首页|针灸结合任务导向训练治疗脑卒中后肢体偏瘫的临床效果观察

针灸结合任务导向训练治疗脑卒中后肢体偏瘫的临床效果观察

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目的 探讨针灸结合任务导向训练治疗脑卒中后肢体偏瘫的效果.方法 选择本院 2022 年4 月—2023 年7 月收治的 90 例脑卒中后肢体偏瘫患者为研究对象,以随机数字表法将其分为对照组与观察组,对照组(n=45)采用Bobath技术,观察组(n=45)则在Bobath技术基础上采用针灸结合任务导向训练干预,比较两组治疗效果,以Fugl-Meyer评定量表与改良Barthel指数评估肢体运动功能与生活自理能力,并评估患者步态改变情况.结果 治疗后,观察组治疗总有效率为 93.33%,高于对照组的 75.56%;治疗后,在肢体运动功能上,观察组上肢(48.60±5.42)分、下肢(26.84±2.32)分,均较对照组高;观察组改良Barthel指数(76.42±7.84)分,较对照组高;观察组步频(75.33±8.24)步/min、步幅(37.42±3.25)cm、步速(52.10±4.14)cm/s,均较对照组高,组间差异均有统计学意义(P<0.05).结论 对脑卒中后肢体偏瘫以针灸结合任务导向训练治疗疗效确切,能提高肢体运动功能及日常生活能力,可改善患者步态.
Effect of Acupuncture and Moxibustion Combined with Task-Oriented Training on Hemiplegia After Stroke
Objective To investigate the effect of acupuncture and moxibustion combined with task-oriented training in the treatment of hemiplegia after stroke.Methods 90 patients with hemiplegia after stroke treated in a hospital from January 2022 to June 2023 were selected as the study objects and divided into a control group and an observation group based on random number table.The control group(n=45)was treated with Bobath techndogy,while the observation group(n=45)was treated with acupuncture and moxibustion combined with task-oriented training intervention based on Bobath technology.The therapeutic effect was compared,and the motor function and life ability were evaluated by FMA and MBI.Gait changes were also assessed.Results After treatment,the total effective rate of the observation group was 93.33%,which was higher than the control group's 75.56%.After treatment,the motor function of upper limb(48.60±5.42)score,lower limb(26.84±2.32)score;The score of the observation group was 76.42±7.84,which was higher than that of the control group.In terms of gait,the step frequency(75.33±8.24)steps/min,step length(37.42±3.25)cm and step speed(52.10±4.14)cm/s were higher in the observation group(P<0.05).Conclusion Acupuncture and moxibustion combined with taskoriented training is effective in the treatment of hemiplegia after stroke,which can improve the motor function and daily living ability,and improve the gait of patients.

StrokeLimb hemiplegiaAcupuncture and moxibustionTask-oriented trainingBobath trainingGait

袁慧、周亚、周栋梁、吴玲玲

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徐州医科大学盐城临床学院(盐城市第一人民医院)康复医学科,江苏盐城 224006

脑卒中 肢体偏瘫 针灸 任务导向训练 Bobath训练 步态

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(5)
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