针刺背俞穴结合躯干训练对中风偏瘫患者运动功能的影响

Effect on the Motor Function of Stroke Patients by Combination of Needling at Back-shu Point and Trunk Exercise

目的探讨针刺背俞穴结合躯干训练对中风偏瘫患者运动功能的影响。方法将90例中风偏瘫患者随机分为常规治疗组(常规组)、针刺背俞穴组(针刺组)和针刺背俞穴结合躯干训练组(结合组),每组30例。观察治疗前、治疗2个月后Fugl-Meyer运动评分(FMA)和改良的Barthel指数(MB I)的变化。结果 3组在改善中风偏瘫患者运动功能方面均有效(P<0.05);针刺组和结合组优于常规组(P<0.05);结合组优于针刺组(P<0.05)。结论针刺背俞穴结合躯干训练治疗可以改善中风偏瘫患者的运动功能,并优于单纯针刺治疗。

Objective To study the effect on the motor function of stroke patients by combination of needling at Back-shu point and trunk exercise.Methods Ninety stroke hemiplegic patients were randomly assigned to the conventional treatment group（as the convention group）,the Back-shu point needling group,and the combination of Back-shu point needling and the trunk exercise group,30 patients in each group.They were treated with the conventional treatment,needling at Back-shu point,and the combination of needling at Back-shu point and trunk exercise.The Fugl-Meyer score（FMA） and modified Barthel index（MBI） score were assessed before treatment and two months after treatment.Results The three rehabilitation treatment methods were all effective in improving the motor function of stroke hemiplegic patients（P0.05）.The effects in the Back-shu point needling group and the combination of Back-shu point needling and the trunk exercise group were respectively superior to that in the conventional treatment group（P0.05）.The effect in the combination of Back-shu point needling and the trunk exercise group was superior to that in the Back-shu point needling group（P0.05）.Conclusion The combination of Back-shu point needling and the trunk exercise could improve the motor function of stroke hemiplegic patients,and its effect was better than needling at Back-shu point alone.