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目的探讨针刺配合康复训练在颅脑损伤运动障碍中的临床疗效。方法选取我院就诊的206例颅脑损伤运动障碍患者,随机分为治疗组(n=103)和对照组(n=103)。治疗组给予针刺联合康复训练,对照组仅给予康复训练,对比两组临床疗效、Glasgow结局量表评分、简式Fugl-Meyer运动功能评分法(FMA)评分和Barthel指数(BI)评分。结果治疗组总有效率95.15%,显著高于对照组83.50%(P<0.05)。治疗组Glasgow结局量表评分显著优于对照组(P<0.05)。治疗前两组FMA评分和BI评分比较,差异无统计学意义(P>0.05)。治疗后两组FMA评分和BI评分均显著高于对照组(P<0.05),治疗组FMA评分和BI评分均显著高于对照组(P<0.05)。结论针刺配合康复训练治疗颅脑损伤运动障碍疗效显著,可有效改善患者神经和运动功能,提高生活质量,值得临床推广。
Objective To investigate the clinical efficacy of acupuncture combined with rehabilitation training in traumatic brain injury. Methods Totally 206 patients with craniocerebral traumatic dyskinesia treated in our hospital were randomly divided into treatment group (n = 103) and control group (n = 103). The treatment group was given acupuncture combined rehabilitation training. The control group was only given rehabilitation training. The clinical curative effect, Glasgow outcome scale score, simple Fugl-Meyer motor function score method (FMA) score and Barthel index (BI) score were compared. Results The total effective rate was 95.15% in the treatment group, which was significantly higher than 83.50% in the control group (P <0.05). The treatment group Glasgow outcome scale was significantly better than the control group (P <0.05). There was no significant difference between the two groups before treatment FMA score and BI score (P> 0.05). After treatment, FMA score and BI score in both groups were significantly higher than those in control group (P <0.05). FMA score and BI score in treatment group were significantly higher than those in control group (P <0.05). Conclusion Acupuncture combined with rehabilitation training for treatment of craniocerebral trauma dyskinesia has significant curative effect, which can effectively improve the patients’ neurological and motor functions and improve the quality of life, which deserves clinical promotion.