头针联合反复促通疗法对偏瘫患者下肢运动功能的疗效观察  

Therapeutic Effect of Scalp Acupuncture Combined with Repetitive Facilitation Exercise on Lower Limb Motor Function in Patients with Hemiplegia

作　　者：庞争争 吕亚希 高春华 PANG Zhengzheng;LYU Yaxi;GAO Chunhua(Department of Acupuncture and Moxibustion,Wuhan No.1 Hospital,Wuhan 430022,China;Department of Rehabilitation Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]武汉市第一医院针灸科,武汉430022 [2]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《神经损伤与功能重建》2023年第9期518-521,共4页Neural Injury and Functional Reconstruction

基　　金：湖北省自然科学基金(KYN通路在重复经颅磁刺激治疗大鼠脑卒中后疲劳中作用机制的研究,No.2019CFC921)。

摘　　要：目的:观察头针结合反复促通疗法(repetitive facilitative exercise,RFE)对偏瘫患者下肢运动功能障碍的影响。方法:将90例脑卒中患者采用随机数字表法分为RFE组(45例)和对照组(45例)。2组均接受头针加常规康复治疗,RFE组还在头针留针期间予RFE,连续治疗6周。在治疗前及治疗6周后,采用下肢Fugl-Meyer运动功能量表(Fugl-Meyer assessment,FMA)评估下肢运动功能、Berg平衡量表(Berg balance scale,BBS)评估平衡能力、改良Barthel指数量表(modified Barthel index,MBI)评估日常活动能力、10米最大步行速度测试(10-meter maximum walking test,10MWT)评估步行能力。结果:治疗6周后2组患者BBS、10MWT、MBI、FMA评分均高于治疗前(P<0.01),且RFE组治疗后的BBS、10MWT、MBI、FMA评分均显著优于对照组(P<0.01)。结论:头针结合RFE治疗偏瘫患者下肢运动功能有较好疗效。Objective:To investigate the therapeutic effect of scalp acupuncture combined with repetitive facilitation exercise(RFE)on lower limb motor dysfunction in hemiplegic patients.Methods:A total of 90 patients with stroke were randomly divided into RFE group(n=45)and control group(n=45)using a random number table method.The control group received scalp acupuncture and routine rehabilitation treatment while the RFE group received RFE during the retention period of scalp needle.All treatments were administered continuously for 6 weeks.Before and after treatments,the motor function of lower limbs was evaluated using the Fugl-Meyer assessment(FMA),the balance ability was evaluated using the Berg balance scale(BBS),the daily activity ability was evaluated using the modified Barthel index scale(MBI),and the walking ability was evaluated using the 10-meter maximum walking speed test(10MWT).Results:After 6 weeks of treatments,the BBS,10MWT,MBI,and FMA scores in patients of both groups were significantly higher than those before treatment(P<0.01).The BBS,10MWT,MBI,and FMA scores of the RFE group after treatment were significantly higher than those of the control group after treatment(P<0.01).Conclusion:The combination of scalp acupuncture and RFE demonstrated a better therapeutic effect than regular scalp acupuncture on lower limb motor function in hemiplegic patients.

关 键 词：脑卒中 头针 反复促通疗法 下肢运动功能 

分 类 号：R741[医药卫生—神经病学与精神病学] R743.3[医药卫生—临床医学] R493