首页|针刺联合康复训练治疗卒中偏瘫的疗效及对下肢运动功能的影响

针刺联合康复训练治疗卒中偏瘫的疗效及对下肢运动功能的影响

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目的 观察针刺联合康复训练治疗卒中偏瘫的疗效及对下肢运动功能的影响.方法 选取2020年2月-2022年2月泉州市中医院针灸二区卒中偏瘫患者68例,依据治疗方法分为针刺疗法联合康复训练治疗组(试验组)、对照组两组,每组各34例,观察两组主要症状、神经功能、下肢运动功能、综合功能、日常生活能力、生活质量、临床疗效、肌力、平衡能力、步行功能变化.结果 试验组患者的主要症状积分、神经功能缺损量表(NIHSS)评分均低于对照组(P<0.05),Fugl-Meyer下肢运动功能评定量表(FMA-L)评分、功能综合评定量表(FCA)评分、改良Barthel指数(MBI)评分、卒中专用生活质量量表(SS-QOL)评分、Berg平衡量表(BBS)评分、躯干控制测试量表(TCT)评分、功能性步行量表(FAC)评分均高于对照组(P<0.05).试验组总有效率高于对照组(P<0.05).结论 针刺疗法联合康复训练治疗卒中偏瘫较单独康复训练更能有效促进患者下肢运动功能恢复.
The Therapeutic Effect of Acupuncture Combined with Rehabilitation Training on Stroke Hemiplegia and Its Impact on Lower Limb Motor Function in Patients
Objective To explore the effect of acupuncture and moxibustion therapy combined with rehabilitation training on the recovery of lower limb motor function in stroke patients with hemiplegia.Method A total of 68 stroke patients with hemiplegia in the second area of acupuncture and moxibustion in Quanzhou Hospital of Traditional Chinese Medicine of Fujian Province from February 2020 to February 2022 were selected.According to the treatment methods,they were divided into acupuncture and moxi-bustion combined rehabilitation training treatment group(combined treatment group)and rehabilitation training group,with 34 cases in each group.The main symptoms,neurological function,lower limb motor function,comprehensive function,daily living a-bility,quality of life,clinical efficacy,muscle strength,balance ability and walking function of the two groups were observed.Result The scores of major symptoms and Neurological Deficit Scale(NIHSS)in combined treatment group were lower than those in re-habilitation training group(P<0.05).Fugl-Meyer Lower Limb Motor Function Rating Scale(FMA-L)Score,Comprehensive Function Rating Scale(FC A)Score,modified Barthel Index(MBI)score,Stroke specific Quality of Life Scale(SS-QOL)score,Berg Balance Scale(BBS)score,Trunk Control Test Scale(TCT)score,Functional Walking Scale(FAC)score were high-er than those of rehabilitation training group(P<0.05).The total effective rate of the combined treatment group was higher than that of the rehabilitation training group(P<0.05).Conclusion:Acupuncture and moxibustion combined with rehabilitation train-ing can effectively promote the recovery of lower limb motor function in patients with stroke hemiplegia than rehabilitation training alone.

strokehemiplegiarehabilitation trainingacupuncture therapyneurological functionlower extremity motor functioncomprehensive functionability of daily livingquality of life

曾宏辉、陈智广、曾亦红

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泉州市中医院,福建泉州 362000

卒中 偏瘫 下肢运动功能 康复训练 针刺疗法

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(5)