首页|醒脑通督针法联合任务导向训练治疗脑卒中后痉挛性偏瘫患者的效果分析

醒脑通督针法联合任务导向训练治疗脑卒中后痉挛性偏瘫患者的效果分析

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目的 探讨醒脑通督针法联合任务导向训练治疗脑卒中后痉挛性偏瘫患者的临床效果.方法 选取 2021年 11 月—2023 年 11 月德州市夏津县中医院治的 80 例脑卒中后痉挛性偏瘫患者为研究对象,按照随机数字表法将其分为对照组和联合组,各40 例.对照组采用任务导向训练治疗,联合组采用醒脑通督针法联合任务导向训练治疗.对比两组的中医证候积分、痉挛程度、运动平衡功能、临床疗效.结果 治疗后,联合组各项中医证候积分均低于对照组,组间差异有统计学意义(P<0.05);联合组临床痉挛指数评分低于对照组,改良Ashworth痉挛量表分级优于对照组,组间差异有统计学意义(P<0.05);联合组Fugl-Meyer运动功能评定量表上肢、下肢评分及Berg平衡量表评分均高于对照组,组间差异有统计学意义(P<0.05).联合组治疗总有效率为92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05).结论 醒脑通督针法联合任务导向训练可减轻脑卒中后痉挛性偏瘫患者的症状,改善痉挛程度,促进运动功能恢复,提高平衡能力,有利于提高临床疗效.
Analysis of the Effect of Xingnaotongdu Acupuncture Combined with Task Oriented Training on Spastic Hemiplegia after Stroke Patients
Objective Exploring the clinical effect of Xingnaotongdu acupuncture combined with task oriented training in the treatment of spastic hemiplegia after stroke patients.Methods Selecting 80 patients with spastic hemiplegia after stroke admitted to the Dezhou Xiajin County Hospital of Traditional Chinese Medicine from November 2021 to November 2023 as the research subjects,according to the random number table method,they were divided into a control group and a combination group,with 40 cases in each group.The control group received task oriented training treatment,while the combination group received Xingnaotongdu acupuncture combined with task oriented training treatment.Compare the traditional Chinese medicine syndrome scores,spasticity degree,motor balance function,and clinical efficacy between two groups.Results After treatment,the scores of various traditional Chinese medicine syndromes in the combination group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05);the Clinical Spasticity Index score of the combined group was lower than that of the control group,and the modified Ashworth Scale grading was better than that of the control group,the differences between the groups were statistically significant(P<0.05);the Fugl Meyer Motor Function Assessment upper and lower limb scores and Berg Balance Scale scores of the joint group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).The total effective rate of the combined treatment group was 92.50%,which was higher than 75.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The combination of Xingnaotongdu acupuncture and task oriented training can alleviate the symptoms of spastic hemiplegia patients after stroke,improve spasticity,promote motor function recovery,enhance balance ability,and improve clinical efficacy.

StrokeSpastic hemiplegiaXingnaotongdu acupunctureTask oriented trainingTraditional Chinese medicine syndrome scoresClinical efficacyMotor function

张志新

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德州市夏津县中医院内科,山东 德州 253200

脑卒中 痉挛性偏瘫 醒脑通督针法 任务导向训练 中医证候积分 临床疗效 运动功能

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(14)