尾骶骨运动疗法治疗中风偏瘫患者临床研究

Clinical Effect of Tail-sacral Movement Therapy on Stroke Hemiplegia Patients

目的:探讨尾骶骨运动疗法治疗中风偏瘫患者的临床疗效。方法:将60例中风偏瘫患者随机分为对照组与观察组各30例,对照组患者采用体针、常规中药离子导入及普通康复疗法,观察组患者采用尾骶骨运动疗法、尾骶部离子导入、骶尾部针灸进行治疗。比较两组患者的临床疗效、治疗前后FMA及MBI量表评分、治疗后综合功能分布状况、治疗前后步长、步频以及步速。结果:经过治疗,观察组患者临床总有效率为83.33%,显著高于对照组的66.67%,差异具有统计学意义(P<0.05);观察组患者治疗后FMA及MBI量表评分均显著高于治疗前及对照组患者治疗后,差异具有统计学意义(P均<0.05);经过治疗,观察组患者综合功能正常以及基本正常率为66.67%(20/30),显著高于对照组的43.33%(13/30),差异具有统计学意义(P<0.05);观察组患者治疗后步长、步频以及步速均显著高于治疗前及对照组患者治疗后,差异具有统计学意义(P均<0.05)。结论:尾骶骨运动疗法治疗中风偏瘫患者疗效显著,可有效改善患者的临床症状及体征,具有一定的推广价值。

Objective:To explore the clinical effect of tail-sacrum exercise therapy on stroke hemiplegia patients.Methods :60 cases of stroke hemiplegia were divided into control group and observation group according to random number table method,each of which was 30 cases.In the control group,body acupuncture,conventional Chinese medicine iontophoresis and general rehabilitation therapy were used.In the observation group,the treatment of needle and sputum was performed by tail tibia motion therapy,cercaria ion introduction,and body acupuncture.The clinical efficacy,FMA and MBI scale scores before and after treatment,comprehensive function distribution after treatment,step length before and after treatment,step frequency and pace were compared between the two groups.Results:After treatment,the total clinical efficiency of the observation group was 83.33%,significantly higher than the control group's 66.67%(P<0.05).FMA and MBI scale scores of patients in the observation group were significantly higher than those of patients before and after treatment (P<0.05).After treatment,the comprehensive function and basic normal rate of the observation group were 66.67%(20/30),significantly higher than the control group's 43.33%(13/30)(P<0.05).the step length,step frequency and pace of the observation group were significantly higher than those of the control group before and after treatment (all P<0.05).Conclusion:Ion implantation of transurosacrum is effective in the treatment of stroke hemiplegia.