首页|针灸、推拿联合康复疗法对脑卒中偏瘫患者氧化应激反应及运动功能的影响

针灸、推拿联合康复疗法对脑卒中偏瘫患者氧化应激反应及运动功能的影响

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目的 探讨针灸、推拿联合康复疗法对脑卒中偏瘫患者氧化应激反应及运动功能的影响。方法 选取2021年12月至2022 年12月在本院接受治疗的80 例脑卒中偏瘫患者为研究对象,采用随机数字表法将其分为对照组和观察组,各40 例。对照组实施康复疗法,观察组在对照组基础上实施针灸、推拿治疗。比较两组的治疗效果。结果 治疗后,观察组的超氧化物歧化酶(SOD)水平高于对照组,丙二醛(MDA)水平低于对照组(P<0。05)。治疗后,观察组的神经功能缺损程度优于对照组(P<0。05)。治疗后,观察组的改良Ashworth痉挛量表(MAS)评分低于对照组,上、下肢肌力评分高于对照组(P<0。05)。治疗后,观察组的Fugl-Meyer运动功能量表(FMA)各维度评分高于对照组(P<0。05)。结论 针灸、推拿联合康复疗法应用于脑卒中偏瘫患者中,可有效改善其氧化应激反应,减轻神经功能缺损及肢体痉挛程度,并提升肢体肌力,进一步提高运动功能。
Effects of acupuncture and massage combined with rehabilitation therapy on oxidative stress response and motor function in stroke patients with hemiplegia
Objective To investigate the effects of acupuncture and massage combined with rehabilitation therapy on oxidative stress response and motor function in stroke patients with hemiplegia.Methods A total of 80 stroke patients with hemiplegia who were treated in our hospital from December 2021 to December 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was treated with rehabilitation therapy,and the observation group was treated with acupuncture and massage on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the level of superoxide dismutase(SOD)in the observation group was higher than that in the control group,and the level of malonaldehyde(MDA)was lower than that in the control group(P<0.05).After treatment,the degree of neurological deficit in the observation group was better than that in the control group(P<0.05).After treatment,the Modified Ashworth Scale(MAS)score of the observation group was lower than that of the control group,and the muscle strength scores of the upper and lower limbs were higher than those of the control group(P<0.05).After treatment,the scores of each dimension of Fugl-Meyer Assessment(FMA)in the observation group were higher than those in the control group(P<0.05).Conclusion The acupuncture and massage combined with rehabilitation therapy applied in stroke patients with hemiplegia can effectively ameliorate oxidative stress response,reduce the degree of neurological deficit and limb spasm,elevate limb muscle strength,and further improve motor function.

acupuncturemassagerehabilitation therapystrokehemiplegia

韩苏娟、韩刚

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宝鸡第三医院,陕西 宝鸡,721000

针灸 推拿 康复疗法 脑卒中 偏瘫

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(23)