摘要
目的探究"手足十二针"对脑梗死恢复期气虚血瘀证偏瘫患者生活质量的影响。方法选取2017年9月—2019年12月期间北京中医医院顺义医院康复科收治的100例脑梗死恢复期偏瘫患者,将患者随机分为治疗组及对照组,各50例。对照组患者行基础治疗、康复训练及常规针灸治疗,治疗组患者行基础治疗、康复训练及"手足十二针"治疗,两组治疗时间,1次/d,5次/周,均治疗4周。采用Barthel指数量表(Modified Barthel Index,MBI),Fugl-Meyer运动功能评定表(Fugl-meyer Exercise Assessment Scale,FMA),Ashworth量表,卒中量表(National Institutes of Health Stroke Scale,NIHSS)比较两组患者治疗前后日常生活能力、肢体运动功能、痉挛程度及神经功能。结果治疗后各阶段,两组患者MBI评分均高于治疗前,差异有统计学意义(P<0.05);且治疗组患者治疗后各阶段MBI评分均高于对照组,两组比较差异有统计学意义(P<0.05)。治疗后各阶段,两组患者FuglMeyer评分均高于治疗前,差异有统计学意义(P<0.05);且治疗组患者治疗后各阶段Fugl-Meyer评分均高于对照组,两组比较差异有统计学意义(P<0.05)。治疗后各阶段,两组患者Ashworth评分均低于治疗前,差异有统计学意义(P<0.05);且治疗组患者治疗后各阶段Ashworth评分均低于对照组,两组比较差异有统计学意义(P<0.05)。治疗后各阶段,两组患者NIHSS评分均低于治疗前,差异有统计学意义(P<0.05);且治疗组患者治疗后各阶段NIHSS评分均低于对照组,两组比较差异有统计学意义(P<0.05)。结论对脑梗死恢复期气虚血瘀证偏瘫患者进行"手足十二针"治疗,能够有效促进患者肢体运动功能及日常生活能力的提高,同时能够改善患者痉挛及神经损伤程度,值得临床进一步推广。
Objective To explore the effect of“hand and foot twelve acupuncture”on the quality of life of patients with hemiplegia with Qi deficiency and blood stasis syndrome during the recovery of cerebral infarction.Methods A total of 100 patients with hemiplegia during recovery from cerebral infarction who were admitted to the Rehabilitation Department of Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine from September 2017 to December 2019 were randomly divided into treatment group and control group,with 50 cases in each group.The patients in the control group were given basic treatment,rehabilitation training and conventional acupuncture.The patients in the treatment group were treated with basic therapy,rehabilitation training and“twelve needles of hands and feet”treatment.The treatment time of the two groups was 1 time/d,5 times/week,and both treatments were 4 week.Barthel Index(Modified Barthel Index,MBI),Fugl-Meyer Exercise Assessment Scale(FMA),Ashworth Scale,and Stroke Scale(National Institutes of Health Stroke Scale,NIHSS)were used to compare the two groups of patients Ability of daily living,motor function of limbs,degree of spasticity and nerve function before and after treatment.Results At each stage after treatment,the MBI scores of the two groups of patients were higher than those before treatment,and the difference was statistically significant(P<0.05);and the MBI scores of the patients in the treatment group were higher than those of the control group at all stages after treatment,and the difference between the two groups was statistically significant.Academic significance(P<0.05).At each stage after treatment,the Fugl-Meyer scores of the two groups of patients were higher than those before treatment,and the difference was statistically significant(P<0.05);and the Fugl-Meyer scores of the patients in the treatment group were higher than those of the control group at all stages after treatment.The difference was statistically significant(P<0.05).After treatment,the Ashworth scores
作者
王新伟
张虎
丁潇
杨洋
杨晓伟
WANG Xin-wei;ZHANG Hu;DING Xiao;YANG Yang;YANG Xiao-wei(Department of Rehabilitation,Shunyi Hospital Affiliated to Beijing Hospital of Traditional Chinese Medicine,Beijing 101300)
出处
《世界中西医结合杂志》
2020年第9期1684-1687,共4页
World Journal of Integrated Traditional and Western Medicine
基金
2014年中医药行业科研专项项目(201407001)。
关键词
手足十二针
脑梗死
气虚血瘀证偏瘫
日常生活能力
肢体运动功能
痉挛程度
神经功能
Hand and Foot Twelve Needles
Cerebral Infarction
Hemiplegia with Qi Deficiency and Blood Stasis Syndrome
Activities of Daily Living
Limb Motor Function
Spasticity
Nerve Function
