摘要
目的:研究刺络疗法结合偏瘫功能训练对脑梗塞患者上肢功能恢复及表面肌电图的影响。方法:选取2019年5月-2020年4月广州市花都区花山镇卫生院接诊的90例确诊为脑梗塞、同时伴有患侧上肢屈肘痉挛的住院患者作为研究对象。以随机数字表法将患者分为观察组、对照1组和对照2组,每组30例,对照1组采用刺络疗法,对照2组采用偏瘫功能训练,观察组采用刺络疗法结合偏瘫功能训练。观察比较治疗前和治疗4周后各组患者的上肢屈肘痉挛程度、上肢运动功能、肱二头肌及肱三头肌积分肌电值(Integral Electromyographic,IEMG)状况,并以卒中患者运动功能评估量表进行疗效评价,同时于治疗后3个月、6个月和1年随访,比较各组患者的36项简明健康调查量表(36-item Short Form Health Assessment Scale,SF-36)评分以及术后1年内患者的相关不良反应状况。结果:治疗前,各组患者的上肢屈肘痉挛程度、肢体运动功能简式Fugl-Meyer评分法(Fugl-Meyer Assessment Scale,FMA)评分、肱二头肌及肱三头肌IEMG差异均无统计学意义(P> 0.05)。治疗后,观察组患者的上肢屈肘痉挛程度较对照1组和对照2组均更低,差异具有统计学意义(P <0.05);观察组患者的FMA评分较对照1组和对照2组均提高,差异具有统计学意义(P <0.05);观察组患者的肱二头肌IEMG较对照1组和对照2组均更低,差异具有统计学意义(P <0.05);观察组患者的肱三头肌IEMG较对照1组和对照2组均更高,差异具有统计学意义(P <0.05)。观察组患者的治疗总有效率高于对照1组和对照2组,差异具有统计学意义(P <0.05)。治疗后1年,观察组患者的SF-36评分高于对照1组和对照2组,差异具有统计学意义(P <0.05);同时各组患者的不良反应发生率的差异不具有统计学意义(P> 0.05)。结论:刺络疗法结合偏瘫功能训练能有效改善脑梗塞患者的上肢功能恢复情况,患者的上肢运动功能及上肢肌�
Objective: To investigate the effect of acupuncture bloodletting plus hemiplegia functional training on functional recovery of upper limbs and surface electromyography in patients with cerebral infarction. Methods: A total of 90 cases from May 2019 to April 2020 were selected as the research objects, and were divided into the observation group, the control group 1 and the control group 2 by the random number table method, with 30 cases in each group. The control group 1 received acupuncture bloodletting, the control group 2took hemiplegia functional training, and the observation group was given acupuncture bloodletting plus hemiplegia functional training.Results: Before treatment, the degree of upper elbow flexion spasm, FMA score of limb motor function, and IEMG value of biceps and triceps showed no statistically difference(P>0.05). After treatment, the degree of upper elbow flexion spasm in the observation group was lower than that in the control group 1 and the control group 2, and the difference was statistically significant(P<0.05). After treatment,the FMA score in the observation group was increased compared with the control group 1 and the control group 2, and the difference was statistically significant(P<0.05). After treatment, the IEMG value of biceps in the observation group was lower than the control group 1and the control group 2(P<0.05), and the IEMG value of triceps in the observation group was higher than the other two groups(P<0.05).The total efficiency in the observation group was higher than the other two groups(P<0.05). After 1 year of treatment, the SF-36 score in the observation group was higher than the other two groups(P<0.05). There was no statistically significant difference in adverse reaction incidence among the three groups(P>0.05). Conclusion: Acupuncture bloodletting plus hemiplegia functional training can effectively improve the functional recovery of upper limbs of cerebral infarction patients. The motor function and the EMG values of the upper limbs of the patient are improved, a
出处
《中医临床研究》
2022年第22期61-64,共4页
Clinical Journal Of Chinese Medicine
基金
广州市花都区科技计划项目(19-HDWS-069)。
关键词
脑梗塞
刺络疗法
康复训练
上肢运动功能
积分肌电值
Cerebral infarction
Acupuncture bloodletting
Rehabilitation training
Upper limb motor function
Integral electromyographic
