太极拳训练联合常规康复训练治疗脑卒中后平衡功能障碍临床观察  

Clinical Observation of Tai Chi Training Combined with Routine Rehabilitation Training in the Treatment of Post-stroke Balance Dysfunction

作　　者：郑海鹰[1] 周浩 杨典龙 ZHENG Haiying;ZHOU Hao;YANG Dianlong(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2020年第9期19-22,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省科学技术计划(201802208)。

摘　　要：目的观察太极拳训练联合常规康复训练治疗脑卒中(cerebral stroke,CS)后并发平衡功能障碍的临床疗效。方法将符合相应标准的74例CS后并发平衡功能障碍的病人按就诊顺序随机分入观察组与对照组各37例,对照组给予病人单纯的西医内科治疗及常规康复训练,观察组在对照组治疗的基础上增加太极拳训练疗法;两组治疗均4周为1个疗程,治疗3个疗程。结果两组病人在Berg评分与Fugl-Meyer评分的比较上,在经第2疗程的治疗后,观察组病人的改善程度要优于对照组(P<0.05),在经第3疗程的治疗后,观察组病人的改善程度要明显优于对照组(P<0.01);在中医证候评分与运动能力测定的比较上,两组与治疗前相比均有不同程度的降低(P<0.05或P<0.01),且观察组的降低程度更为明显(P<0.05)。结论太极拳训练联合常规康复训练治疗CS后平衡功能障碍的临床疗效显著。Objective To observe clinical effect of using Tai Chi training combined with routine rehabilitation training to treat balance dysfunction after CS.Methods 74 patients with post-CS complicated balance dysfunction who met the corresponding criteria were randomly assigned to the observation group and the control group in 37 cases.The control group was given simple Western medicine medical treatment and routine rehabilitation training.The observation group was in the control group.On the basis of treatment,Tai Chi training therapy was added;both treatments were treated for 4 weeks and 3 courses were treated.Results In the two groups of patients,the Berg score and the Fugl-Meyer score were compared.After the second course of treatment,the improvement of the observation group was better than that of the control group(P<0.05).After the third course of treatment,The improvement degree of the observation group was significantly better than that of the control group(P<0.01).Compared with the measurement of TCM syndrome score and exercise capacity,the two groups had different degrees of reduction compared with before treatment(P<0.05 or P<0.01),and the degree of reduction in the observation group is more obvious(P<0.05).Conclusion The clinical efficacy of Tai Chi training combined with routine rehabilitation training in the treatment of balance dysfunction after CS is significant.

关 键 词：太极拳 康复训练 脑卒中 平衡功能障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]