旋转对折埋线联合高压氧治疗脑卒中后运动障碍的临床观察

Clinical observation on the treatment of motor disorder after stroke by rotating folded embedded thread combined with hyperbaric oxygen

目的探讨旋转对折埋线联合高压氧(HBO)对脑卒中后运动功能、平衡障碍的改善效果。方法采用随机数字表将2021年8月至2023年12月郑州市第二人民医院收治的66例脑卒中后运动障碍患者分为两组。观察组:穴位埋线(1组俞募配穴:肺俞、心俞、肝俞、脾俞、肾俞配合中脘、天枢、中级、关元;2组远近配穴:百会、人中、四神聪、颞三针配合曲池、内关、脾关、足三里、三阴交、太冲及阿是穴,交替选穴,1次/周)结合HBO并配合对症治疗;对照组:针灸(患侧曲池、内关、脾关、足三里、三阴交、太冲及阿是穴,6次/周)结合HBO并配合对症治疗;两组均连续治疗4周。比较两组临床疗效、运动功能、平衡能力、日常生活能力、步态参数、生活质量。结果观察组治疗总有效率93.94%高于对照组75.76%,治疗后Fugl-Meyer运动功能量表(FMA)、Berg平衡量表(BBS)、改良Barthel指数(MBI)、健康调查简表(SF-36)评分及步速、步频、步长、最大膝关节屈伸角度、最大髋关节屈伸角度高于对照组,步宽、双支撑期百分比低于对照组(P<0.05)。结论旋转对折埋线联合HBO可有效改善脑卒中后运动功能、平衡功能、步行能力,提高日常生活能力和生活质量。

Objective To explore the effect of rotating folded embedded thread combined with hyperbaric oxygen(HBO)on the improvement of motor function and balance disorder after stroke.Methods A random number table was used to divide 66 patients with post-stroke motor disorder admitted to Zhengzhou Second People's Hospital from August 2021 to December 2023 into two groups.The observation group:acupoint thread-embedding Group 1 with front-back matching acupoints:Feishu,Xinshu,Ganshu,Pishu,and Shenshu matching with Zhongwan,Tianshu,Zhongji and Guanyuan;Group 2:far-near distance matching acupoints:Baihui,Renzhong,Sishencong,Niesanzhen(temple three needles with Quchi,Neiguan,Piguan,Zusanli,Sanyin jiao,Taichong and Ashi,alternating acupoints,once a week)combined with HBO and symptomatic treatment;The control group:acupuncture(affected side Quchi,Neiguan,Piguan,Zusanli,Sanyin jiao,Taichong and Ashi acupoints,6 times/week)combined with HBO and symptomatic treatment;Both groups were treated continuously for 4 weeks.The clinical efficacy,motor function,balance ability,daily living ability,gait parameters and quality of life of the two groups were compared.Results The total effective rate of the observation group was 93.94%,higher than that of the control group 75.76%.After treatment,the scores of Fugl-Meyer assessment scale(FMA),Berg balance scale(BBS),modified Barthel index(MBI),36-item short-form health survey(SF-36),stride speed,stride frequency,stride length,maximum knee flexion extension angle and maximum hip flexion extension angle were higher than those of the control group.The percentage of stride width and double support period percentage were lower than those of the control group(P<0.05).Conclusion The combination of rotating folded embedded thread and HBO can effectively improve motor function,balance function,walking ability,daily living ability,and quality of life after stroke.