阴阳对刺针法联合运动想象疗法对脑梗塞恢复期偏瘫患者的影响

Effects of yin-yang harmonizing acupuncture therapy and motor imagery therapy on hemiplegia patients with convalescent cerebral infarction

目的:观察阴阳对刺针法联合运动想象疗法对脑梗塞恢复期偏瘫患者下肢运动功能、步行能力及平衡能力的影响。方法:选取符合纳入标准的80例脑梗塞恢复期偏瘫患者,随机分为两组各40例。两组均予常规康复训练,对照组予运动想象疗法,治疗组在对照组基础上予阴阳对刺针法。比较两组患者临床疗效、下肢运动功能、步行能力及平衡能力。结果:治疗组总有效率95.00%,高于对照组的77.50%,差异具有统计学意义(P<0.05);治疗组粗大运动功能测试(GMFM)中D区、E区分值均高于对照组(P<0.05);治疗组6 min步行测试(6MWT)高于对照组(P<0.05),0 m步行测试(10MWT)、起立-行走测试(TUG)均低于对照组(P<0.05);治疗组X轴速度均值、Y轴速度均值、X轴向移动距离、Y轴向移动距离均低于对照组(P<0.05)。结论:阴阳对刺针法联合运动想象疗法能够有效改善脑梗塞恢复期偏瘫患者下肢运动功能及步行能力,增强平衡能力,提高治疗效果。

Objective:To observe the effects of yin-yang harmonizing acupuncture therapy and motor imagery therapy on lower extremity motor function,walking ability and balance ability of hemiplegia patients with convalescent cerebral infarction.Methods:80 cases of eligible hemiplegic patients with convalescent cerebral infarction were selected as researched objects and randomly divided into two groups,40 cases in each group.Both groups were treated by routine rehabilitation training.In addition,the control group was treated by motor imagery therapy,while the treatment group was treated plus by yin-yang harmonizing acupuncture therapy on the basis of the control group.The clinical efficacy,lower extremity motor function,walking ability and balance ability of patients were compared between two groups.Results:The total effective rate of treatment group was 95.00%,which was higher than 77.50%of control group(P<0.05).The scores of D-zone and E-zone in gross motor function measure(GMFM)of treatment group were higher than those of control group(P<0.05).6-minute walking test(6MWT)of treatment group was higher than that of control group,while 10-meter walking test(10MWT)and Timed Up and Go test(TUG)of treatment group were lower than those of control group(P<0.05).X-axis speed mean value,Y-axis speed mean value,X-axis moving distance and Y-axis moving distance of treatment group were lower than those of control group(P<0.05).Conclusion:Yin-yang harmonizing acupuncture therapy and motor imagery therapy can effectively improve the lower extremity motor function and walking ability of hemiplegia patients with convalescent cerebral infarction,enhance their balance ability,and improve the therapeutic effect.