互动式头针改善脑卒中后偏瘫患者躯体和生理功能的可行性分析

Analysis of Interactive Scalp Acupuncture in Improving Physical and Physiological Functions of Stroke Patients with Hemiplegia

目的探讨互动式头针对改善脑卒中后偏瘫患者躯体和生理功能的作用。方法将我院收治的90例脑卒中后偏瘫患者作为研究对象,随机分为观察组和对照组,各45例。对照组予康复运动疗法治疗,观察组在对照组治疗基础上给予互动式头针治疗。比较2组患者治疗前后上肢运动功能Fugl-Meyer评定量表(FMA)、改良Ashworth量表(MAS)、健康调查简表(SF-36)的评分情况。结果 2组患者治疗后FMA评分较治疗前均显著升高,且观察组较对照组升高明显(P <0.05)。2组患者治疗后MAS量表评分较治疗前均显著降低,且观察组优于对照组(P <0.05)。2组患者治疗后SF-36各项评分较治疗前均显著升高,且观察组治疗后SF-36中的躯体功能和生理功能评分较对照组均显著升高(P <0.05)。结论互动式头针可有效提高脑卒中后偏瘫患者的躯体功能和生理功能,改善肢体运动功能及关节活动功能,有助于促进日常生活能力及生活质量的提高。

Objective To analyze the role of interactive scalp acupuncture in improving the physical and physiological functions of stroke patients with hemiplegia. Methods 90 patients with hemiplegia after stroke were randomly divided into control group(n=45) and observation group(n=45). The control group was received rehabilitation exercise, the observation group was treated with interactive scalp acupuncture on the basis of control group. The scores of upper extremity motor function of Fugl-Meyer accessment(FMA), modified Ashworth scale(MAS) and 36-item short form health survey(SF-36) were compared between the two groups before and after treatment. Results After treatment, the scores of FMA in the two groups was significantly higher than that before treatment, and the score of the observation group was significantly higher than that in the control group(P < 0.05).The scores of MAS scale in the two groups was significantly lower than that before treatment, and the score of the observation group was significantly lower than that of the control group(P <0.05). The scores of SF-36 in two groups were significantly higher than those before treatment, and the scores of physical and physiological function in SF-36 of the observation group were significantly higher than those in the control group(P < 0.05). Conclusion Interactive scalp acupuncture can effectively improve the physical and physiological function in patients with hemiplegia after stroke, improve limb motor and joint function, which helps to promote the ability of daily life and the quality of life.