手足十二针辅助偏瘫肢体综合训练对脑梗死后偏瘫患者步行能力及肢体功能的影响

Effect of Hand and Foot Twelve Needle Assisted Comprehensive Training on Walking Ability and Limb Function in Hemiplegic Patients after Cerebral Infarction

目的分析手足十二针辅助偏瘫肢体综合训练对脑梗死后偏瘫患者的影响.方法选取2020年8月—2023年8月贵州医科大学附属乌当医院收治的74例脑梗死后偏瘫患者为研究对象,按随机数字表法将其分为对照组与观察组,各37例.对照组采用偏瘫肢体综合训练,观察组在对照组基础上加以偏瘫侧手足十二针治疗.对比两组患者的临床疗效、神经功能、步行能力、肢体功能及生活质量.结果观察组治疗总有效率为94.59%,高于对照组的78.38%,差异有统计学意义(P<0.05).治疗8周后,观察组美国国立卫生研究院卒中量表评分为(8.61±1.21)分,低于对照组的(11.25±1.57)分,功能性步行量表评分为(3.85±0.43)分,高于对照组的(3.04±0.40)分,FuglMeyer运动功能评定量表内上肢、下肢评分分别为(50.63±3.95)分、(26.46±3.19)分,均高于对照组的(41.37±3.45)分、(20.29±2.68)分,生活质量综合评定问卷内各个维度评分分别为(78.97±4.22)分、(79.84±3.96)分、(81.25±4.09)分、(83.96±4.84)分,均高于对照组的(69.85±3.61)分、(68.59±2.83)分、(70.31±3.15)分、(74.56±4.19)分,组间差异有统计学意义(P<0.05).结论手足十二针辅助偏瘫肢体综合训练可减轻脑梗死后偏瘫患者神经损伤,改善步行、肢体功能,提高生活质量.

Objective To analyze the influence of hand and foot twelve neelle assisted hemiplegia comprehensive training on hemiplegia patients after cerebral infarction.Methods 74 patients with hemiplegia after cerebral infarction admitted to Wudang Hospital Affiliated to Guizhou Medical University from August 2020 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 37 cases in each group.The control group received comprehensive training of hemiplegic limbs,and the observation group was treated with hand and foot twelve neelle of hemiplegic limbs on the basis of the control group.The clinical efficacy,neurological function,walking ability,limb function and quality of life of the two groups were compared.Results The total effective rate of the observation group was 94.59%,higher than 78.38%of the control group,and the difference was statistically significant(P<0.05).After 8 weeks of treatment,the National Institutes of Health Stroke Scale score of the observation group was(8.61±1.21)points,lower than(11.25±1.57)points of the control group,and the functional walking scale score was(3.85±0.43)points,higher than(3.04±0.40)points of the control group,the scores of upper and lower limbs in FuglMeyer motor function rating scale were(50.63±3.95)points and(26.46±3.19)points,respectively,which were higher than(41.37±3.45)points and(20.29±2.68)points of the control group,the scores of all dimensions in the comprehensive assessment questionnaire were(78.97±4.22)points,(79.84±3.96)points,(81.25±4.09)points,(83.96±4.84)points,respectively,the results were higher than(69.85±3.61)points,(68.59±2.83)points,(70.31±3.15)points and(74.56±4.19)points in the control group,and the differences were statistically significant(P<0.05).Conclusion Hand and foot twelve needle combined with comprehensive training for hemiplegic limbs can alleviate neurological damage,improve walking and limb function,and enhance quality of life in hemiplegic patients after cerebral infarction.