针灸联合运动想象疗法治疗脑卒中偏瘫临床研究

Clinical Study on Acupuncture and Moxibustion Combined with Motor Imagery Therapy for Hemiplegia After Stroke

目的:观察针灸联合运动想象疗法治疗脑卒中偏瘫患者的临床疗效。方法:选择105例脑卒中偏瘫患者,按随机数字表法分为对照组与治疗组。对照组45例给予常规内科治疗,治疗组60例在对照组基础上给予针灸联合运动想象疗法治疗。比较2组康复效果、运动功能(Fugl-Meyer)评分、下肢平衡能力(BBS)评分、四肢瘫功能指数(QIF)评分。结果:治疗组总有效率为95.0%,对照组为71.1%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组上肢功能、下肢功能等Fugl-Meye评分及总分均较疗前升高(P<0.05),且治疗组各项评分高于对照组(P<0.05)。治疗后,2组BBS、QIF评分均较疗前升高(P<0.05),且治疗组BBS、QIF评分高于对照组(P<0.05)。结论:针灸联合运动想象疗法在脑卒中偏瘫患者康复治疗中效果显著,可明显提高患者的运动功能、下肢平衡能力。

Objective:To observe the clinical effect of acupuncture and moxibustion combined with motor imagery therapy for patients with hemiplegia after stroke. Methods:A total of 105 cases of patients with hemiplegia after stroke were selected and divided into the control group and the treatment group according to the random number table method,45 and 60 cases in each group respectively. The control group was given routine treatment of internal medicine, and the treatment group was additionally given acupuncture and moxibustion combined with motor imagery therapy based on the treatment of the control group. The rehabilitation effect,the scores of Fugl-Meyer Assessment(Fugl-Meyer),Berg Balance Scale(BBS),and Quadriplegia Index of Function(QIF) for evaluating activity of daily living were compared between the two groups.Results:The total effective rate was 95.0% in the treatment group,and 71.1% in the control group,the difference being significant(P<0.05). After treatment,the scores of Fugl-Meye of limbs and the total scores in the two groups were increased when compared with those before treatment(P<0.05),and each score above in the treatment group was higher than that in the control group(P<0.05). After treatment,the scores of BBS and QIF in the two groups were increased when compared with those before treatment(P<0.05),and the two scores in the treatment group were higher than those in the control group(P<0.05). Conclusion:In the rehabilitation treatment of patients with hemiplegia after stroke, the therapy of acupuncture and moxibustion combined with motor imagery therapy has significant curative effect,which can significantly improve motor function,the balance ability of lower limbs.