摘要
目的:观察神经肌肉关节促进法(NJF)联合滋阴通络解痉方治疗脑卒中后偏瘫患者下肢功能和平衡功能恢复的影响.方法:选取2022年1月至2023年1月本院接受治疗的脑卒中后偏瘫患者80例,接受NJF治疗的为对照组,采用NJF技术联合滋阴通络解痉方的为实验组,两组均40例.比较两组治疗后总有效率;对比两组神经功能(NIHSS评分);比较两组下肢运动功能[Fugl-Meyer评分量表(FMA)评分、步速、步频、步幅及下肢关节运动参数];对比两组平衡功能(Berg平衡量表,BBS);比较两组生活质量(心理状态、社会功能、躯体功能、角色功能评分);对比两组治疗过程中不良反应发生情况.结果:治疗后,实验组的总有效率高于对照组(P＜0.05).实验组治疗后神经功能NIHSS评分低于对照组(P＜0.05).治疗后,实验组下肢运功功能FMA评分、步速、步频、步幅及下肢关节运动参数、BBS评分较对照组更高(P＜0.05).治疗后,实验组生活质量评分高于对照组(P＜0.05).治疗期间不良反应发生率比较无差异(P＞0.05).结论:NJF技术联合滋阴通络解痉方治疗脑卒中后偏瘫患者能提高治疗效果及神经功能,改善下肢功能,促进平衡功能恢复,提高生活质量,具有较高的安全性.
Abstract
Objective:To observe the effects of neuromuscular joint facilitation(NJF)combined with Ziyin Tongluo Jiejing Decoction on the recovery of lower limb function and balance function in patients with post-stroke hemiplegia.Methods:A total of 80patients with post-stroke hemiplegia in the hospital were enrolled between January 2022and January 2023,including 40cases in control group(NJF)and 40cases in experimental group(NJF combined with Ziyin Tongluo Jiejing Decoction).The total response rate after treatment,nerve function[National Institutes of Health Stroke Scale(NIHSS)],lower limb motor function[Fugl-Meyer Assessment Scale(FMA),walking speed,stride frequency,stride length,lower limb joint motion parameters],balance function(Berg Balance Scale,BBS)and quality of life(psychological status,social function,physical function,role function),and the occurrence of adverse reactions during treatment were compared between the two groups.Results:After treatment,total response rate of experimental group was higher than that of control group(P＜0.05).After treatment,NIHSS score in experimen-tal group was lower than that in control group(P＜0.05),lower limb motor function indexes(FMA score,walking speed,stride frequency,stride length,lower limb joint motion parameters)were higher than those in control group(P＜0.05),BBS score were lower than those in control group(P＜0.05),and quality of life scores were higher than those in control group(P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups during treatment(P＞0.05).Conclu-sion:NJF combined with Ziyin Tongluo Jiejing Decoction can improve curative effect,nerve function and lower limb function,promote the recovery of balance function and improve quality of life in patients with post-stroke hemiplegia,with high safety.
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