阴-阳对刺呼吸补泻法对缺血性脑中风偏瘫患者髋关节的屈伸角度变化影响

Effect of Yin-Yang Meridians Acupuncture by Reinforcing-Reducing with Patient's Respiration on Lower Limb Joint Flexion Angle Change in Hemiplegic Patients after Stroke

目的:观察阴-阳对刺呼吸补泻法治疗缺血性脑中风偏瘫运动与静止髋关节的屈伸角度变化。方法:将60例缺血性脑中风患者,按随机数字表法随机分为对照组与试验组,各30例。对照组仅采用基础治疗,试验组在基础治疗上,采用阴-阳对刺呼吸补泻法治疗。分别于治疗前、治疗后第28 d,使用Lokomat全自动机器人步态评定系统对患者进行运动与静止髋关节的屈伸角度变化参数测定比较。结果:治疗后实验组中,足跟着地时,髋关节的屈曲角度值,髋关节的屈伸角度最大值和关节活动度与对照组比较,有差异具有统计意义(P<0.05)。结论:阴-阳对刺呼吸补泻法可有效改善缺血性脑中风偏瘫步态髋关节运动,提高步行功能。

Objective： To investigate the effect of Yin-Yang meridians acupuncture by reinforcing-reducing with patient＇s respiration on lower limb joint flexion angle change in hemiplegic patients after stroke. Methods： 60 patients were enrolled and divided into two groups randomly, the control group were treated with madopar, the treatment group with traditional techniques of needling Yin-Yang meridians by reinforcing-reducing with patient＇ s respiration and madopar treatment. All patients were assessed with lower limb joint flexion angle change at the beginning of the training and 28 days after treatment. Results： Compared with control group, there were significant difference in treatment group （P 〈 0. 05） . Conclusion： Yin-Yang meridians acupuncture by reinforcing-reducing with patient＇ s respiration treatment can improve lower limb function in hemiplegic patients after stroke.