摘要
目的:观察脑卒中后肢体偏瘫患者进行针刺结合有氧训练的临床效果。方法:共120例偏瘫患者随机分为实验组和对照组,各60例。分别进行针刺后有氧训练和单纯针刺疗法。治疗周期为4周,每周5次,针刺时间相同,有氧训练时间为30分钟。分别评定其生理耗能指数(physiological cost index,PCI)、10m最大步行速度测试(10m maximum walking speed,10m MWS)及Barthel指数(BI),并记录实验组结束后所测最大心率和患者耐受时间。结果:治疗前实验组PCI、10m MWS、BI指数与对照组比较均无显著性差异(P>0.05)。两组患者治疗后与组内治疗前比较,PCI、10m MWS、BI指数各评定差异有显著性意义(p<0.05),实验组疗效明显优于对照组(p<0.01)。实验组结束后所测最大心率和患者耐受时间较治疗前明显延长(p<0.05)。结论:针刺结合有氧训练对脑卒中肢体偏瘫功能的恢复有积极作用,有助于患者心肺功能的提高,明显改善患者日常生活自理能力并增强生存信心。
Objectives：to observe the clinical effects of acupuncture combined with aerobic training on hemiplegia after stroke. Methods：120 patients with hemiplegia were enrolled and randomly divided into experimental group and control group,60 in each. Acupuncture plus aerobic training and acupuncture were given to the two groups separately. The treatment cycle was 4 weeks and 5 times of treatment were given per week. The two groups had the same time of acupuncture. Aerobic training was 30 minutes. The therapeutic effects were evaluated by physiological cost index（ PCI）,10 m maximum walking speed（10m MWS） and Barthal index（BI）. Maximam heart rate（HRmax） and endurance time of the patients of the experimental group were recorded after the treatment cycle.Results：there was no significant difference of PCI,10 m MWS and BI between the experimental and control groups. PCI,10 m MWS and BI in two groups both had significant difference separately after the treatments（ p 〈0. 05）. The effects of experimental group was much better than the control group（p 〈0. 01）. HRmax and endurance time of the experimental group recorded at the end of the treatment were more increased than before the treatment（p 〈0.05）. Conclusions：acupuncture combined with aerobic training has positive effects on the recovery of the patients with hemiplegia. It can improve patients＇ heart and lung functions,as well as ADLs and strengthen their life of confidence.
出处
《南京体育学院学报（自然科学版）》
2014年第4期40-43,共4页
Joournal of Nanjing Institute of Physical Education:Natural Science
基金
浙江省中医药管理局立项课题(编号:2012ZB053)
关键词
脑卒中
肢体偏瘫
针刺
有氧训练
stroke
hemiplagia
acupuncture
aerobic training
