安神通督针刺法结合触觉振动反馈训练对脑卒中偏瘫患者运动功能的影响观察

Observation on the influence of Anshen Tongdu acupuncture combined with tactile vibration feedback training on motor function of stroke patients with hemiplegia

目的:观察安神通督针刺法结合触觉振动反馈训练对脑卒中偏瘫患者运动功能的影响。方法:本研究选取2021年5月~2023年9月就诊于我院康复科的95例脑卒中偏瘫患者,随机分为两组。训练组给予触觉振动反馈训练干预,针刺+训练组给予安神通督针刺法结合触觉振动反馈训练干预。比较干预前后步态分析、星状伸展平衡测试(SEBT)测试及评分[简化Fugl-Meyer(FMA)、中医证候评分、Berg平衡量表(BBS)、日常生活能力(ADL)]差异,统计两组疗效。结果:针刺+训练组总有效率(痊愈0例+显著进步19例+进步24例)高于训练组,有统计学意义(P<0.05)。两组治疗后髋和膝屈曲RI、健侧步长均较前升高,针刺+训练组较训练组更高(P<0.05)。两组治疗后SEBT测试患侧和健侧支撑正前方、后内方、后外方、正后方均较前升高,针刺+训练组较训练组更高(P<0.05)。两组治疗后FMA上肢和下肢评分、BBS评分、ADL评分均较前升高,针刺+训练组较训练组更高(P<0.05);两组治疗后中医证候评分均较前降低,针刺+训练组较训练组更低(P<0.05)。结论:安神通督针刺法结合触觉振动反馈训练可改善脑卒中偏瘫患者上下肢运动功能,促进平衡功能的恢复,提高疗效。

Objective To observe the effect of Anshen Tongdu acupuncture combined with tactile vibration feedback training on motor function of stroke patients with hemiplegia.Methods In this study,95patients with stroke hemiplegia who were admitted to the rehabilitation department of our hospital from 2021.5~2023.9were randomly divided into two groups.The training group was given tactile vibration feedback training intervention,and the acupuncture+training group was given calming Tongdu acupuncture combined with tactile vibration feedback training intervention.Gait analysis,star stretch balance test(SEBT)test and score[simplified Fugl-Meyer(FMA),TCM syndrome score,Berg Balance Scale(BBS),ability of Daily living(ADL)]before and after the intervention were compared,and the therapeutic effects of the two groups were analyzed.Results:The total effective rate of acupuncture+training group(0cases of recovery+19cases of significant improvement+24cases of improvement)was higher than that of training group,with statistical significance(P<0.05).Hip and knee flexion RI and healthy side step length were higher in both groups after treatment,and higher in acupuncture+training group than in training group(P<0.05).After treatment,the SEBT test of the affected side and healthy side was higher than that of the front side,posterior inside side,posterior outside side and posterior side,and the SEBT test was higher in the acupuncture+training group than in the training group(P<0.05).After treatment,the FMA scores of upper and lower limbs,BBS scores and ADL scores of both groups were higher than before,and the acupuncture+training group was higher than the training group(P<0.05).TCM syndrome scores in both groups were lower than before,and acupuncture+training group was lower than training group(P<0.05).Conclusion Anshen Tongdu acupuncture combined with tactile vibration feedback training can improve the motor function of upper and lower limbs in stroke patients with hemiplegia,promote the recovery of balance function and improve the curative effect.