针刺辅助核心肌群训练对脑卒中偏瘫患者平衡能力及临床疗效的影响

Efficacy of acupuncture plus core muscle training on the balance ability of stroke patients with hemiplegia

目的:探讨针刺辅助核心肌群训练对脑卒中偏瘫患者平衡能力及临床疗效的影响。方法:将武汉市普仁医院2018年5月-2020年5月接收的96例脑卒中偏瘫患者根据随机数字表法分为对照组(单纯进行核心肌群训练)与治疗组(给予针刺辅助核心肌群训练),各48例,观察两组的中医证候积分变化、平衡能力变化、日常生活活动能力变化及临床疗效。结果:针刺辅助核心肌群训练后,治疗组的中医证候积分显著低于对照组,P<0.05;治疗组的Berg平衡量表评分及改良Barthel指数评分标准评分均显著高于对照组,P<0.05;治疗组的有效率显著高于对照组,P<0.05。结论:对脑卒中偏瘫患者在核心肌群训练同时辅以针刺治疗,能够有效降低中医证候积分,促进平衡能力的恢复,改善日常生活活动能力,提高临床疗效。

Objective:To investigate the efficacy of acupuncture-assisted core muscle training on the balance ability and clinical efficacy of stroke patients with hemiplegia.Methods:96 cases were randomly divided into the control group(core muscle training)and the treatment group(acupuncture assisted core muscle training),with 48 cases in each.Results:After treatment,the TCM syndrome score in the treatment group was significantly lower,P<0.05,the berg balance scale(BBS)score and the modified barthel index(MBI)score in the treatment group were significantly higher,P<0.05,the efficiency in the treatment group was significantly higher,P<0.05.Conclusion:For stroke patients with hemiplegia,core muscle training combined with acupuncture can effectively reduce the TCM syndrome score,promote the recovery of balance ability,improve the ability of daily living,and improve the clinical efficacy.