肌筋膜松解技术结合针刺治疗脑卒中偏瘫患者下肢功能障碍临床研究
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R246.6

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广东省中医药局立项资助项目(20171134)


Clinical Study on Muscular Fascia Release Technology Combined with Acupuncture for Lower Limb Disorders in Patients with Hemiplegia After Stroke
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    摘要:

    目的:观察肌筋膜松解技术结合针刺治疗脑卒中偏瘫患者下肢功能障碍的临床疗效。方法:将 90 例脑卒中偏瘫患者随机分为观察组和对照1 组、对照2 组,每组30 例。3 组均实施二级预防措施和基础康 复治疗,观察组加予下肢肌筋膜松解技术与针刺治疗,对照1 组加予针刺治疗,对照2 组加予下肢肌筋膜松解 技术治疗。3 组疗程均为2 周,每周治疗6 d。治疗前、治疗2 周后进行“站起-走”计时测试(TUG)、舒适 步行速度和快速步行速度测试、6 min 步行测试,评定改良Bathel 指数评定量表(MBI) 评分。结果:治疗 后,3 组TUG 完成时间均较治疗前缩短(P<0.05);观察组测试完成时间优于其他两组(P<0.05);对照1 组 与对照2 组比较,差异无统计学意义(P>0.05)。3 组舒适步行速度和快速步行速度均较治疗前提高(P< 0.05);观察组舒适步行速度和快速步行速度均快于其他两组(P<0.05);对照1 组与对照2 组比较,差异均 无统计学意义(P>0.05)。3 组6 min 步行距离均较治疗前增加(P<0.05);观察组6 min 步行距离长于其他两 组(P<0.05);对照1 组与对照2 组比较,差异无统计学意义(P>0.05)。3 组MBI 评分均较治疗前升 高(P<0.05);3 组MBI 评分比较,差异无统计学意义(P>0.05)。结论:肌筋膜松解技术结合针刺能提高患 者的步行速度、耐力和平衡功能,但对日常生活活动能力的改善并未显示出明显优势。

    Abstract:

    Abstract: Objective: To observe the clinical effect of muscular fascia release technology combined with acupuncture for lower limb disorders in patients with hemiplegia after stroke. Methods: A total of 90 cases of patients with hemiplegia after stroke were randomly divided into the observation group, the control group 1 and the control group 2, with 30 cases in each group. All the three groups received secondary prevention measures and basic rehabilitation treatment. The observation group additionally received muscular fascia release technology and acupuncture on lower limbs,the control group 1 received acupuncture treatment,and the control group 2 received fascia release technology on lower limbs. All the three groups were treated for 2 weeks, with 6 days of treatment per week. Before treatment and after two- week treatment, timed up and go test(TUG), comfortable walking speed and fast walking speed test,and 6-minute walking test were detected,and the score of the Modified Barthel Index (MBI) were evaluated. Results:After treatment,the completion time of TUG in all the three groups were shortened when compared with those before treatment (P<0.05). The completion time in the observation group was better than those in the other two groups (P<0.05); there was no significant difference being found between control group 1 and the control group 2 (P>0.05). The comfortable walking speed and fast walking speed in the three groups were all improved when compared with those before treatment (P<0.05);the comfortable walking speed and fast walking speed in the observation group were faster than those in the other two groups (P<0.05); there were no significant differences between the control group 1 and the control group 2 (P>0.05). The 6- minute walking distance in all the three groups were increased when compared with that before treatment (P<0.05). The 6-minute alking distance in the observation group was longer than those in the other two groups (P<0.05); there was no significant difference being found between the control group 1 and the control group 2 (P>0.05). The MBI scores in all the three groups were increased when compared with those before treatment (P<0.05);there was no significant difference being found in the comparison of MBI scores among the three groups (P>0.05). Conclusion:The muscular fascia release technology combined with acupuncture can improve the walking speed, endurance and balance function of patients,but it does not show obvious advantages in improving the ability of daily life.

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段春兴,陈红霞.肌筋膜松解技术结合针刺治疗脑卒中偏瘫患者下肢功能障碍临床研究[J].新中医,2023,55(20):120-124

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  • 在线发布日期: 2023-10-27
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