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[目的]观察头针留针康复训练联合西医综合治疗脑卒中后偏瘫步态疗效。[方法]使用随机平行对照方法,将40例患者按就诊顺序随机分为两组,对照组20例常规治疗(早期护理、避免患侧输液,常规药物对症、支持治疗,消除脑水肿,减轻颅内压,抗感染,维持水电平衡,改善脑循环等)同时步行康复训练。治疗组20例,在对照组基础上增加头针(选穴:选取顶中线、偏瘫对侧顶颖前斜线的上1/5,顶旁1线、双侧枕下旁线。)留针、康复训练。均连续治疗2周为1疗程。观测定量步态参数,平衡、步行功能,日常生活自理能力。连续治疗3个疗程,判定疗效。[结果]治疗组步态各参数、下肢运动功能FAC、FMA评分、平衡BBS评分、MBI指数等方面的改善优于对照组(P<0.01)。[结论]头针留针、康复训练联合西医综合治疗脑卒中后偏瘫步态疗效满意。
[Objective] To observe the effect of scalp acupuncture and rehabilitation training combined with western medicine on hemiplegia after stroke. [Methods] Forty patients were randomly divided into two groups according to the order of treatment. The control group, 20 cases of conventional treatment (early nursing, to avoid the ipsilateral infusion, conventional drug symptomatic, supportive treatment, the elimination of cerebral edema, reduce the cranial Internal pressure, anti-infection, maintain hydropower balance, improve brain circulation, etc.) while walking rehabilitation training. Treatment group of 20 cases, based on the control group increased scalp acupuncture (acupoints: select the top center line, hemiplegia contralateral top Ying oblique front 1/5, top 1 line, bilateral suboccipital line.) Needle, Rehabilitation. Continuous treatment for 2 weeks for a course of treatment. Observed quantitative gait parameters, balance, walking function, self-care ability of daily life. Continuous treatment of three courses to determine the efficacy. [Results] The improvement of gait parameters, FAC, FMA score, BBS score and MBI index in the treatment group were better than those in the control group (P <0.01). [Conclusion] The scalp acupuncture, rehabilitation training combined with western medicine is effective in treating hemiplegia after stroke.