每组20例。所有患者均给予常规的降压、保护脑细胞等综合治疗，在此基础上联合组采用针灸推拿配合康复训练，针灸推拿组不采用康复训练，康复训练组仅采用单纯康复训练，均治疗10d为1个疗程，3个疗程后比较其治疗效果和日常生活活动能力（ADL）评分。结果：联合组总有效率为91.66%，明显高于针灸推拿组的80.00%和康复训练组的73.33%，差异均有统计学意义（P<0.05）；；联合组治疗后日常生活活动能力（ADL）评分明显高于针灸推拿组[（82.15±24.61）分vs（69.13±24.12）分]和康复训练组[（82.15±24.61）分vs（67.19±23.56）分]，差异均有统计学意义（P<0.05）。结论：针灸推拿联合康复训练治疗脑梗死形成的偏瘫有明显的临床效果，可提高治愈率，加速患者的康复速度。

关键词：脑梗死偏瘫；针灸推拿；疗效观察

Abstract： objective： to observe the clinical effect of acupuncture massage combined with rehabilitation training on patients with cerebral infarction hemiplegia. Methods： 60 cases of hemiplegic patients with cerebral infarction were randomly divided into group， acupuncture and massage group and rehabilitation training group， with 20 cases in each group. rehabilitation training with pure rehabilitation training， only have 10 d for a period of treatment， treatment after 3 course of compare the treatment effect and active ability of daily life （ADL） score. Results： the total effective rate of the combined group was 91.66%， which was significantly higher than the 80.00% of the acupuncture massage group and 73.33% in the rehabilitation training group， and the difference was statistically significant （P<0.05）； The daily living activity （ADL） scores of the combined group were significantly higher than that of the acupuncture group [（82.15 + 24.61） and the rehabilitation training group [（82.15 + 24.61）， and the difference was statistically significant （P<0.05）. Conclusion： acupuncture and moxibustion combined with rehabilitation training to treat hemiplegia caused by cerebral infarction has obvious clinical effects， which can improve the cure rate and accelerate the recovery rate of patients.

[key words] cerebral infarction hemiplegia； Acupuncture and moxibustion； Clinical observation on

脑梗死患者由于局部动脉血流的突然减少或停止，造成该血管供血区的脑组织坏死、软化，并伴有偏瘫、失语等神经功能缺失的临床表现，病情严重者可导致患者死亡。近年来有研究报道，其病死率为10%～15%，致残率为75.0%。现总结如下。

1资料与方法

1.1一般资料

选取2016年7月至2017年7月期间在我院住院治疗的60例脑梗死偏瘫患者为研究对象，其中男性30例，女性30例，年龄35～76岁，将其随机分为针灸推拿联合康复训练的联合组20例，单纯针灸推拿组20例和采用单纯康复训练的康复训练组20例。所有患者治疗均是10d为1个疗程，共治疗3个疗程。

1.2治疗方法

分别接受相应3个疗程的治疗。康复训练组按照锻炼身体的基本原则来进行治疗和训练。如床上起坐、躺下、侧身、抬腿、举手；床下站立、起蹲、踏步、转动等平衡训练。肩、肘、腕、膝等关节活动度的维持训练。……