头针联合平衡仪训练对脑卒中后患者平衡功能及日常生活能力的影响  

Effects of Scalp Acupuncture and Balance Instrument Training on Balance Function and Daily Living Ability after Stroke

作　　者：顾晨丛 景亚丽 王文君 王利春[2] GU Chencong;JING Yali;WANG Wenjun;WANG Lichun(Hebei University of Chinese Medicine,Shijiazhuang 050091,China;Cangzhou Hospital of Integrated TCM-WM,Cangzhou 061000,China)

机构地区：[1]河北中医药大学,河北石家庄050091 [2]沧州市中西医结合医院,河北沧州061000

出　　处：《西部中医药》2025年第2期141-145,共5页Western Journal of Traditional Chinese Medicine

基　　金：河北省医学科学研究课题(20200701)。

摘　　要：目的:观察头针联合平衡仪训练对脑卒中患者平衡功能及日常生活能力的影响。方法:将脑卒中患者120例按随机数字表法分为头针组、平衡仪组和联合组各40例。头针组予头针治疗,平衡仪组予Prokin平衡仪训练治疗,联合组予头针联合平衡仪训练治疗,3组均连续治疗4周。比较3组患者治疗前后Fugl-Meyer评定量表(fugl-meyer assessment,FMA)、改良Barthel指数量表(modified barthel index,MBI)、Berg平衡量表(berg balance scale,BBS)、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)、脑卒中专门化生活质量量表(stroke specific quality of life scale,SS-QOL)以及功能性步行分级量表(functional ambulation category scale,FAC)评分,并检测两组患者颅内血流动力学[收缩期最快血流速度(peak systolic velocity,Vs)、舒张期最快血流速度(end-diastolic velocity,Vd)和平均血流速度(mean velocity,Vm)]。结果:治疗后3组患者FMA、MBI、FAC及SS-QOL评分均升高(P<0.05),联合组高于头针组和平衡仪组(P<0.05);BBS评分均升高(P<0.01),NIHSS评分均降低(P<0.01),联合组BBS及NIHSS评分改善程度优于头针组和平衡仪组(P<0.05);Vs、Vd、Vm均升高(P<0.01),联合组高于头针组和平衡仪组(P<0.05)。结论:头针联合平衡仪训练能够通过改善脑卒中患者颅内血流动力学和神经缺损等情况,提升患者平衡功能、运动功能、步行能力、日常生活能力等,从而提高患者生活质量。Objective:To observe the influence of scalp acupuncture combined with balance instrument training on balance function and daily living ability of stroke patients.Methods:All 120 patients were allocated to scalp acupuncture group,balance instrument group and the combination group(n=40 cases)according to random number table method.The scalp acupuncture group was treated with scalp acupuncture,balance instrument group accepted the treatment with Pro-Kin balance training instrument,scalp acupuncture combined with balance instrument training was administered to the combination group,three groups were treated for four weeks continuously.To compare FMA,MBI,BBS,NIHSS,SS-QOL and FAC scores before and after the treatment in three groups,to detect intracranial hemodynamics including Vs,Vd and Vm in the two groups.Results:After the treatment,FMA,MBI,FAC and SS-QOL scores were increased in three groups(P<0.05),the combination group was higher than balance instrument group and balance instrument group(P<0.05);BBS scores were elevated(P<0.01),NIHSS scores were lowered(P<0.01),the improvements of BBS and NIHSS scores of the combination group were superior to these of scalp acupuncture group and balance instrument group(P<0.05);Vs,Vd and Vm were lifted(P<0.01),the combination group was higher than scalp acupuncture group and balance instrument group(P<0.05).Conclusion:Scalp acupuncture combined with balance instrument training could improve the patients'quality of life by improving intracranial hemodynamics and neurological deficit,lifting the patients'balance function,motor function,walking ability and daily living ability.

关 键 词：脑卒中 日常生活能力 平衡功能 头针 平衡训练 

分 类 号：R255.2[医药卫生—中医内科学]