头部针刀治疗脑卒中下肢运动功能障碍的临床观察

Clinical Observation on Head Needle Knife for Treatment of Lower Limb Motor Dysfunction in Stroke Patients

【目的】观察头部针刀治疗脑卒中下肢运动功能障碍的临床疗效。【方法】将68例脑卒中下肢运动功能障碍患者随机分为观察组和对照组,每组各34例,对照组给予针刺配合综合康复训练疗法进行治疗,观察组在对照组治疗的基础上,配合头部针刀治疗。2组患者每天治疗1次,每周治疗5 d,4周为1个疗程。治疗1个疗程后,观察2组患者治疗前后Fugl-Meyer下肢运动功能评定量表(FMA-L)评分与Berg平衡量表(BBS)评分的变化情况,比较2组患者治疗前后计时起立-步行测验(TUGT)评分和临床痉挛指数量表(CSI)评分的变化情况,并评价2组的安全性及不良反应的发生情况。【结果】(1)治疗后,2组患者的下肢运动功能FMA-L量表评分明显改善(P<0.05),观察组下肢运动功能FMA-L量表评分明显升高,但与对照组比较,差异无统计学意义(P>0.05)。(2)治疗后,2组患者的平衡能力BBS量表评分明显改善(P<0.05),且观察组在改善平衡能力BBS量表评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的移动能力TUGT评分明显改善(P<0.05),且观察组在改善移动能力TUGT评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的临床痉挛指数CSI评分明显改善(P<0.05),且观察组在改善临床痉挛指数CSI评分方面明显优于对照组,差异有统计学意义(P<0.05)。(5)2组患者在治疗期间均未发生与治疗相关的不良反应。【结论】头部针刀治疗脑卒中下肢运动功能障碍,能有效改善脑卒中患者的下肢运动功能,对提高患者的生活质量起到一定的促进作用。

Objective To observe the clinical efficacy of head needle knife for the treatment of lower limb motor dysfunction in stroke patients.Methods A total of 68 cases of stroke patients with lower limb motor dysfunction were randomly divided into observation group and control group,34 cases in each group.The two groups received acupuncture combined with comprehensive rehabilitation training treatment,additionally,the observation group received head needle knife treatment,once every day,5 days a week,4 weeks constituting one course.After one course of treatment,the Changes in Fugl-Meyer Assessment of Lower Extremity(FMA-L)scale score and Berg Balance Scale(BBS)score in the two groups were observed before and after treatment,the changes in Timed Up and Go Test(TUGT)score and Clinical Spasm Index Scale(CSI)score in the two groups were compared before and after treatment,and the safety and occurrence of adverse reactions were evaluated in the two groups.Results(1)After treatment,the FMA-L scale score of lower limb motor function in the two groups of patients was significantly improved(P<0.05),but there was no statistically significant difference between the observation group and the control group(P>0.05).(2)After treatment,the BBS score in the two groups was significantly improved(P<0.05),and the improvement in BBS score in the observation group was superior to that of the control group(P<0.05).(3)After treatment,the TUGT score in the two groups was significantly improved(P<0.05),and the improvement in TUGT score in the observation group was superior to that of the control group(P<0.05).(4)After treatment,the CSI score in the two groups was significantly improved(P<0.05),and the improvement in CSI score in the observation group was superior to that of the control group(P<0.05).(5)No treatment-related adverse reactions in the two groups during treatment period.Conclusion Head needle knife treatment is effective for improving the lower limb motor dysfunction in stroke patients,and promoting the quality of life of patients.