针灸联合康复运动训练治疗脑卒中后偏瘫的效果观察  

Effects of acupuncture and moxibustion combined with rehabilitation exercise on post-stroke hemiplegia in patients

作　　者：王周红 张海玲 Wang Zhouhong;Zhang Hailing(Department of Rehabilitation Medicine,Zhoushan Hospital,Zhoushan316000,Zhejiang Province,China)

机构地区：[1]浙江省舟山医院康复医学科,舟山316000

出　　处：《中国基层医药》2025年第1期77-82,共6页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察针灸联合康复运动训练对脑卒中后偏瘫患者肢体运动功能、平衡功能和生活质量的影响。方法回顾性分析浙江省舟山医院于2022年1月至2023年9月收治的60例脑卒中后偏瘫患者的临床资料,按照康复方法不同分为对照组(30例)与研究组(30例)。研究组针灸联合康复运动训练治疗,对照组采用康复运动训练治疗。两组治疗周期8周。比较两组治疗后8周的临床疗效;采用Fulg-Meyer下肢运动量表、Berg平衡量表(BBS)、神经功能缺损程度(NIHSS)、日常生活活动能力(ADL)、脑卒中专用生活质量(SS-QOL)量表评价标准,治疗前与治疗后8周肢体运动功能、平衡功能、步态功能、神经功能和日常生活能力及生活质量变化。结果研究组治疗总有效率(93.33%,28/30)高于对照组(70.00%,21/30)(χ^(2)=5.45,P<0.05)。研究组治疗后Fulg-Meyer量表评分[(28.41±5.06)分]和BBS量表评分[(36.56±3.81)分]均高于对照组[(23.76±4.31)分和(27.39±4.57)分](t=-3.83、-8.44,均P<0.05)。研究组治疗后步频[(85.21±5.26)N]、步幅[(87.94±5.83)cm]和步速[(0.68±0.13)m/s]均高于对照组[(74.52±3.89)N、(78.85±6.17)cm和(0.57±0.10)m/s](t=-8.95、-5.87、-3.67,均P<0.05)。研究组治疗后NIHSS量表评分[(7.17±3.08)分]低于对照组的(10.28±2.45)分,而ADL量表评分[(64.31±13.38)分]高于对照组的(50.27±15.46)分,两组比较,差异均有统计学意义(t=4.33、-3.76,均P<0.05)。研究组治疗后SS-QOL量表评分[(168.48±23.15)分]高于对照组的(137.94±20.01)分(t=5.47,P<0.05)。结论针灸联合康复运动训练对脑卒中后偏瘫的疗效显著,可显著改善患者肢体运动功能、平衡功能,提高患者生活质量。ObjectiveTo investigate the effects of acupuncture and moxibustion combined with rehabilitation exercises on limb locomotor function,balance function,and quality of life in patients with post-stroke hemiplegia.MethodsA retrospective analysis of clinical data from 60 patients with post-stroke hemiplegia admitted to Zhoushan Hospital between January 2022 and September 2023 was conducted.The patients were divided into a control group(n=30)and a study group(n=30)based on different rehabilitation methods.The study group received acupuncture and moxibustion combined with rehabilitation exercise,while the control group underwent rehabilitation exercise alone.Both groups were treated for 8 weeks.After 8-week of treatment,clinical efficacy was compared between the two groups.The Fugl-Meyer Lower Limb Movement Scale,Berg Balance Scale,National Institutes of Health Stroke Scale,Activities of Daily Living scale,and Stroke-Specific Quality of Life Scale were used to assess changes in limb movement function,balance function,gait,neurological function,daily living abilities,and quality of life before and after the 8-week treatment.ResultsThe total response rate in the study group(93.33%,28/30)was significantly higher than that in the control group(70.00%,21/30,χ^(2)=5.45,P<0.05).After treatment,the Fugl-Meyer Lower Limb Movement Scale scores[(28.41±5.06)points]and the Berg Balance Scale scores[(36.56±3.81)points]in the study group were significantly higher than those in the control group[(23.76±4.31)points,(27.39±4.57)points,t=-3.83,-8.44,both P<0.05].After treatment,the study group demonstrated greater values in step frequency[(85.21±5.26)N],step length[(87.94±5.83)cm],and walking speed[(0.68±0.13)m/s]compared with the control group[(74.52±3.89)N,(78.85±6.17)cm,(0.57±0.10)m/s,t=-8.95,-5.87,-3.67,all P<0.05].The National Institutes of Health Stroke Scale scores in the study group[(7.17±3.08)points]was significantly lower than that in the control group[(10.28±2.45)points,t=4.33,P<0.05].The Activities of Daily Living

关 键 词：卒中 偏瘫 针刺穴位 灸法 中风康复 运动疗法 运动试验 生活质量 

分 类 号：R47[医药卫生—护理学]