子午流注针刺法结合康复训练治疗脑卒中后遗症临床观察  

Clinical Observation of Applying Ziwu Liuzhu Acupuncture Method Combined with Rehabilitation Training in the Treatment of Sequelae of Stroke Patients

作　　者：骆丽娜[1] 李雅青[1] 刘丽丽[1] 杨碧莹[1] LUO Li’na;LI Yaqing;LIU Lili(Epilepsy Center,the Fourth Department of Neurology,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou Guangdong 510515,China)

机构地区：[1]广东省中医院神经四科癫痫中心,广东广州510515

出　　处：《四川中医》2021年第10期195-197,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察子午流注针刺法康复训练治疗脑卒中患者后遗症的疗效。方法:回顾性观察我院2018.1~2020.12月101例脑梗死后遗症患者,将采取子午流注针刺法结合康复训练的51例患者设为A组,将采取常规康复训练的50例患者设为B组,比较两组患者治疗的疗效、下肢运动功能、日常生活能力、步行和平衡能力,血清中白蛋白(ALB)、球蛋白(GLB)的水平。结果:A组患者总有效率为92.16%,B组患者总有效率为76.00%;A组患者总有效率高于对照组(P<0.05)。治疗前两组患者Fugl-Meyer下肢运动量表(FMA)、改良Barthel指数评定量表(BI)、最大步行速度(MWS)、Berg平衡量表(BBS)差异不显著(P>0.05),治疗后两组患者FMA、BI、BBS均增高,MWS下降;且观察组患者FMA、BI、BBS均高于对照组,观察组患者MWS低于对照组(P<0.05)。治疗前两组患者血清中ALB、GLB差异不显著(P>0.05),治疗后两组患者血清ALB、GLB表达均增高;且观察组患者血清中ALB、GLB表达高于对照组(P<0.05)。结论:子午流注结合康复训练对脑卒中患者后遗症的治疗效果较好,显著地改善下肢运动功能、日常生活能力、步行和平衡能力,调节血清中蛋白水平。Objective:To observe the effect of Ziwu Liuzhu acupuncture rehabilitation training on the sequelae of stroke patients.Methods:A retrospective observation of 101 patients with sequelae of cerebral infarction in our hospital from January 2018 to December 2020,51 patients who took Ziwu Liuzhu acupuncture combined with rehabilitation training were set as group A,and 50 patients who took conventional rehabilitation training were set as Group B,compared the efficacy of treatment,lower limb motor function,ability of daily living,walking and balance ability,serum albumin(ALB)and globulin(GLB)levels in the two groups.Results:The total effective rate of patients in the group A was 92.16%,the total effective rate of patients in the group B was 76.00%;the total effective rate of patients in the group A was higher than that in the controlled group(P<0.05).Before treatment,there were no significant differences in Fugl-Meyer Lower Limb Movement Scale(FMA),Modified Barthel Index Rating Scale(BI),Maximum Walking Speed(MWS),and Berg Balance Scale(BBS)between the two groups of patients(P>0.05).The FMA,BI,BBS of the two groups of patients increased,and the MWS decreased;and the FMA,BI,BBS of the observation group were higher than the controlled group,and the MWS of the observation group was lower than the controlled group(P<0.05).Before treatment,there was no significant difference in serum ALB and GLB between the two groups of patients(P>0.05).After treatment,the expression of serum ALB and GLB in the two groups increased;and the expression of ALB and GLB in serum of the observation group was higher than that of the controlled group(P<0.05).Conclusion:Ziwu Liuzhu combined with rehabilitation training has a good therapeutic effect on the sequelae of stroke patients.It can significantly improve lower limb motor function,daily living ability,walking and balance ability,and regulate serum protein level.

关 键 词：子午流注针刺法 针刺 康复训练 脑卒中 后遗症 

分 类 号：R246.6[医药卫生—针灸推拿学]