Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke  

关刺温针结合康复对缺血性脑卒中痉挛性偏瘫患者平衡功能及生活质量的影响

作　　者：Han Zhen-xiang Qi Li-li Zhou Yi-xin Zhang Hong Chu Li-xi Xu Wen-jie Wang Hong-lin Ling Jun 韩振翔;祁丽丽;周一心;张宏;褚立希;许文杰;王宏林;凌隽(Shanghai No.7 People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)

机构地区：[1]I Shanghai No.7 People＇s Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China [2]Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [3]Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China

出　　处：《Journal of Acupuncture and Tuina Science》2018年第3期150-155,共6页针灸推拿医学（英文版）

基　　金：上海市浦东新区卫计委项目No.PW2014B-15;上海市杏林新星,No.ZY3.RCPY-2-2077;上海市中医药领军人才建设项目学术共同体,No.ZY3-RCPY-1-1001;上海市卫计委中发办项目,No.2014L0030A;上海市残联康复系统优青人才项目;上海市浦东新区重点专科（中风专科）建设项目,No.PDZYXK-1-2014001;上海中医药大学高原学科建设项目;上海中医药大学附属第七人民医院中医继承人项目.

摘　　要：Objective： To observe the effect of warm joint needling plus rehabilitation techniques on the balance function and quality of life （QOL） of patients with spastic hemiplegia after ischemic cerebral stroke. Methods： Ninety patients with spastic hemiplegia after ischemic cerebral stroke were randomized into a rehabilitation group, a warm joint needling group and an observation group, with 30 cases in each group. The rehabilitation group was intervened by Bobath therapy, the warm joint needling group was treated with joint needling on the affected side plus warm needling, and the observation group was given the same rehabilitation treatment as the rehabilitation group together with the same warm joint needling as the warm joint needling group. The three groups were treated once another day, 1 month as a treatment course for 6 months. Before the treatment, and respectively after 2-week, 1-month, 3-month, and 6-month treatment, the modified Ashworth scale （MAS） was used to measure the anti-spasm ability of the lower limb, the Berg balance scale （BBS） was adopted to evaluate the balance function, and the stroke-specific quality of life scale （SS-QOL） was employed to estimate the QOL. Results： After 3-month and 6-month treatment, the lower-limb MAS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 1-month, B-month and 6-month treatment, the BBS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 2-week, 1-month, 3-month and 6-month treatment, the SS-QOL scores in the observation group were markedly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. Conclusion： Warm joint needling plus rehabilitation can effectively improve the lower-limb spasticity state, balance function and QOL in patients with spastic hemiplegia after ischemic cerebral st目的：观察关刺温针结合康复技术对缺血性脑卒中后痉挛性偏瘫患者平衡功能和生活质量（QOL）的影响。方法：将90例缺血性脑卒中痉挛性偏瘫患者，随机分为康复组和关刺温针组和观察组。每组30例。康复组采用Bobath康复技术治疗，关剌温针组采用关刺患侧加温针灸治疗，观察组采用与康复组相同的康复；台疗，同时采用与关刺温针组相同的关刺及温针灸治疗。3组均隔日治疗1次，1个月为1个疗程，共干预6个月。治疗前、治疗2周，及治疗1、3、6个月后用改良Ashworth痉挛量表（MAS）评估下肢抗痉挛情况，用Berg平衡量表（BBS）评估平衡能力，用卒中专用生存质量量表（SS—QOL）评估QOL。结果：治疗34-月和6个月后，观察组下肢MAS评分优于康复组和关刺温针组，差异具有统计学意义（均P〈0．05）。治疗1个月、3个月和6个月后，观察组BBS评分优于康复组和关刺温针组，差异有统计学意义（均P〈0．05）。治疗2周、1个月、3个月和6个月后，观察组SS，QOL评分优于康复组和关刺温针组，差异有统计学意叉（均P〈0．05）。结论：关刺温针结合康复治疗可有效改善缺血性脑卒中后痉挛性偏瘫患者的下肢痉挛状态，改善患者的平衡功能，提高患者的QOL。

关 键 词：Acupuncture Therapy Needling Methods Warm Needling Therapy REHABILITATION Poststroke Syndrome HEMIPLEGIA Myospasm 

分 类 号：R246.6[医药卫生—针灸推拿学]