靳三针疗法联合虚拟现实技术改善脑卒中偏瘫患者上肢运动功能临床研究

Clinical Study on Combination Use of Jin's Three-Needle Therapy and Virtual Reality Technology for Improving Upper Limb Motor Function of Patients with Stroke Complicated with Hemiplegia

目的:观察在常规疗法基础上加用靳三针疗法联合虚拟现实(VR)技术改善脑卒中偏瘫患者上肢运动功能的临床疗效。方法:将72例脑卒中偏瘫患者按随机数字表法分为对照组和观察组各36例。2组均给予基础药物治疗及常规康复治疗,对照组给予VR智能运动训练治疗,观察组给予VR智能运动训练联合靳三针疗法治疗。2组均治疗4周。治疗前后评定简式Fugl-Meyer运动功能评分量表(FMA)评分、改良Barthel指数评定量表(MBI)评分,检测患、健侧肱二头肌、肱三头肌的均方根振幅(RMS),计算患、健侧RMS的比值。观察治疗期间不良反应的发生情况。评定2组的临床疗效。结果:治疗后,观察组总有效率高于对照组(P<0.05)。2组FMA评分、MBI评分均较治疗前升高(P<0.05),观察组FMA评分、MBI评分均高于对照组(P<0.05)。2组患侧肱二头肌、肱三头肌RMS与健侧的比值均较治疗前升高(P<0.05),观察组2项比值均高于对照组(P<0.05)。治疗期间,2组患者均未出现明显不良反应。结论:在常规疗法基础上加用靳三针疗法联合VR技术能有效改善脑卒中偏瘫患者的上肢运动功能,提高患者的日常生活活动能力,安全性良好。

Objective:To observe the clinical effect of the combination use of Jin's three-needle therapy and virtual reality(VR)technology on improving the upper limb motor function of patients with stroke complicated with hemiplegia based on routine therapy.Methods:A total of 72 patients with stroke complicated with hemiplegia were divided into the control group and the observation group by the random number table method,with 36 cases in each group.Both groups were treated with basic medicines and routine rehabilitation.The control group was given VR intelligent exercise training,and the observation group was given VR intelligent exercise training combined with Jin's three-needle therapy.Both groups were treated for four weeks.The scores of Fugl-Meyer Assessment(FMA)scale and Modified Barthel Index(MBI)scale before and after treatment were evaluated;the root mean square amplitude(RMS)of biceps brachii and triceps brachii on the affected and healthy sides was detected,and the RMS ratios of the affected sides and healthy sides were calculated;the incidence of adverse reactions during treatment was observed;the clinical effects in the two groups were evaluated.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The scores of FMA and MBI in the two groups were higher than those before treatment(P<0.05),and the above two scores in the observation group were higher than those in the control group(P<0.05).The RMS ratios of biceps brachii and triceps brachii on the affected side and those on the healthy side in the two groups were higher than those before treatment(P<0.05),and the two ratios in the observation group were higher than those in the control group(P<0.05).During the treatment,there were no obvious adverse reactions in the two groups.Conclusion:The combination use of Jin's three-needle therapy and VR technology can effectively improve the upper limb motor function of patients with stroke complicated with hemiplegia based on routine therapy,and enhance their activities of daily living,with great safety.