蜂针联合Bobath运动疗法在脑卒中后肢体运动功能障碍患者中的效果及对CSS与MRS评分的改善  

Efficacy of bee acupuncture combined with Bobath exercise therapy on patients with limb motor dysfunction after stroke and improvement of CSS and MRS scores

作　　者：赖耀铭[1] 高升[1] 陈泓鑫[1] 谢嘉亮 罗志伟 LAI Yaoming;GAO Sheng;CHEN Hongxin;XIE Jialiang;LUO Zhiwei(Department of Rehabilitation Medicine,the Fifth Affiliated Hospital of Guangzhou Medical University,Guangdong,Guangzhou 510700,China)

机构地区：[1]广州医科大学附属第五医院康复医学科,广东广州510700

出　　处：《中国医药科学》2022年第23期168-172,共5页China Medicine And Pharmacy

基　　金：广东省中医药局科研项目(20192052)。

摘　　要：目的 探讨蜂针与Bobath运动疗法联合应用于脑卒中后肢体运动功能障碍患者中的效果及对脑卒中患者中国中风评分(CSS)与改良Rankin量表评分(MRS)的改善情况。方法 收集2019年1月至2020年12月广州医科大学附属第五医院接收的90例脑卒中后肢体运动功能障碍患者,根据随机数表法将其分为两组,对照组45例予以Bobath运动疗法干预,观察组45例予以蜂针与Bobath运动疗法联合干预,比较两组治疗方法的临床效果及CSS、MRS评分差异。结果 观察组干预后的肢体痉挛分级优于对照组(P <0.05),且观察组总有效率为95.56%,高于对照组的80.00%(P <0.05);观察组干预后的简化FuglMeyer运动功能评分量表(FMA)、日常生活能力量表(ADL)评分高于对照组(P <0.05);观察组干预后的CSS、MRS评分低于对照组(P <0.05)。结论 蜂针与Bobath运动疗法联合应用于脑卒中后肢体运动功能障碍患者中可有效降低其肢体痉挛程度、提升总有效率,并且有助于改善其肢体运动能力、日常生活能力、神经功能及预后。Objective To investigate the efficacy of bee acupuncture combined with Bobath exercise therapy on patients with limb motor dysfunction after stroke and improvement of China stroke score(CSS) and modified Rankin scale(MRS) scores of stroke patients in China. Methods A total of 90 patients with limb motor dysfunction after stroke admitted to the Fifth Affiliated Hospital of Guangzhou Medical University from January 2019 to December 2020 were collected, and they were divided into the control group(n=45) and the observation group(n=45) according to the random number table method. The control group was treated with Bobath exercise therapy intervention, while the observation group was treated with combined intervention of bee acupuncture and Bobath exercise therapy. The clinical efficacy and CSS and MRS scores contrast between the treatment methods of the two groups were compared. Results The grade of limb spasm in the observation group after intervention was superior to that in the control group(P < 0.05), and the overall response rate in the observation group was 95.56%, higher than 80.00% in the control group(P < 0.05). The scores of Fugl-Meyer assessment scale(FMA)and activity of daily living scale(ADL) in the observation group after intervention were higher than those in the control group(P < 0.05). The CSS and MRS scores of the observation group after intervention were lower than those of the control group(P < 0.05). Conclusion Bee acupuncture combined with Bobath exercise therapy in patients with limb motor dysfunction after stroke can effectively reduce the degree of limb spasm, improve the overall response rate, and help to improve their limb motor ability, daily living ability, neurological function and prognosis.

关 键 词：蜂针 Bobath运动疗法 脑卒中 肢体运动功能障碍 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]