中医针灸联合减重步行训练对高血压性脑出血后下肢功能恢复的影响

Effect of Traditional Chinese Medicine acupuncture combined with walking training for weight loss on lower limb function recovery after hypertensive cerebral hemorrhage

目的探究中医针灸联合减重步行训练对高血压性脑出血后下肢功能恢复的影响。方法选取2018年8月至2020年8月本院收治的84例高血压性脑出血患者作为研究对象,按照患者自愿原则分为对照组与观察组,每组42例。对照组给予常规康复治疗,观察组在对照组基础上给予中医针灸联合减重步行训练治疗,比较两组下肢功能评分[功能性运动量表(FAC)和Fugl-Meyer运动功能量表(FMA)评分]及康复效果。结果治疗前,两组FAC、FMA评分比较差异无统计学意义;治疗后,两组FAC、FMA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)。观察组康复总有效率为97.62%,显著高于对照组的78.57%,差异有统计学意义(P<0.05)。结论中医针灸联合减重步行训练治疗高压性脑出血效果显著,能有效改善患者下肢功能情况,促进下肢功能恢复,值得临床推广应用。

Objective To explore the effect of Traditional Chinese Medicine acupuncture combined with walking training for weight loss on lower limb function recovery after hypertensive cerebral hemorrhage.Methods A total of 84 patients with hypertensive cerebral hemorrhage admitted our hospital from August 2018 to August 2020 were selected as the research subjects,and they were divided into control group and observation group according to the voluntary principle of patients,with 42 cases in each group.The control group was given routine rehabilitation treatment,and the observation group was given Traditional Chinese Medicine acupuncture combined with walking training for weight loss on the basis of the control group,the lower limb function scores(functional ambulation classification[FAC],FuglMeyer assessment[FMA])and rehabilitation effects were compared between the two groups.Results Before treatment,there was no significant difference in FAC and FMA scores between the two groups;after treatment,the scores of FAC and FMA of two groups were higher than before treatment,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The total effective rate of rehabilitation in the observation group was 97.62%,which was significantly higher than 78.57%in the control group,and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese Medicine acupuncture combined with walking training for weight loss in the treatment of hypertensive cerebral hemorrhage effect is remarkable,can effectively improve the lower limb function,promote the recovery of lower limb function,it is worthy of clinical promotion and application.