互动式头针疗法对脑卒中患者下肢运动功能及平衡能力的影响  

Scalp acupunture can improve lower limb motor function and balance after a stroke

作　　者：杜以君 怀娟[1] 王永慧[1] 曲玉娟[1] 刘万林[1] Du Yijun;Huai Juan;Wang Yonghui;Qu Yujuan;Liu Wanin(Department of Rehabilitation,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院康复医学科,济南250012

出　　处：《中华物理医学与康复杂志》2024年第8期712-715,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然科学基金项目(82372563)。

摘　　要：目的观察互动式头针疗法对脑卒中患者下肢运动功能及平衡能力的影响。方法按照随机数字表法将82例脑卒中偏瘫患者分为传统头针组和互动式头针组, 每组41例。2组患者均给予常规对症支持治疗、头针治疗和下肢运动训练, 每日1次, 每周5次, 连续3周。传统头针组头针治疗与下肢运动训练分开实施, 互动式头针组在实施头针治疗的同时进行下肢运动训练。治疗前、治疗3周后(治疗后), 采用Fugl-Meyer运动功能量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、改良Barthel指数(MBI)及功能性步行量表(FAC)对2组患者进行疗效评定。结果治疗前, 2组患者的FMA-LE评分、MBI评分、BBS评分、FAC评级比较, 差异无统计学意义(P>0.05)。治疗后, 2组患者的FMA-LE评分、MBI评分、BBS评分均增加(P<0.05), 且互动式头针组治疗后的FMA-LE评分[(24.61±6.58)分]、MBI评分[(71.95±17.50)分]、BBS评分[42.0(25.0, 53.5)分]改善较为优异(P<0.05)。2组患者治疗后的FAC评级组间比较, 差异无统计学意义(P>0.05)。结论互动式头针疗法能有效改善脑卒中患者的下肢运动功能及平衡能力。ObjectiveTo observe any effect of dynamic scalp acupunture on the lower limb motor function and balance of stroke survivors.MethodsEighty-two hemiplegic stroke survivors were randomly divided into a traditional scalp acupuncture group and a dynamic scalp acupuncture group,each of 41.In addition to routine symptom support treatment,the traditional scalp acupuncture group was given daily scalp acupuncture treatment and lower limb motor training 5 times a week for 3 consecutive weeks.The dynamic scalp acupuncture group was treated separately on the same schedule.Before and after the treatment,all were evaluated using the lower extremity part of the Fugl-Meyer motor function scale(FMA-LE),the Berg Balance Scale(BBS),the modified Barthel index(MBI)and functional ambulation categories(FAC).ResultsWhere was no significant difference between the two groups in any of the measurements before the treatment.Afterward the average FMA-LE,MBI and BBS scores of both groups had increased significantly,with greater improvement in the dynamic scalp acupuncture group.There was no significant difference in the two groups′average functional ambulation categorization after the treatment.ConclusionsDynamic scalp acupunture can effectively improve the lower limb motor function and balance of stroke survivors.

关 键 词：脑卒中 互动式头针 下肢运动疗法 下肢功能障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]