手足十二针联合肢体评估训练康复系统在脑卒中偏瘫患者肢体功能恢复中的应用观察

Application of hand-foot twelve acupuncture combined limb assessment training rehabilitation system in the recovery of limbs function in patients with stroke hemiplegia

目的:探讨手足十二针联合肢体评估训练康复系统在脑卒中偏瘫患者肢体功能恢复中的应用观察。方法:选取2020年6月~2021年6月在本院收治的84例脑卒中后偏瘫患者,采用简单随机分组将患者分为观察组和对照组,每组各42例。对照组患者采用肢体评估训练康复系统,观察组在对照组的基础上添加“手足十二针”,均持续治疗8周。于治疗前后,观察两组患者中医证候积分变化;观察患者肢体功能、移动和平衡功能、神经功能以及锻炼依从性变化;观察患者日常生活自理能力变化。结果:治疗后,两组患者半身不遂、气短乏力、心悸、手足肿胀等中医证候积分均有下降(P<0.05),观察组的半身不遂、气短乏力、心悸、手足肿胀等中医证候积分低于对照组(P<0.05);治疗后,两组患者Fugl-Meyer评定量表(FMA)、日常生活能力量表(ADL)、功能性步态评价表(FGA)、Berg平衡量表(BBS)以及锻炼依从性量表(EAQ)评分均有上升,卒中量表(NIHSS)评分有下降(P<0.05),观察组FMA、ADL、FGA、BBS以及EAQ评分均高于对照组,NIHSS评分低于对照组(P<0.05)。结论:手足十二针联合肢体评估训练康复系统可有效改善脑卒中后偏瘫患者的肢体功能和神经功能,提高其锻炼依从性,从而提高其日常生活自理能力。

Objective To explore the application of hand-foot twelve acupuncture combined limb assessment training rehabilitation system in the recovery of limbs function in patients with stroke hemiplegia.Methods A total of 84 patients with post-stroke hemiplegia admitted to the hospital were enrolled between June 2020 and June 2021.According to simple random grouping method,they were divided into observation group and control group,42 cases in each group.The patients in control group was treated with limb assessment training rehabilitation system,while those in observation group were additionally treated with hand-foot twelve acupuncture.All were continuously treated for 8 weeks.Before and after intervention,the changes of TCM syndrome scores of patients in the two groups were observed.The changes of limb function,mobility and balance function,nerve function and exercise compliance were observed.The changes of patients’self-care ability in daily life were observed.Results After the intervention,the scores of TCM syndromes such as hemiplegia,shortness of breath,fatigue,palpitations,and swelling of hands and feet decreased in the two groups(P<0.05).The scores of TCM syndromes such as hemiplegia,shortness of breath,fatigue,palpitations,and swelling of hands and feet in the observation group were lower than those of the control group.Group(P<0.05);after the intervention,the Fugl-Meyer Rating Scale(FMA),the Ability of Daily Living Scale(ADL),the Functional Gait Assessment Scale(FGA),and the Berg Balance Scale(BBS)of the two groups of patients As well as exercise compliance scale(EAQ)scores increased,stroke scale(NIHSS)scores decreased(P<0.05),FMA,ADL,FGA,BBS and EAQ scores of the observation group were higher than those of the control group,NIHSS score Lower than the control group(P<0.05).Conclusion The hand-foot twelve acupuncture combined limb assessment training rehabilitation system can effectively improve limb function,nerve function and exercise compliance of patients with post-stroke hemiplegia,and thus improve their activities of daily living.