核心肌群穴位埋线对卒中后下肢运动功能的影响  

Effect of acupoint thread embedding at core muscle group on post-stroke lower limb motor function

作　　者：徐可欣 李敏[2] 石建爽 XU Kexin;LI Min;SHI Jianshuang(Guangzhou University of Chinese Medicine,Guangzhou 510080,China;GuangDong Second Traditional Chinese Medicine Hospital,Guangzhou 510080,China)

机构地区：[1]广州中医药大学,广州510080 [2]广东省第二中医院,广州510080

出　　处：《上海针灸杂志》2024年第1期66-70,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药局科研项目(202106082116263170)。

摘　　要：目的 观察核心肌群穴位埋线配合内科基础治疗及康复训练治疗卒中后下肢运动功能障碍的临床疗效。方法 将68例卒中后运动功能障碍患者随机分为观察组和对照组,每组34例。对照组给予内科基础治疗及常规康复训练,观察组在对照组基础上加用核心肌群穴位埋线治疗。观察并比较两组治疗前后患侧Fugl-Meyer下肢运动功能评分、患侧下肢肌力及静息状态下腹直肌厚度。结果 两组治疗后患侧Fugl-Meyer下肢运动功能评分较同组治疗前显著上升,患侧下肢肌力显著改善,静息状态下腹直肌厚度显著增加,差异均具有统计学意义(P<0.01,P<0.05)。两组治疗后患侧Fugl-Meyer下肢运动功能评分、患侧下肢肌力及静息状态下腹直肌厚度比较,差异均具有统计学意义(P<0.05)。结论 在内科基础治疗及常规康复训练的基础上,核心肌群穴位埋线能显著改善卒中后下肢运动功能障碍患者的下肢运动功能。Objective To observe the clinical efficacy of acupoint thread embedding at core muscle group plus basic treatment in internal medicine and rehabilitation training for post-stroke lower limb motor dysfunction.Method Sixty-eight patients with post-stroke lower limb motor dysfunction were randomized to observation and control groups,with 34 cases in each group.The control group received basic treatment in internal medicine and conventional rehabilitation training and the treatment group,acupoint thread embedding at core muscle group in addition.The affected-side Fugl-Meyer assessment of Lower Extremity score of motor function,affected-side lower limb myodynamia and static rectus abdominis thickness were observed and compared between the two groups before and after treatment.Result After treatment,the affected-side Fugl-Meyer assessment of Lower Extremity score of motor function increased significantly,affected-side lower limb myodynamia improved significantly and static rectus abdominis thickness increased significantly in the two groups compared with before with statistical significant differences(P<0.01,P<0.05).There were statistical significant post-treatment differences in the affected-side Fugl-Meyer Assessment of Lower Extremity score of motor function,affected-side lower limb myodynamia and static rectus abdominis thickness between the two groups(P<0.05).Conclusion On the basis of basic treatment in internal medicine and conventional rehabilitation training,acupoint thread embedding at core muscle group can markedly improve lower limb motor function in patients with post-stroke lower limb motor dysfunction.

关 键 词：埋藏疗法 埋线 中风后遗症 偏瘫 Fugl-Meyer运动功能评分表 肌骨超声 

分 类 号：R246.6[医药卫生—针灸推拿学]