腹针疗法对恢复期脑卒中患者下肢运动功能与步态影响的临床研究

Clinical Study on the Effect of Abdominal Acupuncture for Lower Limb Motor Function and Gait in Patients with Convalescent Stroke

目的:观察腹针疗法对恢复期脑卒中患者下肢运动功能与步态影响。方法:选取2015年6月至2017年6月间在本院处于脑卒中恢复期的患者40例,依据随机数字表法将患者分成对照组和观察组。对照组(20例)采用常规康复措施,观察组(20例)在对照组基础上行腹针治疗,观察患者步行的能力,治疗前后的步行速度、左右的步幅差距和步的频率,下肢的运动能力、平衡能力和血清内同型的半胱氨酸(Hcy)、C反应蛋白(hs-CRP)和D二聚体(D-D)含量的变化情况。结果:经过治疗后,两组患者步态的参数比治疗前均有明显改善,对比差异有统计学意义(P<0.05),观察组患者效果更佳,治疗后在步频、步速和左右的步幅差距上与对照组对比差异有统计学意义(P<0.05);两组患者FMA评分、MBI的指数和Berg的评分比治疗前均有明显改善,与治疗前对比差异有统计学意义(P<0.05),且观察组患者效果优于对照组,对比差异有统计学意义(P<0.05);两组患者血清内Hcy、D-D和hsCRP含量比治疗前均有明显改善,与治疗前对比差异有统计学意义(P<0.05),且观察组血清Hcy、D-D含量下降情况优于对照组,对比差异有统计学意义(P<0.05)。结论:腹针疗法可明显改善恢复期脑卒中患者步态和下肢运动能力。

Objective： To study the effect of abdominal acupuncture therapy on lower limb motor function and gait in stroke patients at convalescence stage. Methods： From June 2015to June 2017in our hospital for treatment, 40patients in the recovery period of stroke, according to the random number table method, the patients were divided into two groups： controlled group （20cases） treated with conventional rehabilitation measures, the observation group （20cases） treated with abdominal acupuncture treatment on the basis of the controlled group, observing the changes of ability of patients walk, before and after the treatment, walking speed and stride around the gap and step frequency, cysteine movement ability, balance ability and lower serum within the same type （Hcy）, C reactive protein （hs-CRP） and two D dimer （D-D） content. Results： After treatment, the two groups of patients with gait parameters were significantly improved than before treatment, there was statistically significant difference （P〈 0.05）, the observation group of patients with better effect, after treatment in cadence, walking speed and stride around the gap compared with the controlled group, the difference was statistically significant （P〈0. 05）; The two group patients with FMA score, MBI index and Berg score than before treatment were significantly improved compared with before treatment was statistically significant difference （ P〈0. 05 ）, and the observation group was better than that of patients in the controlled group, there was statistically significant difference （P〈0.05） ; The two groups of patients with serum Hcy, D-D and hs-CRP content before treatment were significantly improved compared with before treatment was statistically significant difference （P〈0. 05）, and the serum levels of Hcy and D-D were decreased compared with the controlled group, there was statistically significant difference （ P〈0. 05 ）. Conclusion ： Abdominal acupuncture can obviously improve the gait and lower limb exercise ability of stroke patients at convalescence stage.