解痉纠偏针法联合等速肌力训练对脑卒中后偏瘫患者的治疗效果  

Effect of Antispasmodic and Corrective Acupuncture Combined with Isokinetic Muscle Strength Training on Patients with Post-Stroke Hemiplegia

作　　者：张大尉 张虎 周海文 ZHANG Dawei;ZHANG Hu;ZHOU Haiwen(Department of Rehabilitation,Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital,Beijing 101300,China)

机构地区：[1]北京中医医院顺义医院康复科,北京市101300

出　　处：《实用心脑肺血管病杂志》2024年第11期47-51,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：北京市科技计划项目(Z171100001017150)。

摘　　要：目的探讨解痉纠偏针法联合等速肌力训练对脑卒中后偏瘫患者的治疗效果。方法选取2022年2月—2023年11月北京中医医院顺义医院收治的脑卒中后偏瘫患者102例,采用随机数字表法将患者分为等速肌力组和联合治疗组,每组51例。患者入院后接受常规治疗,包括控制血糖、血压、血脂及抗血小板聚集等治疗。等速肌力组患者接受等速肌力训练治疗,联合治疗组在等速肌力组治疗的基础上接受解痉纠偏针法治疗,共治疗4周。比较两组治疗后临床疗效,治疗前后下肢肌张力〔采用改良Ashworth评定量表(MAS)分级评估〕、步态指标(步速、步宽、步态周期、患侧支撑相、健侧支撑相、步长偏差)、身体平衡功能〔采用Berg平衡量表(BBS)评估〕、肢体运动功能〔采用Fugl-Meyer运动功能评估量表(FMA)评估〕、日常生活活动能力〔采用改良Barthel指数(mBI)评估〕。结果联合治疗组临床疗效优于等速肌力组(P<0.05)。治疗后,联合治疗组下肢MAS分级低于等速肌力组(P<0.05)。治疗后,两组步速分别快于本组治疗前,步宽、步态周期、患侧支撑相、健侧支撑相、步长偏差分别小于本组治疗前,且联合治疗组步速快于等速肌力组,步宽、步态周期、患侧支撑相、健侧支撑相、步长偏差小于等速肌力组(P<0.05)。治疗后,两组BBS评分、FMA评分、mBI评分分别高于本组治疗前,且联合治疗组BBS评分、FMA评分、mBI评分高于等速肌力组(P<0.05)。结论解痉纠偏针法联合等速肌力训练可提高脑卒中后偏瘫患者临床疗效,改善患者下肢肌张力,调节患者步态,提高身体平衡功能及肢体运动功能,改善患者日常生活活动能力。Objective To explore the effects of antispasmodic and corrective acupuncture combined with isokinetic muscle strength training on patients with post-stroke hemiplegia.Methods A total of 102 patients with post-stroke hemiplegia admitted to Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital from February 2022 to NovembeR2023 were selected.Patients were divided into the isokinetic muscle strength group and the combined therapy group by the random numbeRtable method,with 51 cases in each group.The patient was given conventional treatment afteRadmission,including control of blood sugar,blood pressure and blood lipids,anti-platelet aggregation,and otheRtreatments.Patients in the isokinetic muscle strength group received isokinetic muscle strength training treatment,and the combined therapy group received antispasmodic and corrective acupuncture on the basis of isokinetic muscle strength group,both groups were treated foR4 weeks.The clinical efficacy after treatment,loweRlimb muscle tone[assessed by Modified Ashwort Scores(MAS)grading],gait indexes(gait speed,gait width,gait cycle,support phase on the affected side,support phase on the healthy side,and stride length deviation),body balance function[assessed by Berg Balance Scale(BBS)],limb motoRfunction[assessed by Fugl-MeyeRMotoRFunction Assessment(FMA)],and activities of daily living[assessed by modified Barthel Index(mBI)]before and afteRtreatment were compared between the two groups.Results Clinical efficacy in the combined therapy group was betteRthan that in the isokinetic muscle strength group(P<0.05).AfteRtreatment,the MAS grading in the combined therapy group was loweRthan that in the isokinetic muscle strength group(P<0.05).AfteRtreatment,the step speed of the two groups was fasteRthan that before treatment,and the step width,gait cycle,support phase on the affected side,support phase on the healthy side,and stride length deviation were smalleRthan those before treatment,respectively,and the step speed in the combined therapy group was fasteRthan th

关 键 词：卒中 偏瘫 解痉纠偏针法 等速肌力训练 治疗结果 

分 类 号：R743[医药卫生—神经病学与精神病学]