揿针对改善卒中后疲劳患者疲劳程度、生活质量及运动功能的效果

Pressing needle therapy for improving fatigue,quality of life and motor function in patients with post-stroke fatigue

目的探讨对卒中后疲劳患者在常规干预基础上采用揿针疗法对其疲劳程度、生活质量及运动功能的改善效果。方法从2020年5月至2021年8月江苏省中医院收治的脑卒中后疲劳患者中抽选60例,采用随机数字表法分为两组各30例,对照组(最终纳入28例)接受常规方法治疗,干预组(最终纳入29例)在对照组的基础上采用揿针疗法治疗,对比两组临床治疗效果。结果干预前,两组患者一般资料、疲劳程度、生活质量、运动功能等评分差异无统计学意义(P>0.05)。干预2周后,两组患者疲劳严重程度量表(FSS)评分较干预前明显降低,且干预组低于对照组;脑卒中专门化生活质量量表(SS-QOL)总分和精力部分(SS-QOL-E)评分高于干预前,且干预组高于对照组,差异均有统计学意义(P<0.05,P<0.01)。干预2周后,除对照组腘绳肌肌力外,两组患者上肢、下肢FMA评分及目标肌肌力等级均较干预前明显提高(P<0.05),且干预组上肢、下肢FMA评分及肩内收肌、肱二头肌、肱三头肌肌力等级显著高于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论卒中后疲劳患者采取揿针治疗能够很好的缓解卒中后疲劳症状,提高生活质量,改善运动功能。

Objective To explore the effects of pressing needle therapy on the degree of fatigue,quality of life and motor function in patients with post-stroke fatigue on the basis of routine intervention.Methods Sixty patients with post-stroke fatigue treated in Jiangsu Province Hospital of Chinese Medicine from May 2020 to August 2021 were selected and randomly divided into control group(n=28,finally included)and intervention group(n=29,finally included).The conventional treatment was given in control group,and pressing needle therapy was conducted in intervention group on the basis of conventional treatment.The clinical therapeutic effects were compared between two groups.Results Before intervention,there were no significant differences in general information and the scores on degree of fatigue,quality of life and motor function between two groups(P>0.05).After 2 weeks of intervention,fatigue severity scale(FSS)significantly decreased compared with that before intervention in two groups and was significantly lower in intervention group than that in control group;the stroke specific quality of life scale(SS-QOL)total score and enery component(SS-QOL-E)score significantly increased in both groups and were higher in intervention group than those in control group(P<0.05,P<0.01).After 2 weeks of intervention,except for the hamstring muscle strength of control group,the FMA scores of the upper and lower limbs and the target muscle strength grades of the two groups were significantly improved compared with those before intervention(P<0.05),while the FMA scores of upper and lower limbs and the muscle strength grades of shoulder adductor,biceps brachii,triceps brachii in intervention group were statistically higher than those in control group(P<0.05,P<0.01).Conclusion Pressing needle therapy can effectively alleviate the symptoms of post-stroke fatigue,and improve the quality of life and motor function in the patients with post-stroke fatigue.