太乙针灸联合改良强制性运动疗法治疗脑梗死偏瘫的临床效果  

Clinical effect of Tai-Yi acupuncture combined with modified compulsory exercise therapy on cerebral infarction hemiplegia

作　　者：李金华 袁帅[2] 张传旭 LI Jin-hua;YUAN Shuai;ZHANG Chuan-xu

机构地区：[1]新郑华信民生医院康复医学科,河南新郑450000 [2]河南省洛阳正骨医院颈肩腰腿痛四科,河南郑州450000 [3]郑州中医骨伤病医院康复治疗科,河南郑州450000

出　　处：《中国疗养医学》2024年第3期78-81,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的回顾性分析太乙针灸联合改良强制性运动疗法(mCIMT)治疗脑梗死偏瘫患者的疗效及对患者肌力、平衡能力、生活质量的影响。方法选取新郑华信民生医院2021年12月至2023年5月收治的82例脑梗死偏瘫患者病历资料,根据不同治疗方案分为两组,各41例。对照组采用mCIMT,联合组行太乙针灸联合mCIMT。对比两组疗效、肌力与平衡能力、踝背肌电图参数[胫前肌、腓肠肌积分肌电值(iEMG)]、功能性步行能力、10 m步行测试(10MWT)及生活质量。结果联合组疗效优于对照组(P<0.05);治疗后联合组腓肠肌iEMG(52.60±6.37)μV/s低于对照组(47.91±7.26)μV/s,平衡、肌力评分与胫前肌iEMG分别为(35.16±5.72)分、(4.01±0.32)分、(37.62±6.11)μV/s,高于对照组的(29.63±6.14)分、(3.74±0.51)分、(40.51±5.90)μV/s(P<0.05);治疗后联合组功能性步行能力分级改善情况优于对照组(P<0.05);治疗后联合组步长、步速、步频分别为(0.61±0.13)m、(0.54±0.17)m/s、(76.13±6.39)步/min,高于对照组的(0.54±0.15)m、(0.47±0.12)m/s、(70.16±5.97)步/min,能量消耗指数(0.72±0.21)低于对照组(0.83±0.26),P<0.05;治疗后联合组生活质量评分(195.87±27.23)分高于对照组(168.99±24.71)分(P<0.05)。结论太乙针灸联合mCIMT治疗脑梗死偏瘫疗效确切,可缓解肌肉痉挛,改善肌力、平衡与功能性步行能力,提高生活质量。Objective To analyze retrospectively the therapeutic effect of Tai-Yi acupuncture combined with modified constraint-induced movement therapy(mCIMT)on cerebral infarction patients with hemiplegia and its influence on muscle strength,balance capacity and quality of life.Methods Medical records of 82 patients with cerebral infarction hemiplegia admitted to Xinzheng Huaxin Minsheng Hospital from December 2021 to May 2023 were selected and divided into two groups according to different treatment plans,with 41 cases each.The control group received mCIMT,and the combined group received Tai-Yi acupuncture combined with mCIMT.Therapeutic effect,muscle strength and balance capacity,ankle dorsal electromyography parameters(integrated electromyography[iEMG]of anterior tibialis muscle and gastrocnemius muscle),functional walking ability,10 m walking test(10MWT)and quality of life were compared between the two groups.Results The therapeutic effect of the combined group was better than that of the control group(P<0.05).After treatment,the iEMG of gastrocnemius muscle in the combined group was(52.60±6.37)μV/s lower than that of the control group(47.91±7.26)μV/s,and the balance capacity and muscle strength and iEMG of anterior tibial muscle were(35.16±5.72)points,(4.01±0.32)points and(37.62±6.11)μV/s,respectively,higher than those of the control group(29.63±6.14)points,(3.74±0.51),(40.51±5.90)μV/s(P<0.05);After treatment,the improvement of functional walking ability in the combined group was better than that in the control group(P<0.05).After treatment,the step length,step speed and step frequency of the combined group were(0.61±0.13)m,(0.54±0.17)m/s and(76.13±6.39)steps/min,which were higher than those of the control group(0.54±0.15)m,(0.47±0.12)m/s and(70.16±5.97)steps/min,respectively.The energy expenditure index(0.72±0.21)was lower than that of the control group(0.83±0.26),P<0.05.After treatment,the score of quality of life in the combined group(195.87±27.23)was higher than that in the control group(168.9

关 键 词：太乙针灸 改良强制性运动疗法 脑梗死 偏瘫 平衡能力 

分 类 号：R743.33[医药卫生—神经病学与精神病学]