醒脑通督针法联合等速肌力训练治疗脑梗死后偏瘫的临床分析

Clinical Analysis of Xingnao Tongdu Acupuncture Combined with Isokinetic Muscle Strength Training for Hemiplegia after Cerebral Infarction

目的:探讨脑梗死后偏瘫患者采用醒脑通督针法与等速肌力训练联合治疗的效果.方法:采用随机数字表法将本院2020年1月至2021年6月收治的80例脑梗死后偏瘫患者分为观察组(醒脑通督针法联合等速肌力训练)与对照组(等速肌力训练),各40例,均连续治疗4周.评估两组治疗后的治疗效果;比较两组治疗前后神经、运动功能和日常生活能力.结果:观察组治疗总有效率95.00%(38/40)高于对照组77.50%(31/40),差异有统计学意义(P<0.05).治疗后,两组美国国立卫生研究院卒中量表(NIHSS)评分均低于治疗前,且观察组低于对照组;两组Fugl-Meyer运动功能量表(FMA)评分及改良Barthel指数(MBI)评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:醒脑通督针法与等速肌力训练联合治疗脑梗死后偏瘫患者效果显著,可提高患者日常生活能力,改善其运动神经功能.

Objective:To investigate the effects of xingnao tongdu acupuncture combined with isokinetic muscle strength training for hemiplegia patients after cerebral infarction.Methods:Eighty patients with hemiplegia after cerebral infarction who were admitted to our hospital from January 2020 to June 2021 were divided into observation group(xingnao tongdu acupuncture combined with isokinetic muscle strength training)and control group(isokinetic muscle strength training),40 cases in each group.All treated for 4 consecutive weeks.The treatment effects of two groups after the treatment were evaluated.The neurological function,motor function and daily living activity of two groups were compared before and after the treatment.Results:After the treatment,the observation group's total effective rate was 95.00%(38/40),whith was higher than control group's 77.50%(31/40),with statistical difference(P<0.05).After treatment,the scores of National Institutes of Health stroke scale(NIHSS)in both groups were lower than those before treatment,and the observation group was lower than that of the control group.The scores of Fugl-Meyer motor function assessment scale(FMA)and modified Barthel index(MBI)in both groups were higher than those before treatment,and the observation group was higher than those of the control group,with statistical diference(P<0.05).Conclusion:The combination of xingnao tongtu acupuncture and isokinetic muscle strength training is effective in the treatment of hemiplegia after cerebral infarction,which can improve the ability of daily living activities and motor nerve function of patients.