心血管康复医学杂志2024,Vol.33Issue(2) :170-174.DOI:10.3969/j.issn.1008-0074.2024.02.11

平衡针联合智能康复系统对脑卒中后偏瘫康复的效果研究

Study on the rehabilitative effect of balance acupuncture combined with intelligent rehabilitation system on hemiplegia after stroke

王琛琛 闻霞
心血管康复医学杂志2024,Vol.33Issue(2) :170-174.DOI:10.3969/j.issn.1008-0074.2024.02.11

平衡针联合智能康复系统对脑卒中后偏瘫康复的效果研究

Study on the rehabilitative effect of balance acupuncture combined with intelligent rehabilitation system on hemiplegia after stroke

王琛琛 1闻霞1
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作者信息

  • 1. 沈阳市第五人民医院康复医学科,辽宁沈阳 110000
  • 折叠

摘要

目的:分析脑卒中后偏瘫采用平衡针与智能康复系统联合治疗的康复效果.方法:选择我院康复医学科于2019年3月至2020年12月收治的90例脑卒中患者进行研究,按随机数字表法分为对照组(n=45,基础治疗+常规康复训练治疗),观察组(n=45,基础治疗+平衡针联合智能康复系统治疗),两组均连续治疗4周.比较两组治疗前后的上下肢肌力、平衡能力、运动功能、日常生活能力及治疗前、随访半年后的生活质量.结果:与对照组比较,治疗后观察组上下肢肌力[徒手肌力检查表(MMT)评分]均显著升高,P均=0.001;日常生活能力评定量表(ADL)[(61.12±5.28)分比(82.04±3.51)分]、Fugl-Meyer 运动功能评定量表(FMA)[(90.57±5.35)分比(112.08±6.16)分]、Berg平衡量表(BBS)[(35.33±3.19)分比(46.36±4.37)分]评分均显著升高,P均=0.001.随访半年后,与对照组比较,观察组的健康调查简表(SF-36)各维度分和总分[(74.81±5.77)分比(90.16±6.27)分]均显著升高,P均=0.001.结论:平衡针联合智能康复系统训练可显著改善脑卒中后偏瘫患者的上下肢肌力,促进运动功能、平衡能力恢复,降低患者的日常生活依赖,提高生活质量,值得临床推广.

Abstract

Objective:To analyze the rehabilitative effect of balance acupuncture combined with intelligent rehabilita-tion system on hemiplegia after stroke.Methods:A total of 90 stroke patients who were treated in rehabilitative medicine department of our hospital from March 2019 to December 2020 were selected and randomly divided into control group(n=45,basic therapy+routine rehabilitation training)and observation group(n=45,basic therapy+balance acupuncture combined with intelligent rehabilitation system)according to random number table.Both groups were continuously treated for four weeks.Upper and lower limb muscle strength,balance capacity,motor function and ability of daily living(ADL)before and after treatment,quality of life(QOL)before treatment and after six-month follow-up were compared between two groups.Results:Compared with control group after treat-ment,there were significant rise in upper and lower limb muscle strength[manual muscle test(MMT)score],scores of ADL[(61.12±5.28)points vs.(82.04±3.51)points],Fugl-Meyer assessment(FMA)[(90.57±5.35)points vs.(112.08±6.16)points],Berg balance scale(BBS)[(35.33±3.19)points vs.(46.36±4.37)points]in observation group,P=0.001 all.After six-month follow-up,compared with control group,there were signifi-cant rise in each dimensional score and total score of short form 36 health survey(SF-36)[(74.81±5.77)points vs.(90.16±6.27)points]in observation group,P=0.001 all.Conclusion:Balance acupuncture combined with in-telligent rehabilitation system training can significantly improve the upper and lower limb muscle strength,promote the recovery of motor function and balance ability,reduce the patients'daily life dependence,and improve the qual-ity of life in hemiplegic patients after stroke,which is worthy of clinical promotion.

关键词

卒中/偏瘫/针刺疗法/康复

Key words

Stroke/Hemiplegia/Acupuncture therapy/Rehabilitation

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基金项目

辽宁省科学技术计划(2019)(2019-ZD-0981)

出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
参考文献量10
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