运动针法配合康复训练治疗脑卒中后上肢肌张力增高的临床效果

Clinical effect of exercise acupuncture combined with rehabilitation training in treating increased muscle tension of upper limbs after stroke

目的分析运动针法配合康复训练治疗脑卒中后上肢肌张力增高的临床效果。方法选取2017年3月至2021年3月东南大学医学院附属南京同仁医院收治的82例脑卒中后上肢肌张力增高患者,采用随机数字表法将其分为常规组(康复训练)和观察组(运动针法联合康复训练),各41例。3个疗程后,比较两组总有效率、中医症状评分、上肢运动功能、日常生活活动能力及不良事件。结果治疗后,观察组总有效率高于常规组(P<0.05)。治疗后,两组主症评分、次症评分及总分均低于治疗前,且观察组低于常规组(P<0.05)。治疗后,两组化Fugl-Meyer测评运动功能量表评分均高于治疗前,且观察组高于常规组(P<0.05)。治疗后,两组Barthel指数量表评分均高于治疗前,且观察组高于常规组(P<0.05)。两组未见明显不良事件的发生。结论运动针法配合康复训练治疗脑卒中后上肢肌张力增高患者,有助于减轻中医症状,提高临床疗效及上肢运动功能、日常生活活动能力,且安全性好。

Objective To analyze clinical effect of exercise acupuncture combined with rehabilitation training in treating increased muscle tension of upper limbs after stroke.Methods Eighty-two patients with increased muscle tension of upper limbs after stroke treated in Nanjing Tongren Hospital Affiliated to Medical College of Southeast University from March 2017 to March 2021 were selected and they were divided into routine group(rehabilitation training)and observation group(exercise acupuncture combined with rehabilitation training)according to random number table method,with 41 cases in each group.After three courses of treatment,total effective rate,Chinese medicine symptom score,upper limb motor function,activities of daily living,and adverse events were compared between two groups.Results After treatment,the total effective rate of observation group was higher than that of routine group(P<0.05).After treatment,main symptom scores,secondary symptom scores,and total scores of two groups were lower than those before treatment,and observation group was lower than routine group(P<0.05).After treatment,the scores of Fugl-Meyer motor function scale in two groups were higher than those before treatment,and observation group was higher than routine group(P<0.05).After treatment,the scores of Barthel index scale in two groups were higher than those before treatment,and observation group was higher than routine group(P<0.05).There were no significant adverse events in two groups.Conclusion Exercise acupuncture combined with rehabilitation training in the treatment of patients with increased muscle tension of upper limbs after stroke is helpful to reduce Chinese medicine symptoms,improve clinical efficacy,upper limb motor function,and activities of daily living,and has good safety.