针刺结合减重支持系统训练对脑卒中患者平衡功能的影响

Investigation on the effect of needling combined with partial body weight support system(PBWS) training on the balance function of stroke Patients

目的：探讨针刺结合减重支持系统训练对脑卒中患者平衡功能的影响。方法：将60例脑卒中患者随机分为治疗组和对照组，每组各30例。对照组进行常规的功能训练，治疗组在常规功能训练的基础上配合针刺治疗及减重支持系统训练。治疗前后分别对2组患者进行Berg平衡量表评定、Fugl—Meyer运动评分评定患者下肢运动功能、采用改良的Barthel指数评定表评定患者日常生活活动能力。结果：治疗后治疗组的平衡功能、下肢运动功能、日常生活活动能力与对照组相比有显著性差异（P〈0．05），脑卒中患者平衡功能、下肢运动功能、日常生活活动能力三者之间呈高度正相关（r=0．867～0．910，P〈0．001）。结论：针刺配合减重支持系统训练和单纯的功能训练均可以改善脑卒中患者平衡功能、下肢运动功能、日常生活活动能力，但前者优于后者；脑卒中患者平衡功能、下肢运动功能、日常生活活动能力三者之间密切相关，说明平衡能力的改善有助于脑卒中患者下肢运动功能及日常生活活动能力的提高。

Objective:To investigale the effect of needling combined with partial body weight support system(PBWS) training on the balance function of stroke Patients.Method:60 Patients were randomly divided into two groups,treatment group and control group.Patients in the control group were treated with the routine function training method,while those in the treatment group received the treatment of acupuncture and PBWS combined with the function training.All Patients were assessed combined with after training period.The evaluating items included Berg balance scale for balance function,Fugl-Meyer measurement for the motor function of lower extremities,Bathel index scales for ability of daily life.Result:There is a significant difference(P<0.05)of after treatment of balance function,the motor function of lower extremities and ability of daily life between the two groups.Relationship found among balance function,the motor function of lower extremities and ability of daily life.was highly signifrcant(1=0.867～0.910 P<0.01)Conclusion:Both needling combined with PBWS training in addition to the function training and function training can improve balance function,the motor function of lower extremities and the ability of daily life.But the former is better than the latter,and the thiee funitions are in close relationship.It indicated that the improvement of balance function is beneficial to the motor function of lower extremities and ability of daily life of stroke patients.