芒针透刺联合康复训练对脑出血偏瘫患者运动功能及平衡能力的影响

Effects of point-toward-point needle insertion with elongated needles plus rehabilitation training on motor function and balance ability in patients with hemiplegia due to cerebral hemorrhage

目的观察芒针透刺联合康复训练对脑出血偏瘫患者运动功能及平衡能力的影响。方法选取84例脑出血偏瘫患者,采用简单随机分组法将患者分为观察组和对照组,每组42例。对照组采用康复训练,观察组在对照组的基础上采用芒针透刺躯干肌治疗。观察两组治疗前后中医证候积分变化,观察两组治疗前和治疗后3个月Fugl-Meyer评测法(Fugl-Meyer assessment,FMA)、日常生活能力量表(activity of daily living,ADL)、功能性步态评价表(functional gait assessment,FGA)、Berg平衡量表(Berg balance scale,BBS)、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)和锻炼依从性评分变化。结果治疗后,两组中医证候积分均下降(P<0.05),且观察组低于对照组(P<0.05);治疗后3个月,两组FMA、ADL、FGA、BBS以及锻炼依从性评分均上升(P<0.05),NIHSS评分均下降(P<0.05),且观察组FMA、ADL、FGA、BBS以及锻炼依从性评分高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。结论芒针透刺躯干肌联合康复训练可有效改善脑出血偏瘫患者的运动功能、神经功能及平衡能力,提高其锻炼依从性,从而提高其日常生活自理能力。

Objective To observe the effects of point-toward-point needle insertion with elongated needles plus rehabilitation training on motor function and balance ability in patients with hemiplegia due to cerebral hemorrhage.Method Eighty-four patients with cerebral hemorrhage-induced hemiplegia were recruited and divided into an observation group and a control group using a simple randomization method,with 42 cases in each group.Patients in the control group received rehabilitation training,and those in the observation group received additional point-toward-point needle insertion with elongated needles at trunk muscles.The symptom score of traditional Chinese medicine(TCM)was observed before and after the intervention,as well as the Fugl-Meyer assessment(FMA),activity of daily living(ADL),functional gait assessment(FGA),Berg balance scale(BBS),National Institute of Health stroke scale(NIHSS),and exercise compliance scores before treatment and 3 months after the treatment.Result After the treatment,the TCM symptom score dropped in both groups(P<0.05)and was lower in the observation group than in the control group(P<0.05);3 months after the treatment,the FMA,ADL,FGA,BBS,and exercise compliance scores increased,and the NIHSS score dropped in both groups(P<0.05);the FMA,ADL,FGA,BBS,and exercise compliance score were higher in the observation group than in the control group,while the NIHSS score was lower in the observation group than in the control group(P<0.05).Conclusion For patients with cerebral hemorrhage-induced hemiplegia,point-toward-point needle insertion with elongated needles at trunk muscles plus rehabilitation training can effectively improve their motor function,neurological function,and balance ability,enhance exercise compliance,and thus improve their daily self-care ability.