摘要
目的探讨肢体康复训练联合调任通督针法对脑梗死后肢体功能及皮质脊髓束(CST)损伤的康复效果。方法选取脑梗死患者102例,采用随机数字表法分为2组,各51例。对照组接受肢体康复训练,观察组在对照组基础上加用调任通督针法。比较两组治疗前后神经功能缺损评分(NIHSS)、Fugl-Meyer运动(FMA)评分、改良Barthel指数(MBI)评分变化,并通过MRI检查测定各向异性分数(FA),计算患侧与健侧的FA比(rFA)。结果与干预前相比,两组干预后NIHSS评分降低,FMA及MBI评分均升高(P<0.05)。观察组干预后NIHSS评分低于对照组,FMA、MBI评分高于对照组(P<0.05)。相比治疗前,两组治疗后rFA值均明显升高,且观察组rFA值高于对照组(P<0.05)。观察组治疗总有效率高于对照组(94.12%VS.78.43%,P<0.05)。结论肢体康复训练联合调任通督针法可有效减轻脑梗死患者的神经损伤,加快CST损伤修复,促进肢体运动功能康复。
Objective To explore the rehabilitation effect of limb rehabilitation training combined with needle technique of transferred supervisor on limb function and corticospinal tract(CST)injury after cerebral infarction.Methods 102 cases of cerebral infarction patients were selected as research objects,they were divided into the control group and the joint group by random number table method(n=51).The patients of the control group received limb rehabilitation training,and patients of the joint group added needle technique of transferred supervisor on the basis of the control group.The neurological deficit score(NIHSS),Fugl Meyer motor activity(FMA)score,and modified barthel index(MBI)score of the two groups were compared.The anisotropy score(FA)was measured by MRI,and the FA ratio(rFA)between the affected side and the healthy side was counted.Results Compared with before intervention,NIHSS of two groups after intervention decreased,FMA and MBI increased(P<0.05).Compared with the control group,the NIHSS of the joint group after intervention was clearly lower,and the FMA and MBI were clearly higher(P<0.05).After treatment,the rFA value of the two groups was significantly higher,and compared with the control group,the rFA value of the joint group was clearly higher(P<0.05).The total effective rate of the joint group was clearly higher than the control group(94.12%VS.78.43%,P<0.05).Conclusion The combination of limb rehabilitation training and needle technique of transferred supervisor can effectively reduce the nerve injury of cerebral infarction patients,and accelerate the rehabilitation of CST injuries and limb motor function.
出处
《浙江临床医学》
2023年第11期1684-1686,共3页
Zhejiang Clinical Medical Journal
基金
浙江省卫生健康科技计划项目(2021KY538)。
关键词
脑梗死
皮质脊髓束
肢体康复训练
调任通督针法
Cerebral infarction
Corticospinal tract
Physical rehabilitation training
Needle technique of transferred supervisor
