首页|温针灸联合阶段性抗阻训练治疗脑卒中后偏瘫患者的效果

温针灸联合阶段性抗阻训练治疗脑卒中后偏瘫患者的效果

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目的:观察温针灸联合阶段性抗阻训练治疗脑卒中后偏瘫患者的效果。方法:选取2021年2月—2022年12月福建医科大学附属南平第一医院收治的 68 例脑卒中后偏瘫患者。根据住院病案号尾号奇偶数将其分为试验组与对照组,各34 例。对照组给予阶段性抗阻训练,试验组在对照组基础上给予温针灸。比较两组治疗后临床疗效,治疗前后运动功能、平衡能力、日常生活能力、生活质量。结果:试验组总有效率高于对照组,差异有统计学意义(P<0。05)。治疗后,两组上肢、下肢评分均升高,试验组上肢、下肢评分均高于对照组,差异有统计学意义(P<0。05)。治疗后,两组Berg平衡量表(Berg balance scale,BBS)、Barthel指数(Barthel index,BI)评分均升高,试验组BBS评分、BI评分均高于对照组,差异有统计学意义(P<0。05)。治疗后,两组活力、生理功能、社会功能、健康变化评分均升高,试验组活力、生理功能、社会功能、健康变化评分均高于对照组,差异有统计学意义(P<0。05)。结论:脑卒中后偏瘫患者经温针灸联合阶段性抗阻训练干预,能改善上下肢功能,增强其平衡能力、并可提高其日常生活能力及生活质量。
Effect of Warm Acupuncture Combined with Staged Resistance Training on Hemiplegia Patients after Stroke
Objective:To observe the effect of warm acupuncture combined with staged resistance training in the treatment of hemiplegia patients after stroke.Method:A total of 68 patients with post-stroke hemiplegia admitted to Nanping First Hospital Affiliated to Fujian Medical University from February 2021 to December 2022 were selected.The patients were divided into experimental group and control group according to the odd and even numbers at the end of the hospitalization medical record number,with 34 cases in each group.The control group was given staged resistance training,and the experimental group was given warm acupuncture on the basis of the control group.The clinical efficacy after treatment,motor function,balance ability,daily living ability and quality of life before and after treatment were compared between the two groups.Result:The total effective rate of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).After treatment,the scores of upper limb and lower limb were increased in both groups,and the scores of upper limb and lower limb in experimental group were higher than those in control group,the differences were statistically significant(P<0.05).After treatment,Berg balance scale(BBS)and Barthel index(BI)scores were increased in both groups,and BBS and BI scores in experimental group were higher than those in control group,the differences were statistically significant(P<0.05).After treatment,the scores of vitality,physiological function,social function and health change in both groups were increased,and the scores of vitality,physiological function,social function and health change in experimental group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:In patients with hemiplegia after stroke,warm acupuncture combined with staged resistance training can improve the function of upper and lower limbs,enhance their balance ability,and improve their daily living ability and quality of life.

Hemiplegia after strokeWarm acupunctureStage resistance trainingUpper and lower limb functionBalance abilityQuality of life

赖杭州、刘龙飞、史磊毅

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福建医科大学附属南平第一医院 福建 南平 353000

脑卒中后偏瘫 温针灸 阶段性抗阻训练 上下肢功能 平衡能力 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(22)