电针治疗联合康复训练在缺血性脑卒中患者步行功能恢复中的应用研究

Application of Electroacupuncture Therapy Combined with Rehabilitation Training in the Recovery of Walking Function in Patients with Ischemic Stroke

目的:分析缺血性脑卒中患者采取康复训练联合电针治疗对促进步行功能恢复的价值。方法:选择2023年4月—2024年4月福建中医药大学附属第二人民医院接诊治疗的缺血性脑卒中患者80例作为研究对象,采用随机数字表法进行分组,对照组(40例)采取常规药物治疗联合康复训练,观察组(40例)在常规药物治疗基础上实施电针治疗联合康复训练,两组均持续治疗1个月。评估两组患者治疗前后步行功能,测量两组患者治疗前后步速、左右步长差及6 min步行距离,比较两组患者治疗前后炎症因子水平和生活质量。结果:治疗后,观察组患者的Fugl-Meyer运动功能评定量表(FMA)评分、Berg平衡量表(BBS)评分、功能性步行量表(FAC)分级均高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组患者的步速快于对照组,左右步长差短于对照组,6 min步行距离长于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组患者的肿瘤坏死因子-α、C反应蛋白、白介素-6均低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组患者的生活质量各方面评分均高于对照组,差异均有统计学意义(P<0.05)。结论:缺血性脑卒中通过康复训练联合电针治疗能够有效促进患者步行功能的恢复,改善炎症水平,提高生活质量。

Objective:To analyze the value of rehabilitation training combined with electroacupuncture therapy in promoting the recovery of walking function in patients with ischemic stroke.Method:A total of 80 patients with ischemic stroke treated in Fujian University of Traditional Chinese Medicine Affiliated Second People's Hospital from April 2023 to April 2024 were selected as the study objects.The groups were divided by random number table method.The control group(40 cases)received conventional drug therapy combined with rehabilitation training,and the observation group(40 cases)received electroacupuncture therapy combined with rehabilitation training on the basis of conventional drug therapy.Both groups received continuous treatment for 1 month.The walking function of the two groups before and after treatment was evaluated,the walking speed,the difference of left and right steps and the walking distance of 6 min between the two groups were measured,and the levels of inflammatory factors and quality of life of the two groups were compared before and after treatment.Result:After treatment,the scores of Fugl-Meyer assessment scale(FMA),Berg balance scale(BBS)and functional ambulation category(FAC)in observation group were higher than those in control group,the differences were statistically significant(P<0.05).After treatment,the walking speed of observation group was faster than that of control group,the difference of left and right step length was shorter than that of control group,and the 6-min walking distance was longer than that of control group,the differences were statistically significant(P<0.05).After treatment,tumor necrosis factor-α,C reactive protein and interleukin-6 in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After treatment,the quality of life scores in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:Rehabilitation training combined with electroacupuncture therapy can effectively promote the recovery of walking function,improve the level of inflammation and improve the quality of life of patients with ischemic stroke.