[1]颜丽清.针刺配合康复训练对脑卒中后运动功能障碍的干预作用[J].医学信息,2022,35(01):171-173.[doi:10.3969/j.issn.1006-1959.2022.01.043]
 YAN Li-qing.Intervention Effect of Acupuncture Combined with Rehabilitation Training on Motor Dysfunction After Stroke[J].Medical Information,2022,35(01):171-173.[doi:10.3969/j.issn.1006-1959.2022.01.043]
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针刺配合康复训练对脑卒中后运动功能障碍的干预作用()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年01期
页码:
171-173
栏目:
中医中药
出版日期:
2022-01-01

文章信息/Info

Title:
Intervention Effect of Acupuncture Combined with Rehabilitation Training on Motor Dysfunction After Stroke
文章编号:
1006-1959(2022)01-0171-03
作者:
颜丽清
(1.福建中医药大学,福建 福州 350122;2.福州市第二医院神经内科,福建 福州 350007)
Author(s):
YAN Li-qing
(1.Fujian University of Traditional Chinese Medicine,Fuzhou 350122,Fujian,China;2.Department of Neurology,Fuzhou Second Hospital,Fuzhou 350007,Fujian,China)
关键词:
脑卒中运动功能障碍针刺康复训练
Keywords:
StrokeMotor dysfunctionAcupunctureRehabilitation training
分类号:
R246.6
DOI:
10.3969/j.issn.1006-1959.2022.01.043
文献标志码:
A
摘要:
目的 观察针刺配合康复训练对脑卒中后运动功能障碍的临床疗效。方法 选取2020年1月-2021年1月在福州市第二医院神经内科确诊为脑卒中后运动功能障碍的患者80例为研究对象,采用随机数字表法分为观察组和对照组,各40例。对照组给予康复训练,观察组在此基础上进行针刺治疗。采用Fugl-meyer运动功能评分及改良Barthel指数评分对结果进行评定。结果 两组Fugl-meyer运动功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组ADL评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组总有效率为92.50%,高于对照组的70.00%,差异有统计学意义(P<0.05)。结论 针刺配合康复训练对脑卒中后运动功能障碍疗效更佳,能更大限度改善肢体运动功能及神经功能缺损状态,降低致残率,减轻致残程度,使患者早日康复。
Abstract:
Objective To investigate the clinical effect of acupuncture combined with rehabilitation training on motor dysfunction after stroke.Methods A total of 80 patients with motor dysfunction after stroke diagnosed in the Department of Neurology, Fuzhou Second Hospital from January 2020 to January 2021 were selected as the research objects. They were divided into observation group and control group by random number table method, with 40 cases in each group. The control group was given rehabilitation training, and the observation group was treated with acupuncture on this basis. Fugl-meyer motor function score and modified Barthel index score were used to evaluate the results.Results The Fugl-meyer motor function scores of the two groups were higher than those before treatment, and the observation group was higher than the control group, the difference was statistically significant (P<0.05).The ADL scores of the two groups were higher than those before treatment, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The total effective rate of the observation group was 92.50%, which was higher than 70.00% of the control group, and the difference was statistically significant (P<0.05).Conclusion Acupuncture combined with rehabilitation training has better curative effect on motor dysfunction after stroke, which can improve limb motor function and neurological function defect, reduce disability rate and disability degree, and make patients recover as soon as possible.

参考文献/References:

[1]李艳.针刺配合康复训练治疗脑卒中后肢体功能障碍临床观察[J].实用中医药杂志,2017,33(2):173-174.[2]吉贞料,王高岸,张长杰.头穴透刺联合持续经颅磁刺激治疗脑卒中后运动功能障碍疗效观察[J].现代中西医结合杂志,2021,30(8):830-833.[3]陈洪.针灸治疗脑卒中患者肢体运动功能障碍的疗效观察[J].中西医结合心血管病电子杂志,2020,8(34):1,4.[4]焦卉朵,黄潭,吴群强,等.针刺配合康复训练治疗脑卒中上肢功能障碍的队列研究[J].世界中医药,2019,14(1):204-208.[5]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.[6]Jiang Y,Zhou Y,Wang B,et al.Clinical Research of Scalp Acupuncture Combined with Rehabilitation Training Treating Patients with Cerebral Infarction in Recovery Period Basedon~1H-MRS[J].Rehabilitation Medicine,2016,26(1):10.[7]王亚辉,郝淑芹,常丽静,等.早期康复训练联合腹针对脑卒中患者运动功能及心理障碍的影响[J].中国针灸,2016,36(6):577-580.[8]Bath PM,Lee HS,Everton LF.Swallowing Therapy for Dysphagia in Acute and Subacute Stroke[J].Stroke,2019,50(3):e46-e47.[9]闫改霞,孟燕.中医针灸在脑卒中引起的运动障碍性偏瘫患者中的应用及对肢体功能的影响研究[J].中西医结合心血管病电子杂志,2020,8(32):173,178.[10]孙萍萍,齐瑞,施婕妤,等.针灸联合运动疗法治疗脑卒中后运动功能障碍的疗效及对神经功能的影响[J].吉林中医药,2019,39(1):129-132.[11]刘洋.针刺配合康复训练治疗脑卒中后肢体功能障碍41例疗效观察[J].国医论坛,2018,33(1):39-41.[12]徐华,唐巍.针刺配合康复训练对脑卒中后平衡功能障碍有效性的系统分析[J].针灸临床杂志,2016,32(11):55-61.[13]陶琳,傅勤慧,裴建.针刺治疗脑卒中后上肢运动功能障碍的配穴规律研究[J].上海中医药大学学报,2019,33(4):23-27,47.[14]欧阳嫦娟.针刺足三里、阳陵泉透阴陵泉对脑卒中偏瘫足下垂和步行能力的影响[D].上海:上海中医药大学,2014.[15]孙天祎,马良宵,王俊翔,等.恢刺“阳陵泉”穴对脑卒中大鼠肌痉挛状态和脑梗死体积的影响[J].针灸临床杂志,2021,37(2):67-72.[16]邵晓梅.电针配合PNF调节脑卒中患者下肢本体感觉及运动功能:随机对照研究[J].中国针灸,2019,39(10):1034-1040.

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更新日期/Last Update: 1900-01-01