针刺结合Bobath技术改善出血性卒中术后痉挛性瘫痪临床研究OA

Objective:To observe the clinical efficacy of acupuncture combined with Bobath technique in improving spastic paralysis after hemorrhagic stroke surgery.Methods:A total of 104 patients with spastic paralysis after hemorrhagic stroke surgery admitted to The First Affiliated Hospital of Henan University of Chinese Medicine from October 2022 to October 2024 were selected and randomly divided into a control group and an observation group according to a random number table method,with 52 cases in each group.The control group received Bobath technique treatment,while the observation group received additional acupuncture treatment based on the control group's regimen.Seven days constituted one treatment course,and both groups received four consecutive courses.Clinical efficacy was evaluated,and neurological function,limb spasticity degree,limb motor function,quality of life,and satisfaction were compared between the two groups before and after treatment.Results:The total effective rate was 96.15%(50/52)in the observation group,higher than that of 82.69%(43/52)in the control group(P＜0.05).After treatment,the National Institutes of Health Stroke Scale(NIHSS)scores decreased in both groups compared to before treatment,while Fugl-Meyer Assessment(FMA)scores increased(P＜0.05).The observation group showed lower NIHSS scores and higher FMA scores than the control group(P＜0.05).After treatment,the degree of limb spasticity improved in both groups compared to before treatment(P＜0.05),and the improvement in the observation group was superior to that in the control group(P＜0.05).After treatment,the scores of all dimensions of the 36-Item Short Form Health Survey(SF-36)increased in both groups compared to before treatment(P＜0.05),and the observation group showed higher scores in all SF-36 dimensions than the control group(P＜0.05).The satisfaction rate was 98.08%(51/52)in the observation group,higher than that of 84.62%(44/52)in the control group(P＜0.05).Conclusion:Acupuncture combined with Bobath technique demonstrates significant effects in patients with spastic paralysis after hemorrhagic stroke surgery.It can effectively improve neurological function,limb spasticity degree,limb motor function,and quality of life,with higher patient satisfaction.