首页|腹部透灸法联合四冲穴针刺治疗脑卒中恢复期的临床观察

腹部透灸法联合四冲穴针刺治疗脑卒中恢复期的临床观察

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[目的]观察腹部透灸法联合"四冲穴"针刺对脑卒中恢复期患者平衡和步行功能、躯干控制能力的影响.[方法]将78例脑卒中恢复期患者随机分为观察组和对照组,每组各39例,对照组给予常规康复锻炼,观察组在对照组的基础上,给予腹部透灸法联合"四冲穴"针刺治疗,连续治疗2个月.治疗2个月后,评价2组临床疗效,观察2组患者治疗前后Berg量表评分的变化情况,以及起立-步行计时测试(TUGT)的情况.比较2组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)评分的变化情况.并评价Sheikh躯干控制量表评分的情况.[结果](1)观察组总有效率为94.87%(37/39),对照组总有效率为80.00%(31/39),观察组疗效优于对照组,差异有统计学意义(P<0.05).(2)治疗后,2组患者的Berg评分明显升高(P<0.05),且观察组Berg评分高于对照组,差异有统计学意义(P<0.05).(3)治疗后,2组患者的TUGT时间与NIHSS评分明显改善(P<0.05),且观察组TUGT时间短于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05).(4)治疗后,2组患者的Sheikh躯干控制能力评分明显升高(P<0.05),且观察组Sheikh躯干控制能力评分高于对照组,差异有统计学意义(P<0.05).[结论]腹部透灸法联合四冲穴针刺治疗脑卒中恢复期,可有效恢复患者平衡能力和步行功能,提高患者躯干控制能力,疗效确切.
Clinical Observation on Abdominal Penetrating Moxibustion Combined with Acupuncture at Four Chong Acupoints for the Treatment of Stroke in the Convalescent Stage
Objective To observe the effects of abdominal penetrating moxibustion combined with acupuncture at the"four chong points"on balance,walking function and trunk control in patients recovering from stroke.Methods Seventy-eight patients recovering from stroke were randomly divided into an observation group and a control group,with 39 patients in each group.The control group was given conventional rehabilitation exercises,while the observation group was given abdominal penetrating moxibustion combined with acupuncture at the"four chong points"on the basis of the control group.Both groups were treated for 2 consecutive months.After 2 months of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Berg Scale score and the Timed Up and Go Test(TUGT)were observed before and after treatment.The changes in the National Institutes of Health Stroke Scale(NIHSS)scores were compared before and after treatment between the two groups.The Sheikh Trunk Control Scale scores were also evaluated.Results(1)The total effective rate of the observation group was 94.87%(37/39),and the total effective rate of the control group was 80.00%(31/39),and the efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the Berg scores of the patients in the two groups were significantly increased(P<0.05),and the Berg scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).(3)After treatment,the TUGT time and NIHSS score of patients in the two groups were significantly improved(P<0.05),and the TUGT time of the observation group was shorter than that of the control group,and the NIHSS score was lower than that of the control group,and the difference was statistically significant(P<0.05).(4)After treatment,the Sheikh trunk control scores of the two groups were significantly increased(P<0.05),and the Sheikh trunk control score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Abdominal penetrating moxibustion method combined with acupuncture at the four chong points for the treatment of stroke recovery can effectively restore the patients'balance and walking function,improve the patients'trunk control ability,and the therapeutic effect is precise.

strokeconvalescent stageabdominal penetrating moxibustionfour chong pointsacupuncturebalance functionwalking functiontrunk control abilityclinical observation

于楠、扈洁、李海宁、宋姗姗、郑德松、薛新宏、高颖

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华北理工大学附属医院康复科,河北唐山 063100

唐山市丰润区人民医院神经内科,河北唐山 063100

脑卒中 恢复期 腹部透灸法 四冲穴 针刺 平衡功能 步行功能 躯干控制 临床观察

河北省中医药管理局2020年立项课题资助项目

2020216

2024

广州中医药大学学报
广州中医药大学

广州中医药大学学报

CSTPCD
影响因子:1.055
ISSN:1007-3213
年,卷(期):2024.41(1)
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