透刺配合康复训练对脑卒中后患侧下肢功能的影响

Effect of Penetrating Acupuncture plus Rehabilitation Training on Post-stroke Affected Leg Function

目的观察透刺配合康复训练治疗脑卒中后患侧踝跖屈内翻的临床疗效。方法将84例脑卒中偏瘫患者随机分为治疗组和对照组,每组42例。治疗组采用透刺配合踝背屈手法康复训练治疗,对照组采用单纯踝背屈手法康复训练治疗,比较两组治疗前后Fug1-Meyer运动功能评分、Fug卜Meyer平衡功能评分、日常生活活动能力评分、下肢痉挛评分。结果两组治疗后Fug1-Meyer运动功能评分、Fug1-Meyer平衡功能评分、日常生活活动能力评分、下肢痉挛评分与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后Fug1-Meyer运动功能评分、Fug1-Meyer平衡功能评分、日常生活活动能力评分、下肢痉挛评分与对照组比较,差异均具有统计学意义(P<0.05)。结论毫针透刺配合踝背屈手法康复训练可进一步提高脑卒中患者下肢运动功能,是一种简便有效的治疗方法。

[Abstract] Objective To investigate the clinical efficacy of penetrating acupuncture plus rehabilitation training in treating post-stroke metatarsal plantar flexion on the affected side. Methods Eighty-four patients with post-stroke hemiplegia were randomly allocated to treatment and control groups, 42 cases each. The treatment group received penetrating acupuncture plus rehabilitation training with ankle dorsiflexion manipulation and the control group, rehabilitation training with ankle dorsiflexion manipulation alone. The Fugl-Meyer motor function scores, Fugl-Meyer balance function scores, activities of daily living scores and lower limb spasm scores were compared between the two groups before and after treatment. Results There were statistically significant pre-/post-treatment differences in the Fugl-Meyer motor function score, Fugl-Meyer balance function score, activities of daily living score and lower limb spasm score in the two groups （P〈0.01,P〈0.05）. There were statistically significant post-treatment differences in the Fugl-Meyer motor function score, Fugl-Meyer balance function score, activities of daily living score and lower limb spasm score between the treatment and control groups （P〈0.05）. Conclusions Penetrating acupuncture with filiform needles plus rehabilitation training with ankle dorsiflexion manipulation can further improve lower limb motor function in stroke patients. It is a convenient and effective treatment.