针刺足少阳、阴跷脉穴结合站立位重心控制练习对中风后足内翻患者康复的影响  

Effect of Acupuncture at Points of Foot Shaoyang Meridian and Yinqiaomai Combined with Standing Center of Gravity Control Exercise on Rehabilitation of Patients with Foot Varus after Stroke

作　　者：吕凤立 LYU Fengli(Department of Encephalopathy Rehabilitation,The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院脑病康复科,天津300193

出　　处：《辽宁中医杂志》2021年第6期207-210,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015022)。

摘　　要：目的探究针刺足少阳、阴跷脉穴结合站立位重心控制练习对中风后足内翻患者康复影响。方法研究共计纳入102例中风后足内翻患者,均由该院康复科2017年1月—2020年1月收治,采取随机数字表法将患者分为两组,对照组患者(51例)采取站立位重心控制练习康复训练,观察组患者(51例)则给予针刺足少阳、阴跷脉穴结合站立位重心控制练习康复治疗,比较两组患者康复治疗效果、治疗前后holden功能性步行分级(FAC)情况变化、治疗前后两组患者下肢肌张力评分、步速变化及平均跨步长度变化、治疗前后两组患者足内翻角度、下肢功能障碍程度(FMA-L)、日常生活活动量表(ADL)评分变化、患者对本次康复治疗满意度。结果观察组患者康复治疗有效率(96.08%,49/51)高于对照组(82.35%,42/51)(P<0.05);治疗前,两组患者FAC、下肢肌张力评分、步速变化及平均跨步长度、足内翻角度、FMA-L及ADL评分等指标比较(P>0.05),治疗后各组患者FAC、下肢肌张力评分、、步速变化及平均跨步长度、足内翻角度、FMA-L及ADL评分等指标均改善,观察组患者治疗后FAC、下肢肌张力评分、、步速变化及平均跨步长度、足内翻角度、FMA-L及ADL评分等指标均优于对照组(P<0.05);观察组患者本次康复治疗满意率(98.04%,50/51)高于对照组(82.35%,42/51)(P<0.05)。结论针刺足少阳、阴跷脉穴结合站立位重心控制练习可显著提升中风后足内翻临床疗效,患者下肢功能及日常生活能力提升,患者十分满意,值得推广以及应用。Objective To explore the effects of acupuncture at points of foot Shaoyang and Yinqiaomai combined with the rehabilitation training of center of gravity control in standing position of patients with foot varus after stroke.Methods In the study,102 patients with strephenopodia after stroke in the rehabilitation department of our hospital from January 2017 to January 2020 were analyzed.By taking a random number table method,the patients were divided into two groups.The control group(51 cases) used the rehabilitation training of center of gravity control in standing position.The observation group(51 cases) was given acupuncture at points of foot Shaoyang and Yinqiaomai combined with the rehabilitation training of center of gravity control in standing position.The results of rehabilitation treatment,the changes of Holden functional walking grade(FAC) before and after treatment,the changes of lower extremity muscle tension,the changes of gait speed and average stride length,the angle of foot varus,FMA-L,ADL,the rehabilitation and satisfaction were compared before and after treatment.Results The effective rate of rehabilitation treatment in the observation group(96.08%,49/51) was higher than that in the control group(82.35%,42/51)(P<0.05).Before treatment,FAC,lower limb muscle tension score,step speed change and average stride length,foot varus angle,FMA-L and ADL scores of the two groups were not significant(P>0.05).After treatment,FAC,lower limb muscle tension score,step speed change and average stride length,foot varus angle,FMA-L and ADL scores of the two groups were improved,while FAC,lower limb muscle tension score of the observation group were improved.The scores,walking speed,average stride length,foot varus angle,FMA-L and ADL scores of the observation group were better than those of the control group(P<0.05).The satisfaction rate of the rehabilitation treatment of the observation group(98.04%,50/51) was higher than that of the control group(82.35%,42/51)(P<0.05).Conclusion Acupuncture at points of foot Shaoya

关 键 词：中风后足内翻 针刺 足少阳 阴跷脉 站立位重心控制练习 康复 

分 类 号：R247.9[医药卫生—中医临床基础]