“治神调髓”组穴针刺联合核心稳定训练对脑卒中后偏瘫患者平衡功能及生活质量的影响  

Effect of Acupoint Acupuncture Combined with Core Stabilization Training on Balance Function and Quality of Life of Post-Stroke Hemiplegic Patients

作　　者：林金[1] 赵卫卫[1] 王永正[1] 肖华[1] 邵晨兰 LIN Jin;ZHAO Weiwei;WANG Yongzheng(Deyang People's Hospital,Sichuan Deyang 618000,China)

机构地区：[1]四川省德阳市人民医院康复医学科,四川德阳618000

出　　处：《河北医学》2022年第7期1157-1161,共5页Hebei Medicine

基　　金：四川省卫生和计划生育科研课题,(编号:17PJ387)。

摘　　要：目的:探究“治神调髓”组穴针刺与核心稳定训练联合治疗对脑卒中后偏瘫患者生活质量和平衡功能的影响。方法:收集2020年2月至2021年2月本院收治的脑卒中后偏瘫患者151例作为研究对象,按照简单随机分组的方法分为对照组(n=75)和观察组(n=76),对照组患者采用“治神调髓”组穴针刺治疗,观察组患者在对照组患者基础上接受核心稳定训练治疗,比较两组患者的美国国立卫生研究院卒中(NIHSS)量表评分、Barthel评分、肢体运动功能状态(FMA)评分、Breg平衡量表(BBS)评分、10米最大步行速度(10MWS)以及生活质量。结果:不同时间的NIHSS差异有统计学意义(F_(时间)=21.241,P<0.05),两组间NIHSS评分有差异(F_(组间)=6.775,P<0.05),分组与时间对NIHSS评分影响的交互作用有统计学意义(F_(交互)=15.244,P<0.05),两组患者NIHSS评分均呈下降趋势,观察组下降幅度更大。治疗后,两组患者Barthel和FMA评分较治疗前升高幅度较明显,且观察组升高幅度较对照组更显著。两组治疗后评分较治疗前升高幅度明显,且观察组10MWS和BBS评分较对照组升高幅度更显著。两组治疗后SF-36评分较治疗前升高幅度明显,且观察组SF-36评分较对照组升高幅度更显著(P<0.05)。结论:“治神调髓”组穴针刺联合核心稳定训练应用于脑卒中后偏瘫患者,有利于患者神经功能的恢复,能够提高患者的日常生活能力、运动功能状态、平衡功能和生活质量。Objective:To explore the effect of acupuncture point combined with core stabilization training on quality of life and balance function of post-stroke hemiplegia patients.Methods:From February 2020 to February 2021,151 patients with post-stroke hemiplegia were collected and divided into a control group(n=75)and an observation group(n=76)according to a simple randomized grouping method.The patients in the control group were treated with acupuncture using the"Cure Shen and Tone Marrow"acupuncture point group,while the patients in the observation group received core stabilisation training on top of the control group.The National Institutes of Health Stroke Scale(NIHSS)scores,Barthel scores,Functional Movement Status(FMA)scores,Breg Balance Scale(BBS)scores,10m maximum walking speed(10MWS)and quality of life were compared between the two groups.Results:The difference in NIHSS by time was statistically significant(F_(time)=21.241,P<0.05),there was a difference in NIHSS scores between the two groups(F_(between groups)=6.775,P<0.05),and the interaction between group and time on the effect of NIHSS scores was statistically significant(F_(interaction)=15.244,P<0.05),both groups showed a decreasing trend,with a greater decrease in the observation group.After treatment,Barthel and FMA scores increased significantly in both groups compared to the pre-treatment scores,and the increase in the observation group was more significant than that in the control group.The 10MWS and BBS scores increased more significantly in the observation group than in the control group.The SF-36 scores increased significantly in both groups compared to the pre-treatment scores,and the increase in the SF-36 scores was more significant in the observation group compared to the control group(P<0.05).Conclusion:Acupoint acupuncture combined with core stabilization training is beneficial to the recovery of nerve function in patients with post-stroke hemiplegia,and can improve their daily living ability,motor function,balance function and quality of life.

关 键 词：“治神调髓”组穴 针刺 核心稳定训练 脑卒中 平衡功能 生活质量 

分 类 号：R246.6[医药卫生—针灸推拿学]