摘要
目的探讨运动疗法联合针灸对格林-巴利综合征(GBS)患者四肢功能恢复的影响。方法选取2017年5月-2019年4月辽宁省某医院诊治的84例GBS患者为研究对象,采用随机数字表法分为研究组与对照组,每组42例。对照组患者采用运动疗法进行治疗,研究组患者在对照组基础上采用针灸治疗,2组患者均治疗1个月。比较2组患者治疗前后的四肢功能、日常生活活动能力及胫神经、正中神经功能。结果治疗前,2组患者简化Fugl-Meyer量表(FMA)各维度评分比较,差异无统计学意义(P>0.05);治疗后,2组患者FMA中上肢运动功能及下肢运动功能评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者日常生活能力量表(ADL)各维度评分比较,差异无统计学意义(P>0.05);治疗后,2组患者ADL中工具性日常生活能力及躯体性日常生活能力评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患者胫神经、正中神经运动传导速度(MCV)与感觉传导速度(SCV)水平比较,差异均无统计学意义(P>0.05);治疗后,2组患者胫神经、正中神经MCV与SCV水平均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论运动疗法联合针灸可改善GBS患者四肢功能及神经功能,并提高患者日常生活活动能力,有利于患者康复。
Objective To investigate the effect of exercise therapy combined with acupuncture on the recovery of limb functions in patients with Guillain-Barrésyndrome(GBS).Methods Eighty-four patients with GBS treated in a hospital in Liaoning Province from May 2017 to April 2019 were selected and divided into a study group and a control group using a random number table,with 42 patients in each group.Patients in the control group were treated with exercise therapy,patients in the study group were treated with acupuncture on the basis of the control group,and patients in the 2 groups were treated for 1 month.The limb functions,activities of daily living and tibial nerve and median nerve functions of the 2 groups of patients were compared before and after the treatment.Results Before treatment,the differences in scores for each dimension of the Fugl-Meyer Scale(FMA)between the 2 groups were not statistically significant(P>0.05);after treatment,the scores in upper limb motor function and lower limb motor function in FMA of both groups were higher than before treatment,and the scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,the differences in the scores of each dimension of ADL of the 2 groups were not statistically significant(P>0.05);after treatment,the scores of instrumental and somatic daily living ability in ADL of the 2 groups were lower than those before treatment,and those of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,the differences between the 2 groups in the levels of motor conduction velocity(MCV)and sensory conduction velocity(SCV)of tibial nerve and median nerve were not statistically significant(P>0.05);after treatment,the levels of MCV and SCV of tibial nerve and median nerve were higher than those before treatment,and those in the study group was higher than those in the control group,and the differences were statistically
作者
杜芳芳
王欣怡
柳婷
Du Fangfang;Wang Xinyi;Liu Ting(Department of Rehabilitation,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China)
出处
《保健医学研究与实践》
2020年第5期63-66,70,共5页
Health Medicine Research and Practice
基金
辽宁中医药大学附属医院科研课题(201719)。
