首页|本体感觉训练联合透刺电针疗法治疗脑卒中后偏身肢体麻木的效果及对平衡功能的影响

本体感觉训练联合透刺电针疗法治疗脑卒中后偏身肢体麻木的效果及对平衡功能的影响

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目的 探究本体感觉训练联合透刺电针疗法治疗脑卒中后偏身肢体麻木的效果及对平衡功能的影响。方法 选取 2018年3月至2021年3月收治的 150例脑卒中患者(所有患者均有不同程度的意识障碍、头晕、呕吐及偏身麻木等症状)为研究对象,按照双盲法将其分为对照组和观察组,各75例。对照组实施常规康复训练联合透刺电针疗法,观察组在对照组的基础上实施本体感觉训练。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0。05)。治疗后,观察组的麻木程度轻于对照组(P<0。05)。治疗后,观察组的疼痛数字评分法(NRS)、运动功能评估量表(MAS)及Berg评分均高于对照组(P<0。05)。治疗后,观察组的上、下肢PULSES评分及总分低于对照组,上、下肢Fugl-Meyer评定量表(FMA)评分高于对照组(P<0。05)。结论 本体感觉训练联合透刺电针疗法治疗脑卒中后偏身肢体麻木患者的效果显著,能有效改善其平衡功能。
Effect of proprioception training combined with penetrating electroacupuncture therapy in the treatment of partial limb numbness after stroke and its influence on balance function
Objective To explore the effect of proprioception training combined with penetrating electroacupuncture therapy in the treatment of partial limb numbness after stroke and its influence on balance function.Methods A total of 150 stroke patients(all patients had different degrees of consciousness disorder,dizziness,vomiting and partial numbness)admitted from March 2018 to March 2021 were selected as the research objects,and divided into control group and observation group according to the double-blind method,with 75 cases in each group.The control group was treated with routine rehabilitation training combined with penetrating electroacupuncture therapy,and the observation group was treated with proprioception training on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the degree of numbness in the observation group was lighter than that in the control group(P<0.05).After treatment,the Numerical Rating Scale(NRS),Motor Assessment Scale(MAS)and Berg scores of the observation group were higher than those of the control group(P<0.05).After treatment,the PULSES scores of upper and lower limbs and total score in the observation group were lower than those in the control group,and the Fugl-Meyer Assessment Scale(FMA)scores of upper and lower limbs were higher than those in the control group(P<0.05).Conclusion Proprioceptive training combined with penetrating electroacupuncture in the treatment of patients with partial limb numbness after stroke has a significant effect,which can effectively improve their balance function.

strokepartial limb numbnessproprioception trainingpenetrating electroacupuncture therapybalance function

张文彬、陈媛丽

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西安医学院第三附属医院针灸理疗科,陕西 西安,710068

神木高新技术产业开发区医院理疗科,陕西 榆林,719300

脑卒中 偏身肢体麻木 本体感觉训练 透刺电针疗法 平衡功能

西安市卫生健康科研项目

2019S39

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(25)