首页|醒脑开窍针法联合核心稳定性训练对脑卒中后偏瘫患者平衡能力、下肢运动功能的影响

醒脑开窍针法联合核心稳定性训练对脑卒中后偏瘫患者平衡能力、下肢运动功能的影响

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目的 探讨醒脑开窍针法联合核心稳定性训练在脑卒中后偏瘫中的应用价值.方法 选取我院 2023 年1 月—2023 年 6 月收治的 78 例脑卒中后偏瘫患者为研究对象,按随机数字表法将其分为对照组与观察组,各 39 例.对照组采用核心稳定性训练治疗,观察组在对照组基础上加用醒脑开窍针法治疗,持续治疗 3 个月.比较两组患者的平衡能力、下肢运动功能、步行能力、日常生活能力及生活质量.结果 治疗 3 个月后,观察组Berg平衡量表评分、下肢Fugl-Meyer运动功能评分分别为(42.47±4.35)分、(22.62±2.67)分,均高于对照组的(37.51±4.22)分、(19.75±2.49)分,组间差异有统计学意义(P<0.05);观察组功能性步行分级量表评分、Barthel指数评分分别为(3.81±0.36)分、(78.69±5.63)分,均高于对照组的(3.04±0.33)分、(70.15±5.42)分,组间差异有统计学意义(P<0.05);观察组生活质量各领域评分分别为(85.41±5.35)分、(86.68±5.32)分、(87.75±5.32)分、(88.63±4.25)分,均高于对照组的(78.28±5.22)分、(79.33±5.24)分、(80.48±5.27)分、(82.05±4.72)分,组间差异有统计学意义(P<0.05).结论 醒脑开窍针法联合核心稳定性训练可提高脑卒中后偏瘫患者平衡能力,加快下肢运动功能恢复,以改善生活质量.
The Effect of Xingnao Kaiqiao Acupuncture Combined with Core Stability Training on Balance Ability and Lower Limb Motor Function in Post-Stroke Hemiplegic Patients
Objective To explore the application value of Xingnao Kaiqiao acupuncture combined with core stability training in post-stroke hemiplegia.Methods 78 patients with hemiplegia after stroke admitted to our hospital from January 2023 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group was treated with core stability training,and the observation group was treated with Xingnao Kaiqiao acupuncture on the basis of the control group for 3 months.Balance ability,lower limb motor function,walking ability,daily living ability and quality of life were compared between the two groups.Results After 3 months of treatment,the Berg Balance Scale score and lower limb Fugl-Meyer motor function score in the observation group were(42.47±4.35)points and(22.62±2.67)points,respectively,which were higher than(37.51±4.22)points and(19.75±2.49)points in the control group,the differences between groups were statistically significant(P<0.05);the functional walking rating scale score and Barthel Index score in the observation group were(3.81±0.36)points and(78.69±5.63)points,respectively,which were higher than(3.04±0.33)points and(70.15±5.42)points in the control group,and the differences between groups were statistically significant(P<0.05);the scores of the world Health Organization Quality of Life-BREF in the observation group were(85.41±5.35)points,(86.68±5.32)points,(87.75±5.32)points,(88.63±4.25)points,which were higher than(78.28±5.22)points,(79.33±5.24)points,(80.48±5.27)points,(82.05±4.72)points of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of Xingnao Kaiqiao acupuncture and core stability training can improve the balance ability of post-stroke hemiplegic patients,accelerate the recovery of lower limb motor function,and improve their quality of life.

StrokeHemiplegiaXingnao Kaiqiao acupuncture methodCore stability trainingBalance ability

李侍鹏、阿依丽汗·吐尔逊、胡双彬、迪娜热·艾山

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博州人民医院康复医学科,新疆博乐 833500

脑卒中 偏瘫 醒脑开窍针法 核心稳定性训练 平衡能力

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(2)
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