耳针联合穴位贴敷在缺血性脑卒中偏瘫中的应用

Application of Ear Acupuncture Therapy Combined with Acupoint Application in Ischemic Stroke with Hemiplegia

目的 探究耳针疗法联合穴位贴敷在缺血性脑卒中偏瘫患者中的应用价值。方法 采用前瞻性随机对照研究方法,纳入2019年1月—2021年12月南阳医专附属中医院62例缺血性脑卒中偏瘫患者,采用随机数字表法分为两组各31例。两组均给予常规护理干预,对照组应用穴位贴敷干预,观察组应用耳针疗法联合穴位贴敷干预,均干预2个月。于干预后比较两组中医证候积分,运动功能(Fugl-Meyer运动功能评定表[FMAS]评估、Tinetti步态评估量表[TGA]、Berg平衡量表[BBS])、日常生活活动能力(Barthel指数评估)。结果 干预后,两组中医证候积分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);两组FMAS各维度评分均较干预前提高(P<0.05),且观察组均高于对照组(P<0.05);两组TGA、BBS评分均较干预前提高(P<0.05),且观察组均高于对照组(P<0.05);两组扩展Barthel指数均较干预前提高(P<0.05),且观察组高于对照组(P<0.05)。结论 耳针疗法联合穴位贴敷可降低缺血性脑卒中偏瘫患者中医证候积分,改善患者运动功能、平衡功能,提高步行质量,对其日常生活活动能力的恢复具有积极意义。

Objective To explore the application value of ear acupuncture therapy combined with acupoint application in ische-mic stroke patients with hemiplegia.Methods A prospective randomized controlled study was conducted in this study.62 patients with hemiplegia due to ischemic stroke in Traditional Chinese Medicine Hospital Affiliated to Nanyang Medical College from Janu-ary 2019 to December 2021 were enrolled in the study.Random number table method was used to divide the patients into two groups,each with 31 cases.Both groups were given routine nursing intervention,the control group was given acupoint application intervention,and the observation group was given ear acupuncture therapy combined with acupoint application intervention,both of which lasted for 2 months.The traditional Chinese medicine syndrome scores of the two groups were compared before and 2 months after the intervention.The motor function(assessed by Fugl Meyer Motor Function Assessment Scale〔FMAS〕,Tinetti Gait Assessment Scale〔TGA〕,Berg Balance Scale〔BBS〕,and Extended Barthel Index)were compared between the two groups before and after the intervention for 2 months.Results After 2 months of intervention,the traditional Chinese medicine syndrome score of the two groups was lower than that before intervention,and the traditional Chinese medicine syndrome score of the obser-vation group was lower than that of the control group(P<0.05).The scores of all dimensions of FMAS in the two groups were higher than before the intervention(P<0.05),and the scores in the observation group were higher(P<0.05).The TGA and BBS scores of the two groups were higher than those before intervention(P<0.05),and the scores of the observation group were higher(P<0.05).The extended Barthel index of the two groups was higher than that before intervention(P<0.05),and the observation group was higher(P<0.05).Conclusion Ear acupuncture therapy combined with acupoint application can reduce traditional Chinese medicine syndrome score of ischemic stroke patients with hemiplegia,improve their motor function and bal-ance function,improve their walking quality,and have positive significance for the recovery of their activities of daily living.