针刺联合平衡训练对脑卒中偏瘫患者运动及平衡功能的影响
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R246.6;R743.3

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Effect of Acupuncture Combined with Balance Training on Movement and Balance Function in Patients with Hemiplegia After Cerebral Apoplexy
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    摘要:

    目的:观察针刺联合平衡训练对脑卒中偏瘫患者运动及平衡功能的影响。方法:选取脑卒中偏瘫患者85 例,按随机数字表法分为观察组43 例与对照组42 例,2 组均接受常规康复治疗,对照组在此基础上给予针刺治疗,观察组在对照组的基础上给予平衡训练,2 组均以1 周为1 个疗程,连续治疗4 个疗程。观察2 组临床疗效,比较2 组治疗前后的运动功能[Fugl-Meyer评分法(FMA)]、平衡功能[Berg 平衡量表(BBS)]以及日常生活能力[改良Barthel 指数(MBI) 量表]。结果:治疗后,观察组总有效率为95.35%,对照组总有效率为73.81%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组FMA 评分均较治疗前上升,观察组上、下肢FMA 评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组BBS 评分均较治疗前上升,观察组BBS 评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组MBI 评分均较治疗前上升,观察组MBI 评分高于对照组,差异均有统计学意义(P<0.05)。结论:针刺联合平衡训练可提高脑卒中偏瘫患者运动能力、平衡能力及日常生活能力,临床疗效显著。

    Abstract:

    Abstract: Objective: To observe the effect of acupuncture combined with balance training on movement and balance function in patients with hemiplegia after cerebral apoplexy. Methods:A total of 85 cases of patients with hemiplegia after cerebral apoplexy were selected and divided into the observation group and the control group according to the random number table method,43 and 42 cases in each group respectively. Both groups were given routine rehabilitation therapy;the control group was additionally given acupuncture treatment,and the observation group was additionally given balance training based on the treatment of the control group. Both groups were treated for four courses,with one week being a course. The clinical effects in the two groups were observed. Motor function [Fugl- Meyer Assessment(FMA)],balance function [Berg Balance Scale(BBS)] and activity of daily living[modified Barthel Index(MBI) Scale] before and after treatment were compared between the two groups. Results:After treatment,the total effective rate was 95.35% in the observation group and 73.81% in the control group, the difference being significant(P<0.05). After treatment, FMA scores in the two groups were increased when compared with those before treatment,and the FMA score in the observation group was higher than that in the control group, differences being significant(P<0.05). After treatment, BBS scores in the two groups were increased when compared with those before treatment, and the BBS score in the observation group was higher than that in the control group, differences being significant(P<0.05). After treatment, MBI scores in the two groups were increased when compared with those before treatment, and the MBI score in the observation group was higher than that in the control group, differences being significant(P<0.05). Conclusion: The therapy of acupuncture combined with balance training for patients with hemiplegia after cerebral apoplexy can improve their exercise capacity, balance ability and activity of daily living,with significant clinical effects.

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胡杰.针刺联合平衡训练对脑卒中偏瘫患者运动及平衡功能的影响[J].新中医,2021,53(19):200-203

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  • 在线发布日期: 2021-10-09
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