扶正补土针灸联合任务导向性康复治疗脑卒中后偏瘫临床研究
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R743.3

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Clinical Study on Fuzheng Butu Acupuncture and Moxibustion Combined with Task- Oriented Rehabilitation Training for Hemiplegia After Stroke
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    摘要:

    目的:观察扶正补土针灸联合任务导向性康复治疗对脑卒中后偏瘫患者肢体功能及生活质量的影 响。方法:选取 108 例脑卒中后偏瘫患者,按随机数字表法分为 2 组各 54 例。A 组采用常规康复训练治疗,B 组在 A 组的基础上采用任务导向性康复训练联合扶正补土针灸法治疗。比较 2 组临床疗效,比较 2 组治疗前 后肢体运动功能、平衡功能、步行功能及生活质量。结果:B 组临床总有效率 92.59%,高于 A 组 70.37%(P<0.05)。治疗前,2 组 Fugl—Meyer 运动量表(FMMS)评分、Berg 平衡量表(BBS)、生活质量评 分量表 (QLQ-C30) 评分及美国国立卫生研究院卒中量表评分 (NIHSS) 比较,差异无统计学意义 (P> 0.05)。治疗后,2 组 FMMS、BBS、QLQ-C30 评分均升高 (P<0.05),且 B 组高于 A 组 (P<0.05),2 组 NIHSS 评分均降低(P<0.05),且 B 组低于 A 组(P<0.05)。治疗前,2 组 Holden 步行功能分级(FAC)比 较,差异无统计学意义 (P>0.05)。治疗后,2 组 FAC 分级明显改善 (P<0.05),且 B 组改善程度优于 A 组(P<0.05)。结论:扶正补土针灸联合任务导向性康复治疗脑卒中后偏瘫患者疗效优良,不但能提高患者肢 体运动功能、步行功能,调节平衡功能,还能改善患者生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of Fuzheng Butu acupuncture and moxibustion combined with task-oriented rehabilitation training on limb function and quality of life in patients with hemiplegia after stroke. Methods:A total of 108 cases of patients with hemiplegia after stroke were selected and divided into two groups according to the random number table method,with 54 cases in each group. Group A was treated with routine rehabilitation training, and Group B was additionally treated with task- oriented rehabilitation training combined with Fuzheng Butu acupuncture and moxibustion based on the treatment of Group A. The clinical effects were compared between the two groups. Before and after treatment,limb motor function, balance function, gait function, and quality of life were compared between the two groups. Results:The total clinical effective rate was 92.59% in Group B,higher than that of 70.37% in Group A (P<0.05). Before treatment,there was no significant difference being found in the comparison of scores of Fugl- Meyer Motor Scale (FMMS), Berg Balance Scale (BBS), Quality of Life Questionnaire (QLQ-C30),National Institutes of Health Stroke Scale score (NIHSS) between the two groups (P>0.05). After treatment,the scores of FMMS,BBS and QLQ-C30 in the two groups were increased (P<0.05), and the scores in Group B were higher than those in Group A (P<0.05),the scores of NIHSS in the two groups were decreased (P<0.05),and the scoresy in Group B was lower than those in Group A. Before treatment, there was no significant difference being found in the comparison of Functional Ambulation Categories (FAC) by Holden between the two groups (P>0.05). After treatment,the FAC classification in the two groups was significantly improved (P<0.05),and the improvement in Group B was better than that in Group A (P<0.05). Conclusion: Fuzheng Butu acupuncture and moxibustion combined with task- oriented rehabilitation training has an excellent curative effect in patients with hemiplegia after stroke, which can not only improve their limb motor function,walking function,and adjust balance function,but also improve the quality of life.

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吴彬,闵科锋.扶正补土针灸联合任务导向性康复治疗脑卒中后偏瘫临床研究[J].新中医,2023,55(15):152-155

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  • 在线发布日期: 2023-08-13
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