摘要
目的探讨针刺联合康复训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响.方法选取淄博市临淄区中医医院老年病科2018年6月—2020年6月收治的108例脑卒中亚急性期偏瘫患者为研究对象,随机分为观察组(n=54)与对照组(n=54).对照组采用单纯康复训练治疗,观察组采用针刺联合康复训练治疗.对比两组患者治疗前后的下肢功能、神经功能以及步行能力恢复情况.结果治疗前,两组患者的下肢Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment,FMA)评分、Berg平衡量表(Berg balance scale,BBS)评分对比,组间差异无统计学意义(P>0.05);在治疗后的下肢FMA评分、BBS评分上,两组患者评分均高于各组治疗前,且观察组评分均高于对照组,组间差异有统计学意义(P<0.05).在治疗前的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分上,两组患者对比差异无统计学意义(P>0.05);在治疗后的NIHSS评分上,两组患者评分均较各组治疗前降低,且观察组评分低于对照组,组间差异有统计学意义(P<0.05).在治疗前的左右步幅差、步频、步速上,两组患者对比组间差异无统计学意义(P>0.05);两组患者治疗后的左右步幅差、步频、步速均明显优于各组治疗前,且观察组治疗后的左右步幅差、步频、步速均明显优于对照组,组间差异有统计学意义(P<0.05).结论对脑卒中亚急性期偏瘫患者采用针刺联合康复训练治疗的效果显著,能够促进患者的神经功能恢复,提升其下肢运动功能与平衡功能,进而提高其步行能力.
Objective To explore the effect of acupuncture combined with rehabilitation training on the motor function of lower limbs in patients with hemiplegia in subacute stage of stroke.Methods A total of 108 patients with hemiplegia in subacute stage of stroke admitted to the hospital from June 2018 to June 2020 were selected as the research objects,and they were randomly divided into an observation group(n=54)and a control group(n=54).The control group was treated with pure rehabilitation training,and the observation group was treated with acupuncture combined with rehabilitation training.The recovery of lower limb function,nerve function and walking ability of the two groups of patients before and after treatment were compared.Results Before treatment,the lower limb Fugl-Meyer assessment(FMA)scores and Berg balance scale(BBS)scores of the two groups were compared,and there was no significant difference between the groups(P>0.05).After treatment,the lower limb FMA scores and BBS scores of the two groups of patients were higher than those of each group before treatment,and the above-mentioned scores of the observation group were higher than those of the control group,and the difference between the groups were statistically significant(P<0.05).Before treatment,there was no statistically significant differences in the National Institute of Health stroke scale(NIHSS)scores between the two groups of patients(P>0.05).After treatment,the NIHSS scores of the two groups of patients were lower than those of each group before treatment,and the NIHSS score of the observation group was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,the differences left and right stride length,stride frequency,and stride pace of the two groups of patients were compared,and the differences between the groups were not statistically significant(P>0.05).After treatment,the difference of left and right stride length,stride frequency,and stride pace of the two groups of patients were significantly better than those of each group before treatment,and the difference of left and right stride,stride frequency,and stride pace of the observation group were significantly better than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The effect of acupuncture combined with rehabilitation training for patients with hemiplegia in subacute stage of stroke is significant,which can promote the recovery of the patient's nerve function,improve the motor function and balance function of the lower limbs,and then improve their walking ability.
作者
范永志
FAN Yongzhi(Department of Geriatrics,Traditional Chinese Medicine Hospital of Linzi District of Zibo City,Zibo Shandong,255400,China)
出处
《反射疗法与康复医学》
2021年第17期4-6,33,共4页
Reflexology And Rehabilitation Medicine
