首页|艾灸刮痧联合功能性电刺激治疗卒中后偏瘫患者的效果

艾灸刮痧联合功能性电刺激治疗卒中后偏瘫患者的效果

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目的:观察艾灸刮痧联合功能性电刺激治疗卒中后偏瘫患者的效果.方法:选取 2022 年 1-12 月该院收治的 85 例卒中后偏瘫患者进行前瞻性研究,按照随机数字表法将其分为研究组 43 例和对照组 42 例.对照组采用功能性电刺激治疗,研究组在对照组基础上联合艾灸刮痧治疗,两组均连续治疗 4 周.比较两组临床疗效,治疗前后下肢运动功能[Fugl-Meyer运动功能评定量表(FMA)]评分、日常生活活动能力[Barthel指数(BI)]评分、步行能力[功能性步行能力量表(FAC)]评分、平衡能力[Berg平衡量表(BBS)]评分、步态指标(步长、步速、步宽)水平,以及不良反应发生率.结果:研究组治疗总有效率为95.35%(41/43),高于对照组的78.57%(33/42),差异有统计学意义(P<0.05);治疗后,研究组FMA、BI、FAC、BBS评分均高于对照组,差异有统计学意义(P<0.05);治疗后,研究组步长、步速、步宽均大于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:艾灸刮痧联合功能性电刺激治疗卒中后偏瘫患者可提高治疗总有效率和下肢运动功能、日常生活活动能力、步行能力、平衡能力评分,改善步态指标水平,效果优于单纯功能性电刺激治疗.
Effects of moxibustion and scraping combined with functional electrical stimulation in treatment of patients with hemiplegia after stroke
Objective:To observe effects of moxibustion and scraping combined with functional electrical stimulation in treatment of patients with hemiplegia after stroke.Methods:A prospective study was conducted on 85 patients with hemiplegia after stroke admitted to this hospital from January to December 2022.They were divided into study group(43 cases)and control group(42 cases)according to the random number table method.The control group was treated with functional electrical stimulation,while the study group was treated with moxibustion and scraping on the basis of that of the control group.Both groups were treated for 4 weeks.The clinical efficacy,the lower limb motor function[Fugl-Meyer assessment(FMA)]score,the activities of daily[Barthel index(BI)]score,the walking ability[functional walking capacity(FAC)]score,the balance ability[Berg balance scale(BBS)]score,the gait index(step length,step speed,step width)levels,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 95.35%(41/43),which was higher than 78.57%(33/42)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of FMA,BI,FAC and BBS in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of step length,step speed and step width of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Moxibustion and scraping combined with functional electrical stimulation in the treatment of the patients with hemiplegia after stroke can improve the total effective rate of treatment,the lower limb motor function scores,the activities of daily living scores,the walking ability scores,the balance ability scores,and improve the gait index levels.Moreover,it is superior to single functional electrical stimulation treatment.

Moxibustion and scrapingFunctional electrical stimulationStrokeHemiplegiaLower limb motor functionActivity of daily livingWalking ability

尹从锐

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南阳市医学高等专科学校第一附属医院仲景苑,河南 南阳 473000

艾灸刮痧 功能性电刺激 卒中 偏瘫 下肢运动功能 日常生活活动能力 步行能力

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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