头针配合镜像疗法对中风后下肢功能障碍患者运动功能及生活能力的影响  

Effects of Scalp Acupuncture Combined with Mirror Therapy on Motor Function and Living Ability in Patients with Post-stroke Lower-limb Dysfunction

作　　者：陈立霞 李承家[1] 王亭亭 杨傲然[1] CHEN Li-xia;LI Cheng-jia;WANG Ting-ting;YANG Ao-ran(Beijing Rehabilitation Hospital of Capital Medical University,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京康复医院,北京100144

出　　处：《上海针灸杂志》2021年第3期279-283,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：北京市中医管理局中医康复体系建设专项。

摘　　要：目的观察头针配合镜像疗法对中风后下肢功能障碍患者运动功能及生活能力的影响。方法选取中风后下肢功能障碍患者84例,按照随机数字表法随机分为观察组和对照组,每组42例。对照组患者采用常规治疗联合镜像疗法,观察组在对照组的基础上增加头针治疗。比较两组患者治疗前后伸膝位踝背伸角度及胫前肌均方根(RMS)值,Fugl-Meyer量表、Berg平衡量表、改良Barthel指数(MBI)评分,以及10 m步行时间。结果治疗后,两组患者伸膝位踝背伸角度与胫前肌RMS值均明显高于治疗前(P<0.05),且观察组明显高于对照组(P<0.05);治疗后两组患者Fugl-Meyer、Berg及MBI评分均明显高于治疗前(P<0.05),且观察组明显高于对照组(P<0.05);治疗后,两组患者10 m步行时间均明显低于治疗前(P<0.05),且观察组明显低于对照组(P<0.05)。结论头针配合镜像疗法可有效改善中风后下肢功能障碍患者下肢功能,提高患者运动及生活能力。Objective To observe the effects of scalp acupuncture plus mirror therapy on motor function and living ability in patients with post-stroke lower-limb dysfunction.Method Eighty-four patients with post-stroke lower-limb dysfunction were recruited and randomized into an observation group and a control group using the random number table method,with 42 cases in each group.Patients in the control group received conventional treatment and mirror therapy,while the observation group was given additional scalp acupuncture treatment.The ankle dorsiflexion angle and root mean square(RMS)of anterior tibialis muscle in knee extension,scores of Fugl-Meyer Assessment(FMA)of lower-limb motor function,Berg Balance Scale(BBS)and Modified Barthel Index(MBI),and time cost for 10 m walk in the two groups were compared before and after treatment.Result The ankle dorsiflexion angle and RMS of anterior tibialis muscle in knee extension increased significantly after treatment in both groups(P<0.05),and were notably higher in the observation group than in the control group(P<0.05);the FMA,BBS and MBI scores elevated significantly after treatment in both groups(P<0.05),and were markedly higher in the observation group than in the control group(P<0.05);after treatment,the time cost for 10 m walk was shortened significantly in the two groups(P<0.05),and was notably shorter in the observation group than in the control group(P<0.05).Conclusion Scalp acupuncture plus mirror therapy can effectively improve the lower-limb function and the motion and living abilities in patients with post-stroke lower-limb dysfunction.

关 键 词：头针 镜像疗法 中风后遗症 Fugl-Meyer量表 BERG平衡量表 

分 类 号：R246.6[医药卫生—针灸推拿学]