太极平衡法治疗中风后偏瘫步行功能障碍的临床分析

Clinical Analysis on Tai-chi Balance Therapeutics for Post-stroke Hemiplegia with Walking Dysfunction

目的通过临床研究确定太极平衡法治疗中风后偏瘫步行功能障碍的临床疗效。方法将中风后偏瘫步行功能障碍的60例患者随机分为2组,其中治疗组30例,对照组30例。治疗组在传统运动疗法治疗基础上增加太极平衡法治疗,对照组给予传统运动疗法治疗,2组治疗均为每日1次。治疗前后分别采用Holden步行分级量表、Fugl-Meyer下肢功能量表和评价日常生活活动能力的Barthel指数进行评定,观察对比2组患者步行功能、下肢功能和日常生活活动能力的改变,对结果进行统计分析并比较其疗效。结果治疗组和对照组对步行功能改善均有明显效果(P<0.05),且治疗组对于步行功能的改善明显优于治疗组(P<0.05);治疗组和对照组对下肢功能改善均有明显效果(P<0.05),且治疗组对于下肢功能的改善明显优于治疗组(P<0.05);治疗组和对照组均能对患者日常生活活动能力的提高起到正向作用(P<0.05),治疗组疗效优于对照组(P<0.05)。结论太极平衡法能够改善中风后偏瘫患者的步行功能,并且对中风后偏瘫患者下肢功能和日常生活活动能力也能起到治疗作用,值得临床推广应用。

Objective To determine the clinical effect of Tai-chi balance therapeutics for post- stroke hemiplegia with walking dysfunction through clinical study. Methods 60 post- stroke hemiplegia with walking dysfunction patients were randomly divided into treatment group of 30 cases and control group of 30 cases. On the basis of the conventional therapy, the treatment group used Tai-chi balance therapeutics. The control group received conventional physical therapy. The two groups were treated one time a day. Before and after treatment, Holden walk grading scale, Fugl-Meyer scale of lower limb function and evaluation of activities of daily living of the Barthel Index were used to make assessment. The walking function, change the lower limb function and activities of daily living of the two groups were observed and compared. The results were analyzed, and the therapeutic effect was compared. Results The walking function of the treatment group and the control group were significantly improved（ P〈0.05）, and the improvement of the treatment group was significantly better than that of the control group（ P〈0.05）. The lower limb function of the treatment group and the control group were significantly improved（P0.05）, and the improvement of the treatment group was significantly better than that of the control group（ P〈0.05）. The treatment group and the control group could promote the improvement（ P〈0.05） in patients with activities of daily living, the treatment group was significantly better than the control group（ P〈0.05）. Conclusion The Tai-chi balance therapeutics in the treatment of post-stroke hemiplegia with walking dysfunction had a good effect, and can improve patient lower limb function and activities of daily living. It is worthy of clinical application.