督灸联合基于镜像疗法的上肢力反馈运动控制训练对急性缺血性脑卒中患者上肢功能恢复的疗效分析  

Efficacy of Du-moxibustion Therapy Combined with Upper Limb Force Feedback Motion Control Training Based on Mirror Therapy on the Recovery of Upper Limb Function in Acute Ischemic Stroke Patients

作　　者：徐宁[1] 董卫华[1] 高赟 王渭芳 XU Ning;DONG Weihua;GAO Yun;WANG Weifang(Department of Rehabilitation,Wujin Affiliated Hospital,Nanjing University of Chinese Medicine,Changzhou,Jiangsu 213100,China)

机构地区：[1]南京中医药大学武进附属医院康复科,江苏常州213100

出　　处：《湖南中医药大学学报》2021年第9期1361-1364,共4页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨督灸联合基于镜像疗法的上肢力反馈运动控制训练对急性缺血性脑卒中患者上肢功能恢复的效果。方法选取2019年1月至2021年1月在南京中医药大学武进附属医院就诊的急性缺血性脑卒中患者76例,按随机数字表法分为治疗组(n=38)和对照组(n=38)。两组均给予西医常规治疗,对照组予常规康复训练措施,治疗组给予督灸联合基于镜像疗法的上肢力反馈运动控制训练。连续治疗2周后,比较两组Fugl-Meyer上肢运动功能(FMA-UE)、Wolf运动功能测试(WMFT)、Barthel指数(BI)评分以及临床疗效、血液流变学改善情况。结果治疗后,两组FMA-UE、WMFT、BI评分显著增加,且治疗组显著高于对照组(P<0.01);治疗组的总有效率显著高于对照组(P<0.05);治疗后,两组纤维蛋白原、血浆黏度、全血低切黏度、全血高切黏度明显下降,且治疗组明显低于对照组(P<0.01)。结论督灸联合基于镜像疗法的上肢力反馈运动控制训练,能改善急性缺血性脑卒中患者的上肢功能和日常生活能力,提高临床疗效,改善血液流变学指标。Objective To investigate the efficacy of Du-moxibustion therapy combined with upper limb force feedback motion control training based on mirror therapy on the recovery of upper limb function in acute ischemic stroke patients.Methods A total of 76 patients with acute ischemic stroke admitted to Wujin Affiliated Hospital of Nanjing University of Chinese Medicine from January of 2019 to January of 2021 were selected and divided into treatment group(n=38)and control group(n=38)according to random number table method.Two groups were given conventional western medicine treatment.The control group received routine rehabilitation training measures.The treatment group was given Du-moxibustion therapy combined with upper limb force feedback motion control training based on mirror therapy.After continuous treatment for 2 weeks,scores of Fugl-Meyer upper limb motor function(FMA-UE),Wolf motor function test(WMFT),Barthel index(BI),the clinical efficacy,and improvement of hemorheology were compared between the two groups.Results After treatment,scores of FMA-UE,WMFT and BI were significantly increased in the two groups,and the treatment group was significantly higher than the control group(P<0.01).The total effective rate in treatment group was significantly higher than that in control group(P<0.05).After treatment,fibrinogen,plasma viscosity,whole blood low-cut viscosity and whole blood high-cut viscosity were significantly increased in both groups,and the treatment group was significantly lower than the control group(P<0.01).Conclusion Du-moxibustion therapy combined with upper limb force feedback motion control training based on mirror therapy can improve upper limb function and lifer quality in acute ischemic stroke patients,increase the efficacy,and improve hemorheology index.

关 键 词：急性缺血性脑卒中 督灸 镜像疗法 运动控制训练 上肢运动功能 

分 类 号：R24[医药卫生—中医临床基础]