黄大鹏 唐颖 陈克华

【摘要】 目的：分析在急性缺血性中風弛缓期瘫痪患者中开展早期针灸与现代康复联合治疗的效果及意义。方法：选取2019年1月-2020年6月在本院治疗的80例急性缺血性中风弛缓期瘫痪患者，按随机数字表法分为对照组和观察组，每组40例。对照组开展现代康复治疗，观察组开展早期针灸联合现代康复治疗。比较两组治疗前后肢体运动功能评定量表（FMA）、生活质量量表（SF-36）及日常生活活动功能状态（Barthel指数）评分。结果：治疗后，观察组FMA评分为（94.66±3.79）分，对照组为（80.27±3.44）分;观察组Barthel指数为（66.42±3.91）分，对照组为（51.37±3.88）分;观察组SF-36总分为（96.71±2.52）分，对照组为（79.44±2.37）分。观察组FMA、Barthel指数、SF-36评分均高于对照组，差异均有统计学意义（P<0.05）。结论：急性缺血性中风弛缓期瘫痪开展早期针灸与现代康复联合治疗，有效促进患者的肢体功能恢复，提高生活质量和生活独立性，具有重要的研究价值。

【关键词】 急性缺血性中风 弛缓期 瘫痪 现代康复 针灸

Clinical Efficacy of Early Acupuncture Combined with Modern Rehabilitation in the Treatment of Acute Ischemic Stroke in Relaxant Paralysis/HUANG Dapeng， TANG Ying， CHEN Kehua. //Medical Innovation of China， 2021， 18（14）： 0-098

[Abstract] Objective： To analyze the effect and significance of developing early acupuncture combined with modern rehabilitation in patients with acute ischemic stroke in relaxant paralysis. Method： A total of 80 patients with acute ischemic stroke in relaxant paralysis treated in our hospital from January 2019 to June 2020 were selected， they were randomly divided into the control group and the observation group， according to the number table method， 40 cases in each group. While the control group treated with modern rehabilitation， the observation group treated with early acupuncture combined with modern rehabilitation. The body motor function rating scale （FMA）， quality of life scale （SF-36） and functional status of daily living （Barthel index） scores were compared between the two groups before and after treatment. Result： After treatment， the FMA scores was （94.66±3.79） points in the observation group and （80.27±3.44） points in the control group， the Barthel index scores was （66.42±3.91） points in the observation group and （51.37±3.88） points in the control group， the total scores of the SF-36 was （96.71±2.52） points in the observation group and （79.44±2.37） points in the control group. The scores of FMA， Barthel index and SF-36 in the observation group were higher than those of the control group， with statistical significance （P<0.05）. Conclusion： It is of great research value to carry out early acupuncture combined with modern rehabilitation for acute ischemic stroke in relaxant paralysis， which can effectively promote the recovery of limb function and improve the independence and quality of life of patients.

[Key words] Acute ischemic stroke Paralysis Relaxation Modern rehabilitation Acupuncture

First-authors address： Beijing Yanhua Hospital， Beijing 102500， China

doi：10.3969/j.issn.1674-4985.2021.14.023

急性缺血性中风是临床常见病，由于脑血管粥样硬化加重或者血管中出现血栓，阻塞血管腔，导致脑组织缺血，出现影响神经系统症状。发病时出现为半身不遂、口眼歪斜、言语不清甚至不省人事等症状。发病后2周内为急性期，弛缓期瘫痪则发生在该时期，主要是下运动神经元发生损害，导致肌肉无法正常收缩和反应，以肌张力减退、丧失为主要特征[1]。有研究发现，急性缺血性中风在急性期进行康复治疗，能够有效降低并发症发生率及致残致死率，还能提高患者的日常生活能力，改善预后[2]。本研究对急性缺血性中风弛缓期瘫痪患者实施早期针灸联合现代康复的疗效进行探讨，现报道如下。

1 资料与方法

1.1 一般资料……