运动再学习联合针刺疗法在缺血性脑卒中患者中的应用  

Application of motor relearning programme combined with acupuncture therapy in patients with ischemic stroke

作　　者：黎高林 张君亮 秦梦阳 谢强 王幸尧 LI Gao-lin;ZHANG Jun-liang;QIN Meng-yang;XIE Qiang;WANG Xing-yao(Department of Rehabilitation,Pingkuang General Hospital of Pingxiang City,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市萍矿总医院康复科

出　　处：《中国当代医药》2019年第36期89-92,共4页China Modern Medicine

基　　金：江西省萍乡市科技计划项目

摘　　要：目的探讨运动再学习联合针刺疗法在缺血性脑卒中患者中的应用。方法选取2017年4月~2019年4月我院康复科收治的58例缺血性脑卒中患者作为研究对象,按照简单随机化法将其分为对照组(29例)和观察组(29例)。对照组接受常规缺血脑卒中治疗(普通针刺),观察组在对照组基础上联合运动再学习疗法。连续治疗2个月后,比较两组的血清学指标、神经功能缺损情况、上肢及手运动功能。结果治疗后,两组患者的血清同型半胱氨酸(Hcy)及脂蛋白(Lp)水平均低于治疗前,且观察组患者的Hcy及Lp水平均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的改良爱丁堡-斯堪的那维亚量表(MESSS)评分均低于治疗前,且观察组患者的MESSS评分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的Fugl-Meyer运动功能量表(FMA)上肢功能评分高于治疗前,且观察组患者的FMA上肢功能评分高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的手、手部精细运动评分均高于治疗前,且观察组的手及手部精细运动评分均高于对照组,差异有统计学意义(P<0.05)。结论对缺血性脑卒中患者采用运动再学习联合针刺疗法可改善其血清学水平、神经功能,提高上肢功能及手部功能水平。Objective To explore the application of motor relearning programme combined with acupuncture therapy in patients with ischemic stroke.Methods A total of 58 patients with ischemic stroke who were admitted to the rehabilitation department of our hospital from April 2017 to April 2019 were selected as the study objects,they were divided into the control group(29 cases)and the observation group(29 cases)according to the simple randomized method.The control group received conventional ischemic stroke treatment(common acupuncture),and the observation group received combined with motor relearning programme therapy on the basis of the control group.After two months of continuous treatment,serological indicators,neurological deficits,upper limb and hand motor function of the two groups were compared.Results After treatment,the serum levels of homocysteine(Hcy)and lipoprotein(Lp)in the two groups were lower than those before treatment,and the Hcy and Lp levels in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After treatment,the modified Edinburgs-Scandinavian scale(MESSS)scores of both groups were lower than those before treatment,and the MESSS score of the observation group was lower than that of the control group,with statistically significant differences(P<0.05).After treatment,the Fugl-meyer motor function scale(FMA)upper limb function score of the two groups was higher than that of the control group,and the FMA upper limb function score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,both groups had higher hand and hand fine motor scores than those before treatment,and the hand and hand fine motor scores in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Motor relearning programme combined with acupuncture therapy for patients with ischemic stroke can improve their serological level,n

关 键 词：缺血性脑卒中 运动再学习疗法 针刺疗法 上肢运动功能 

分 类 号：R246.6[医药卫生—针灸推拿学]