针刺配合PNF技术治疗中风偏瘫后遗症的疗效观察

Effect of Acupuncture Combined with PNF Technique Treating Sequela of Apoplexy Hemiplegia

目的:观察针刺配合神经肌肉本体感觉促进技术(PNF)对于中风偏瘫后遗症的疗效。方法:将84例中风偏瘫患者用随机分组法随机分成针刺组和联合组,每组各42例。针刺组应用常规药物以及急性期过后进行循经穴位的针刺;联合组在针刺组的基础上配合PNF康复训练。治疗结束后观察两组患者治疗前后Fugl-Meyer运动功能、MAS平衡功能测试评分、Barthel指数和中医症状评分的变化。结果:两组患者治疗后较治疗前各项评分均有好转。但联合组的Fugl-Meyer运动功能(28.96±2.82)、MAS平衡功能(9.45±1.55)更优于针灸组Fugl-Meyer运动功能(20.90±3.06)、MAS平衡功能(7.60±1.74)。联合组的Barthel指数(73.81%)明显优于针刺组(45.24%),差异有统计学意义(P<0.05)。结论:针刺配合PNF技术对于中风偏瘫后遗症患者的疗效优于单一针刺,效果显著,值得临床推广。

Objective：To observe the effect of acupuncture combined with PNF（Proprioceptive Neuromuscular Facilitation） technique treating sequela of apoplexy hemiplegia.Methods：84 patients with apoplexy hemiplegia were randomly divided into the acupuncture group and the combination group,with 42 cases in each group.The acupuncture group was treated with points along meridian combined with the conventional medicine after acute stage,and the combination group was treated with PNF rehabilitation training on the treatment basis of the acupuncture group.Fugl-Meyer motor function,MAS balance test,Barthel index,and TCM symptom score changes were observed after treatment in the two groups.Results：All scores after treatment were improved compared to those before treatment in the two groups.Fugl-Meyer motor function（28.96 ± 2.82） and MAS balance function（9.45 ± 1.55） of the combination group were superior to those（20.90 ± 3.06,7.60 ± 1.74） of the acupuncture group（P〈0.05）.Barthel index of the combination group was 73.81%,which was higher than45.24% of the acupuncture group,and the difference was statistically significant（P〈0.05）.Conclusion：Acupuncture combined with PNF technique is better than single acupuncture in treating sequela of apoplexy hemiplegia,which is worthy of clinical application.