温针灸联合康复训练对脑卒中后痉挛性偏瘫患者肌痉挛程度、平衡功能的影响

Effect of Warming Needle Moxibustion Combined with Rehabilitation Training on Muscle Spasm Degree and Balance Function of Patients with Spastic Hemiplegia after Stroke

目的:分析在脑卒中后痉挛性偏瘫患者中使用温针灸及康复训练的临床效果。方法:选取2020年12月—2023年9月北京中医医院顺义医院收治的85例脑卒中后痉挛性偏瘫患者,采用双盲抽签分组法分为观察组(n=41)和对照组(n=44)。两组均给予康复训练,观察组增加温针灸治疗。比较两组肌痉挛程度、平衡功能、凝血功能、不良事件发生率及生存质量。结果:观察组干预后的改良Ashworth量表评分低于对照组,Breg平衡量表评分高于对照组(P<0.05)。观察组干预后的活化部分凝血活酶时间、凝血酶原时间均长于对照组,纤维蛋白原低于对照组(P<0.05)。观察组下肢深静脉血流减缓发生率低于对照组(P<0.05)。干预后观察组的生理状态、心理健康评分均高于对照组(P<0.05)。结论:采用温针灸联合康复训练的方案可有效改善脑卒中后痉挛性偏瘫患者的肌痉挛程度和躯体平衡功能,同时能够有效减少下肢深静脉血流减缓的发生,提高生存质量。

Objective:To explore the clinical effect of warming needle moxibustion combined with rehabilitation training in patients with spastic hemiplegia after stroke.Method:A total of 85 patients with spastic hemiplegia after stroke admitted to Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital from December 2020 to September 2023 were selected and divided into observation group(n=41)and control group(n=44)by double-blind lottery method.Both groups were given rehabilitation training,and the observation group added warming needle moxibustion treatment.The spastic hemiplegia degree,balance function,coagulation function,incidence of adverse events and quality of life were compared between the two groups.Result:After intervention,the modified Ashworth scale score of the observation group was lower than that of the control group,and the Breg balance scale score was higher than that of the control group(P<0.05).After intervention,the activated partial thromboplastin time and prothrombin time in observation group were longer than those in control group,and the fibrinogen was lower than that in control group(P<0.05).The incidence of lower extremity deep vein flow retardation in observation group was lower than that in control group(P<0.05).After intervention,the scores of physical state and mental health of the observation group were higher than those of the control group(P<0.05).Conclusion:The scheme of warming needle moxibustion combined with rehabilitation training can effectively improve the degree of muscle spasm and body balance function in patients with spastic hemiplegia after stroke,and can effectively reduce the occurrence of lower extremity deep vein flow retardation and improve the quality of life.