五线七针疗法联合肢体康复锻炼治疗脑卒中后肢体功能障碍的临床效果研究  

Clinical Study on the Effect of Five-line and Seven-needle Therapy Combined with Limb Rehabilitation Exercise in the Treatment of Limb Dysfunction after Stroke

作　　者：魏婕 苏庆庆 WEI Jie;SU Qingqing(Department of Physiotherapy,the Central Hospital of Xuzhou City,Xuzhou,Jiangsu 221009,China)

机构地区：[1]徐州市中心医院理疗科,江苏徐州221009

出　　处：《临床误诊误治》2025年第5期84-88,100,共6页Clinical Misdiagnosis & Mistherapy

基　　金：江苏省卫生健康委科研课题(Ym2023012)。

摘　　要：目的探讨五线七针疗法和肢体康复锻炼在脑卒中肢体功能障碍患者治疗中的效果。方法选取2020年1月至2023年12月收治的脑卒中后肢体功能障碍102例,采用随机数字表法分成观察组和对照组,对照组52例给予肢体康复锻炼治疗,观察组50例在对照组基础上联合五线七针疗法治疗,2组均治疗4周。治疗后比较2组临床疗效、Brunnstrom分级改善情况、不良反应,以及治疗前后改良Barthel指数评定量表(MBI)评分、Wolf运动功能测试量表(WMFT)评分、Fugl-Meyer评分、美国国立卫生研究院卒中量表(NIHSS)评分、中医证候积分和血清炎性因子水平变化。结果治疗后观察组总有效率为94.00%(47/50)高于对照组的75.00%(39/52),差异有统计学意义(P<0.01)。治疗后2组NIHSS评分降低、MBI评分升高,且观察组治疗后NIHSS和MBI评分较对照组改善更为明显(P<0.05,P<0.01)。治疗后2组WMFT和Fugl-Meyer评分均升高,且观察组升高更明显(P<0.05,P<0.01)。治疗后2组中医证候积分均下降,且观察组下降程度更明显(P<0.05,P<0.01)。治疗后2组Brunnstrom分级改善情况均优于治疗前,且治疗后观察组Brunnstrom分级改善情况较对照组好(P<0.05)。治疗后2组血清白细胞介素-6、肿瘤坏死因子-α、白细胞介素-1β水平均降低,且观察组降低更为显著(P<0.05,P<0.01)。2组治疗期间无明显不良反应发生。结论采用五线七针疗法和肢体康复锻炼治疗脑卒中后肢体功能障碍临床效果较好,可改善患者症状、肢体运动功能、神经功能、生活能力,并能减轻患者炎症反应。Objective To investigate the effect of five-line and seven-needle therapy and limb rehabilitation exercise in the treatment of patients with limb dysfunction after stroke.Methods A total of 102 patients with limb dysfunction after stroke treated from January 2020 to December 2023 were selected and divided into observation group and control group by random number table method.Fifty-two patients in the control group received limb rehabilitation exercise treatment,and 50 patients in the observation group were supplemented with five-line and seven-needle therapy on the basis of the control group.Both groups were treated for 4 weeks.After treatment,the clinical efficacy,Brunnstrom grade improvement and adverse effect of the two groups were compared.The changes in modified Barthel Index Rating Scale(MBI)score,Wolf Motor Function Test Scale(WMFT)score,Fugl-Meyer score,National Institutes of Health Stroke Scale(NIHSS)score,traditional Chinese medicine(TCM)syndrome score and serum inflammatory factor level were compared before and after treatment.Results After treatment,the total effective rate of the observation group was 94.00%(47/50),which was higher than that of the control group(75.00%,39/52),suggesting significant differences(P<0.01).After treatment,NIHSS scores was lower,while MBI scores were higher in both groups,and the improvement of NIHSS and MBI scores in the observation group was greater compared with that in the control group(P<0.05,P<0.01).After treatment,WMFT and Fugl-Meyer scores were increased in the two groups,and the increases were more obvious in the observation group(P<0.05,P<0.01).After treatment,the TCM syndrome scores in both groups decreased,and the decrease in the observation group was more obvious(P<0.05,P<0.01).After treatment,the improvement of Brunnstrom grade in both groups were greater than that before treatment,which was better in the observation group than in the control group(P<0.05).After treatment,serum levels of interleukin-6,tumor necrosis factor-αand interleukin-1βin the two grou

关 键 词：脑卒中 肢体功能障碍 五线七针疗法 肢体康复锻炼 Brunnstrom分级 生活质量 神经功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]