目的 探讨任务导向性训练与扶正补土针灸在脑梗死偏瘫患者康复治疗中的应用效果。方法 通过便利序贯采集法选取 2021 年 6 月—2023 年 6 月于济南市第五人民医院中医康复科就诊的 75 例脑梗死偏瘫患者随机分为对照组(n=37)与观察组(n=38)。对照组执行任务导向性训练，观察组基于对照组另执行扶正补土针灸疗法。记录并对比 2 组患者治疗前后神经功能、核心肌群功能、平衡能力、上下肢运动功能、6 min步行距离及生活质量的改变情况。结果 治疗后，观察组美国国立卫生院卒中量表(National Institutes of Health stroke scale，NIHSS)评分为(9。33±1。47)分，低于对照组的(11。19±1。23)分，观察组姿势控制量表(postural assessment scale for stroke patients，PASS)与Berg平衡量表(Berg balance scale，BBS)评分分别为(30。13±2。32)分、(41。46±3。61)分，均高于对照组的(27。38±2。56)分、(36。17±3。49)分，差异有统计学意义(P＜0。05)。观察组上肢、下肢功能评分分别为(55。54±6。05)分、(29。74±3。18)分，均高于对照组的(49。63±5。82)分、(26。29±2。94)分，观察组6 min步行距离为(298。57±27。15)m，远于对照组的(281。42±24。57)m，差异有统计学意义(P＜0。05)。观察组躯体功能、心理功能、物质生活、社会功能评分分别为(75。15±5。87)分、(76。91±4。65)分、(79。05±4。71)分、(78。29±5。13)分，均高于对照组的(69。31±7。76)分、(70。16±3。28)分、(73。34±2。17)分、(70。20±1。18)分，差异有统计学意义(P＜0。05)。结论 脑梗死偏瘫康复干预中采用任务导向性训练与扶正补土针灸治疗对其神经功能以及核心肌群功能有调节效果，有利于患者重建肢体运动功能与平衡能力，对预后质量的优化效果显著。
Application Effect of Task-Oriented Training and Fuzheng Butu Acupuncture and Moxibustion in the Rehabilitation Treatment of Hemiplegic Patients With Cerebral Infarction
Objective To explore the the application effect of task-oriented training and Fuzheng Butu acupuncture and moxibustion in the rehabilitation treatment of cerebral infarction hemiplegia.Methods A total of 75 patients with hemiplegia with cerebral infarction who were treated in the department of traditional Chinese medicine rehabilitation,the Fifth People's Hospital of Jinan from June 2021 to June 2023 were randomly divided into control group(n=37)and observation group(n=38)by convenient sequential collection method.The control group received task-oriented training,and the observation group received Fuzheng Butu acupuncture and moxibustion therapy based on the control group.The changes of nerve function,core muscle function,balance ability,upper and lower limb motor function,6 minute walking distance and quality of life before and after treatment were recorded and compared between the two groups.Results After treatment,the National Institutes of Health stroke scale(NIHSS)score of the observation group was(9.33±1.47)points,which was lower than(11.19±1.23)points of the control group,the scores of postural assessment scale for stroke patients(PASS)and Berg balance scale(BBS)of the observation group were(30.13±2.32)points and(41.46±3.61)points,respectively,which were higher than(27.38±2.56)points and(36.17±3.49)points of the control group,and the differences were statistically significant(P<0.05).The functional scores of upper and lower limbs of the observation group were(55.54±6.05)points and(29.74±3.18)points,respectively,which were higher than(49.63±5.82)points and(26.29±2.94)points of the control group,the 6 minute walking distance of the observation group was(298.57±27.15)m,which was farther than(281.42±24.57)m of the control group,and the differences were statistically significant(P<0.05).The scores of physical function,psychological function,material life and social function of the observation group were(75.15±5.87)points,(76.91±4.65)points,(79.05±4.71)points and(78.29±5.13)points,respectively,which were higher than(69.31±7.76)points,(70.16±3.28)points,(73.34±2.17)points and(70.20±1.18)points of the control group,and the differences were statistically significant(P<0.05).Conclusion Task-oriented training and Fuzheng Butu acupuncture and moxibustion treatment in the rehabilitation intervention of cerebral infarction hemiplegia have a regulatory effect on neurological function and core muscle function,which is conducive to the reconstruction of limb motor function and balance ability,and has a significant effect on the optimization of prognostic quality.
cerebral infarctionhemiplegiatask-oriented trainingFuzheng Butu acupuncture and moxibustionneurological deficit scoremotor functionquality of life
万方数据
维普
