首页|解痉纠偏针法联合偏瘫肢体综合训练在卒中后偏瘫患者中的应用效果

解痉纠偏针法联合偏瘫肢体综合训练在卒中后偏瘫患者中的应用效果

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目的:观察解痉纠偏针法联合偏瘫肢体综合训练在卒中后偏瘫患者中的应用效果.方法:回顾性分析2021年2月至2023年2月该院收治的70例卒中后偏瘫患者的临床资料,依据治疗方案不同将其分为对照组和观察组各35例.对照组予以偏瘫肢体综合训练治疗,观察组在对照组基础上联合解痉纠偏针法治疗,比较两组治疗前后肌张力[改良Ashworth量表(MAS)]、神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]、平衡功能[Berg平衡量表(BBS)]、步行功能[功能性步态评估表(FGA)]、日常生活能力[Barthel指数(BI)]评分和脑血流动力学指标[动脉收缩期峰流速(Vs)、平均流速(Vm)、峰流速对称性差值(DVp)、平均流速对称性差值(DVm)]水平.结果:治疗后,观察组上下肢MAS、NIHSS评分均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组BBS、FGA、BI评分均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组大脑中动脉Vs、Vm均大于对照组,DVp、DVm均小于对照组,差异有统计学意义(P<0.05).结论:解痉纠偏针法联合偏瘫肢体综合训练应用于卒中后偏瘫患者可提高BBS、FGA和BI评分,改善脑血流动力学指标水平,降低MAS和NIHSS评分,效果优于单纯偏瘫肢体综合训练.
Application effects of Jiejing Jiupian needling combined with hemiplegic comprehensive limb training in patients with hemiplegia after stroke
Objective:To observe application effects of Jiejing Jiupian needling combined with hemiplegia comprehensive limb training in patients with hemiplegia after stroke.Methods:The clinical data of 70 patients with hemiplegia after stroke admitted to this hospital from February 2021 to February 2023 were retrospectively analyzed.According to different treatment plans,they were divided into control group and observation group,35 cases in each group.The control group was given hemiplegic comprehensive limb training,while the observation group was treated with Jiejing Jiupian needling on the basis of that of the control group.The muscle tension[modified Ashworth scale(MAS)],the neurological deficit[National Institutes of Health stroke scale(NIHSS)],the balance function[Berg balance scale(BBS)],the walking function[functional gait assessment(FGA)],the daily living ability[Barthel index(BI)]score,and the cerebral hemodynamic indexes[arterial systolic peak velocity(Vs),mean velocity(Vm),peak velocity symmetry difference(DVp),mean velocity symmetry difference(DVm)]levels were compared between the two groups before and after the treatment.Results:After the treatment,the MAS and NIHSS scores of the upper and lower limbs in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the scores of BBS,FGA and BI in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the Vs and Vm of the middle cerebral artery in the observation group were higher than those in the control group,the DVp and DVm were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Jiejing Jiupian needling combined with hemiplegic comprehensive limb training in the patients with hemiplegia after stroke can improve the BBS,FGA and BI scores,improve the levels of cerebral hemodynamic indexes,and reduce the MAS and NIHSS scores.Moreover,it is superior to simple hemiplegic comprehensive limb training.

StrokeHemiplegiaComprehensive limb trainingJiejing Jiupian needlingBalance functionNeurological deficit degreeCerebral hemodynamics

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信阳一五四医院中医康复科,河南 信阳 464000

卒中 偏瘫 肢体综合训练 解痉纠偏针法 平衡功能 神经功能缺损程度 脑血流动力学

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(16)
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