Department of Acupuncture and Moxibustion, Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China.
Stroke Department of Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China.
Comput Math Methods Med. 2022 Feb 22;2022:4581248. doi: 10.1155/2022/4581248. eCollection 2022.
Stroke is a common cerebrovascular disease among the middle-aged and elderly, which can lead to a series of neurological disorders. Acupuncture is an important part of traditional Chinese medicine, with great value in improving the neurological deficits of stroke patients. In addition, rehabilitation therapy is also of great significance for alleviating the neurological deficits of patients and improving their activities of daily living.
To explore the effect of acupuncture and moxibustion combined with rehabilitation therapy on the recovery of neurological function and prognosis of stroke patients.
The case data of 100 stroke patients treated in the Wuhan Hospital of Traditional Chinese Medicine from January 2019 to July 2021 were analyzed retrospectively. According to the treatment plan patients received, they were divided into the following two groups: an observation group ( = 52) treated with acupuncture combined with rehabilitation therapy and a control group ( = 48) treated with rehabilitation therapy alone. The two groups were compared in terms of the following items: therapeutic efficacy, plasma levels of cortisol (Cor) and neuropeptide Y (NPY), nerve function, motor function, balance ability, self-care ability, swallowing function, negative emotions, and quality of life.
The therapeutic effect of the observation group was significantly higher than that of the control group ( < 0.05). The levels of Cor and NPY, as well as the neurological function, motor function, balance ability, self-care ability, swallowing function, and negative emotions, were not significantly different between the two groups before treatment ( > 0.05). While after intervention, all the above indexes improved in both groups, with better improvements in the observation group compared with the control group ( < 0.05). And the various dimensions concerning the quality of life of patients were also significantly better in the observation group when compared with the control group.
Acupuncture of traditional Chinese medicine combined with rehabilitation therapy has outstanding effects in stroke treatment and can effectively improve the neurological function, prognosis, and quality of life of patients, which is worthy of clinical promotion.
中风是中老年人常见的脑血管疾病,可导致一系列神经系统障碍。针灸是中医的重要组成部分,对改善中风患者的神经功能缺损具有重要价值。此外,康复治疗对于缓解患者的神经功能缺损,提高日常生活活动能力也具有重要意义。
探讨针灸联合康复疗法对中风患者神经功能恢复及预后的影响。
回顾性分析 2019 年 1 月至 2021 年 7 月武汉市中医医院收治的 100 例中风患者的病例资料,根据患者接受的治疗方案将其分为观察组(n=52)和对照组(n=48),观察组采用针灸联合康复疗法治疗,对照组采用单纯康复疗法治疗。比较两组患者的疗效、血浆皮质醇(Cor)和神经肽 Y(NPY)水平、神经功能、运动功能、平衡能力、自理能力、吞咽功能、负面情绪和生活质量。
观察组治疗总有效率显著高于对照组(P<0.05)。两组治疗前 Cor、NPY 水平及神经功能、运动功能、平衡能力、自理能力、吞咽功能、负面情绪比较,差异均无统计学意义(P>0.05);治疗后,两组上述指标均较治疗前改善,且观察组改善优于对照组(P<0.05);观察组患者的生活质量各维度评分也显著优于对照组。
中医针灸联合康复疗法治疗中风效果显著,能有效改善患者的神经功能、预后和生活质量,值得临床推广。