电针刺激联合临床康复训练及bobath技术对痉挛患者痉挛状态及运动功能的影响

Effect of Electroacupuncture Stimulation Combined with Clinical Rehabilitation Training and Bobath Technology on Spasticity and Motor Function in Spasticity Patients

目的探讨电针刺激联合临床康复训练及神经生理疗法(bobath技术)在痉挛患者中的应用效果。方法选取2021年6月—2021年11月滨州市中心医院收治的64例脑卒中后偏瘫痉挛期患者为研究对象,按随机数表法分为对照组和观察组,每组32例。对照组采取常规康复训练,观察组在对照组基础上采取电针刺激联合bobath技术,两组均连续治疗4周。比较两组治疗效果、痉挛状态(改良Ashworth痉挛评定量表)、运动功能[Fugel-Meyer(FMA)]、日常活动能力[日常生活活动量表(ADL)]和生活质量[生活质量测定量表简表(QOL-BREF)]评分。结果治疗前,两组Ashworth、ADL、FMA和QOL-BREF评分比较,差异无统计学意义(P>0.05)。治疗后,观察组治疗总有效率高于对照组,差异具有统计学意义(P<0.05);观察组Ashworth评分低于对照组,ADL评分高于对照组,差异具有统计学意义(P<0.05);观察组FMA中上肢运动功能、下肢运动功能评分均高于对照组,差异具有统计学意义(P<0.05);观察组心理领域、生理领域、社会领域、环境领域QOL-BREF均高于对照组,差异具有统计学意义(P<0.05)。结论电针刺激联合临床康复训练及bobath技术能够有效改善脑卒中后偏瘫痉挛期患者痉挛状态和运动功能,提高日常活动能力,有助于改善患者生活质量。

Objective To explore the application effect of electroacupuncture stimulation combined with clinical rehabilitation training and neurophysiological therapy(bobath technology)in spasm patients.Methods The 64 patients admitted to Binzhou Central Hospital from June 2021 to November 2021 were divided into control and observation groups.The control group took routine rehabilitation training,and the observation group used electroacupuncture stimulation combined with bobath technique based on the control group,and both groups were treated for 4 weeks.Treatment effects,spasticity status(modified Ashworth Spasticity Assessment Scale),motor function[Fugel-Meyer(FMA)],daily activity ability[Activities of Daily Life Scale(ADL)]and quality of life[Quality of Life Measurement Scale(QOL-BREF)]scores were compared.Results Comparison of the Ashworth,ADL,FMA,and QOL-BREF scores between the two pretreatment groups,No statistical difference(P>0.05).The total treatment response rate was higher in the observation group than in the control group,Statistically different(P<0.05);After the treatment,the Ashworth score was lower than that in the control group,The ADL score was higher than that in the control group,Statistically different(P<0.05).Score of upper limb motor function and lower limb motor function in the treated FMA of the observation group,Both were higher than those in the control group,Statistically different(P<0.05).In the treatment,psychological,physiological,social,environmental fields in QOL-BREF after the observation group,both were higher than those in the control group,statistical difference(P<0.05).Conclusion Electroacupuncture stimulation combined with clinical rehabilitation training and bobath technique can effectively improve the spasticity and motor function,and improve the quality of life.