摘要
目的观察针灸联合运动控制锻炼对脑卒中恢复期患者痉挛状态和下肢运动功能的影响。方法收集90例符合纳入标准的脑卒中恢复期患者作为观察对象,所有患者均存在不同程度下肢痉挛症状,按照随机数字表法随机分为对照组和观察组各45例。对照组患者给予运动控制锻炼治疗,观察组在对照组基础上联合针灸治疗。采用Fugl-Meyer运动功能评定量表(FMA)评定下肢运动功能。6个月后,比较两组患者下肢痉挛临床疗效、下肢关节痉挛程度评分及FMA评分及患者生活质量情况。结果临床疗效显示,观察组患者治疗总有效率高于对照组(P<0.05)。治疗后,与对照组相比,观察组患者下肢膝关节、踝关节痉挛程度评分降低,FMA评分升高,组间比较都有统计学差异(P均<0.05)。6个月后观察组患者生活质量各维度评分均明显高于对照组(P<0.05)。结论针灸联合运动控制锻炼在脑卒中恢复期下肢痉挛患者中应用效果良好,能够有效改善下肢痉挛状态,并且能够提高下肢运动功能,提高患者的生活质量水平,临床上值得应用。
Objective To observe the effects of acupuncture combined with motor control exercise on spastic state and motor function of lower limbs in patients with stroke in recovery period. Methods 90 cases of patients with stroke in recovery period meeting the inclusion criteria were collected as observational objects, and all patients were with spasticity of lower limbs at different degrees. According to random number table, the patients were randomly divided into control group and observation group with 45 cases in each group. Control group was treated with motor control exercise, observation group was treated with acupuncture combined with motor control exercise. Fugl-Meyer Assessement （FMA） was employed to evaluate motor function of lower limbs. After 6 months, curate efficacy of spasticity of lower limbs, scores for spasticity of joints of lower extremity, scores of FMA and Patient quality of life were compared between the two groups. Results Curative efficacy showed that Observation group had statistically higher total therapeutic efficacy ratio than that＇in control group （P〈0.05）. In comparison with conlrol group after treatment, the scores of spasticity of knee and ankle were statistically lower, and the score of FMA was statistically higher in observation group with all statistical differences （all P〈0.05）. After 6 months, the scores of life quality in observation group were significantly higher than those in control group （P〈0.05）. Conclusion Acupuncture combined with motor control exercise has well application effect in patients with stroke in recovery period, and it can improve spasticity of lower limbs and motor function of lower limbs and mprove the quality of life of patients.
作者
雷建荣
LEI Jianrong(Department of Rehabilitation Medicine, Puren Rehabilitation Center Affiliated to Wuhan University of Science and Technology, Wuhan 430081)
出处
《湖北中医药大学学报》
2018年第2期94-97,共4页
Journal of Hubei University of Chinese Medicine
基金
武汉市临床医学(中医药及中西医结合类)科研项目重点项目(项目编号:WZ16A08)
关键词
脑卒中恢复期
针灸
运动控制锻炼
下肢痉挛
下肢运动功能
stroke in recovery period
acupuncture
motor control exercise
spasticity of lower limbs
motor function of lower limbs
