针灸联合穴位按摩在气虚阻络型脑卒中后偏瘫患者中的应用效果观察

Observation on the Application Effect of Acupuncture Combined with Acupoint Massage in Post-Stroke Hemiplegia Patients with Qi Deficiency Blocking Collaterals

目的探讨针灸联合穴位按摩在气虚阻络型脑卒中后偏瘫患者中的应用效果.方法选择2019年8月-2021年8月微山县人民医院收治的92例气虚阻络型脑卒中后偏瘫患者,将患者按照随机数字表法分为两组,各46例.对照组实施常规康复训练,观察组在对照组基础上采用针灸联合穴位按摩,持续16周.比较两组治疗前和治疗16周后肢体运动功能、中医症候积分、平衡功能、生活能力.结果治疗前,两组Fugl-Meyer运动功能评分量表(FMA)评分、中医症候积分、Berg平衡量表(BBS)、Barthel指数评定量表(BI)评分比较,组间差异无统计学意义(P>0.05);治疗16周后,两组FMA评分均高于治疗前,中医症候积分均低于治疗前,BBS、BI评分均高于治疗前,且观察组FMA评分高于对照组,中医症候积分低于对照组,BBS、BI评分均高于对照组,组间差异有统计学意义(P<0.05).结论在气虚阻络型脑卒中后偏瘫患者中采用针灸联合穴位按摩,能改善肢体运动功能,减轻临床症状,促进平衡功能恢复及生活能力提升.

Objective To explore the application effect of acupuncture combined with acupoint massage in post-stroke hemiplegia patients with Qi deficiency blocking collaterals.Methods 92 post-stroke hemiplegia patients with Qi deficiency blocking collaterals who were admitted to Weishan County People's Hospital from August 2019 to August 2021 were selected and were divided into two groups according to the random number table method,with 46 cases in each group.The control group received routine rehabilitation training,and the observation group received acupuncture combined with acupoint massage on the basis of the control group,with both interventions for 16 weeks.The limb motor function,TCM symptom score,balance function and living ability of the two groups were compared before and after 16 weeks of treatment.Results Before treatment,there were no significant differences in Fugl-Meyer assessment(FMA)score,TCM symptom score,Berg balance scale(BBS)and Barthel index(BI)scores between the two groups(P>0.05);after 16 weeks of treatment,the of FMA scores of the two groups were higher than those before treatment,the TCM symptom scores were lower than those before treatment,the BBS and BI scores were higher than those before treatment,and the FMA score of the observation group was higher than that of the control group,the TCM symptom score was lower than that of the control group,and the BBS and BI scores were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The acupuncture combined with acupoint massage can improve limb motor function,reduce clinical symptoms,promote the recovery of balance function and the improvement of living ability in post-stroke hemiplegia patients with Qi deficiency blocking collaterals.