督脉隔药灸联合静态平衡训练治疗脑卒中后偏瘫临床研究

Clinical Study on Medicine-Separated Moxibustion at Du Mai Combined with Static Balance Training for Hemiplegia After Stroke

目的:观察督脉隔药灸联合静态平衡训练治疗脑卒中后偏瘫的临床疗效。方法:选取92例脑卒中后偏瘫患者,按随机数字表法分为对照组和观察组各46例。2组均予以甲钴胺片治疗,在此基础上对照组给予静态平衡训练治疗,观察组给予督脉隔药灸联合静态平衡训练治疗,2组均治疗4周。比较2组治疗前后平衡功能、患侧肌张力及步行能力。结果:治疗后,2组Berg平衡功能评定量表(BBS)、脑卒中患者姿势评定量表(PASS)评分均较治疗前升高,观察组BBS、PASS评分均高于对照组,差异均有统计学意义(P<0.05)。2组患侧肌张力均较治疗前降低,观察组患侧肌张力低于对照组,差异均有统计学意义(P<0.05)。2组步频、10 m最大步行速度、步长均较治疗前改善,观察组步频、10 m最大步行速度、步长改善情况均优于对照组,差异均有统计学意义(P<0.05)。结论:督脉隔药灸联合静态平衡训练治疗脑卒中后偏瘫能有效改善患者的平衡功能、步行能力,降低患侧肌张力。

Objective:To observe the clinical effect of medicine-separated moxibustion at du mai combined with static balance training for hemiplegia after stroke.Methods:A total of 92 cases of patients with hemiplegia after stroke were selected and divided into the control group and the observation group according to the random number table method,with 46 cases in each group.Both groups were treated with Methylcobalamin Tablets;the control group was additionally treated with static balance training,and the observation group was additionally treated with medicine-separated moxibustion at du mai combined with static balance training.Both groups were treated for 4 weeks.The balance function,walking ability,and affected muscle tension were compared between the two groups before and after treatment.Results:After treatment,the scores of the Berg Balance Scale(BBS) and Postural Assessment Scale for Stroke(PASS) in the two groups were increased when compared with those before treatment,and the BBS and PASS scores in the observation group were higher than those in the control group,differences being significant(P<0.05).The muscle tensions on the affected side in the two groups were decreased when compared with those before treatment,and the muscle tension on the affected side in the observation group was lower than that in the control group,differences being significant(P<0.05).The stride frequency,maximum walking speed of 10 meters,and stride length in the two groups were all improved when compared with those before treatment,and the improvement of stride frequency,maximum walking speed of 10 meters,and stride length in the observation group was better than that in the control group,differences being significant(P<0.05).Conclusion:The treatment of medicine-separated moxibustion at du mai combined with static balance training for hemiplegia after stroke can effectively improve the patient's balance function and walking ability,and reduce the muscle tension on the affected side.