摘要
目的 观察针刺联合康复训练治疗中风后上肢偏瘫(ULHAS)疗效。方法 将我院80例ULHAS患者随机分为治疗组与对照组各40例。对照组予以康复训练治疗组予以针刺配合康复训练治疗。比较两组改良Barthel指数(MBI)疗效,肱二头肌和肱三头肌肌电信号值均方根(RMS),Fugl-Meyer运动量表(FMA)、简易上肢机能检查(STEF)、偏瘫功能(Brunnstrom)评分,血块形成速率(K值)、血凝块形成速度(α角)、血栓最大振幅(MA),主动关节活动范围(ARM)、手指最大伸展角度(AMFE)、手指最大屈曲角度(AMFF)。结果 治疗后,治疗组MBI疗效总有效率高于对照组(P<0.05)。两组肱二头肌和肱三头肌RMS均高于治疗前,治疗组肱二头肌和肱三头肌RMS均高于对照组(P<0.05);两组FMA、STEF、Brunnstrom评分均高于治疗前,治疗组FMA、STEF、Brunnstrom评分高于对照组(P<0.05);两组K值高于治疗前,α角、MA低于治疗前,治疗组K值高于对照组,α角、MA低于对照组(P<0.05)。两组ARM、AMFE、AMFF均高于治疗前治疗组ARM、AMFE、AMFF高于对照组(P<0.05)。结论 针刺联合康复训练促进ULHAS患者偏瘫主动肌和拮抗肌协同运动,提升上肢运动能力,促进上肢功能恢复,调节凝血功能,提高疗效。
Objective To observe the efficacy of acupuncture combined with rehabilitation training in treatment of post-stroke hemiplegia(ULHAS).Methods Eighty patients with ULHAS were randomly divided into treatment group and control group,40 cases each.Control group was given rehabilitation training,while treatment group was given acupuncture and rehabilitation training.The efficacy of modified Barthel index(MBI),root mean square(RMS)of biceps brachi and triceps brachi electromyography signal values,Fugl-Meyer exercise scale(FMA),simple upper limb function test(STEF),hemiplegic function(Brunnstrom)score,blood clot formation rate(K value),blood clot formation rate(a Angle),maximum amplitude of thrombus(MA),active range of motion(ARM),Finger Maximum Extension Angle(AMFE),Finger Maximum Flexion Angle(AMFF).Results After treatment,the MBI efficacy and total effective rate in treatment group were superior to those in control group(P<0.05);the RMS of biceps and triceps in both groups was higher than before treatment,which was higher in treatment group than control group(P<0.05);the FMA,STEF,and Brunnstrom scores of both groups were higher than before treatment,which were higher in treatment group than control group(P<0.05);the K values in both groups were higher than before treatment,which was higher in treatment group than control group;a Angle and MA were lower than before treatment,which were lower in treatment group than control group(P<0.05);both groups had higher levels of ARM,AMFE,and AMFF than before treatment,which were higher in treatment group than control group(P<0.05).Conclusion1 Acupuncturecombined with rehabilitation training promotes the synergistic movement of active and antagonistic muscles in ULHAS patients with hemiplegia,enhances upper limb motor ability,promotes upper limb function recovery,regulates coagulation function,improving therapeutic effect.
作者
徐永伟
樊利杰
XU Yong-wei;FAN Li-jie(School of Rehabilitation Medicine,Capital Medical University,Beijing 100068;Beijing Boai Hospital,China RehabilitationResearch Center,Beijing100068)
出处
《湖北中医药大学学报》
2024年第2期94-96,共3页
Journal of Hubei University of Chinese Medicine
基金
中国康复研究中心科研项目(项目编号:2023ZX-23)
心肺脑复苏北京市重点实验室开放项目(项目编号:2020XFN-KFKT-01)。
关键词
中风
上肢偏瘫
针刺
康复训练
疗效
Stroke
Hemiplegia of the upper limbs
Acupuncture
Rehabilitation
Efficacy
