摘要
目的观察五线七针头针疗法治疗卒中后下肢功能障碍的临床疗效。方法将90例卒中后下肢功能障碍患者按照抽签法随机分为2组。治疗组45例予五线七针头针疗法;对照组45例予国标头针疗法。2组均治疗4周。比较2组治疗前后Brunnstrom分级情况;比较2组治疗前后Fugl-Meyer下肢运动功能评定量表(FMA)评分、Berg平衡量表(BBS)评分变化。结果 2组治疗2、4周后Brunnstrom分级均较本组治疗前改善(P<0.05)。2组治疗2周后,Brunnstrom分级≤Ⅳ级的患者与≥Ⅴ级的患者组间比较差异均有统计学意义(P<0.05)。2组治疗4周后,Brunnstrom分级≤Ⅳ级的患者与≥Ⅴ级的患者组间比较差异无统计学意义(P>0.05)。2组治疗2、4周后FMA评分、BBS评分均较本组治疗前升高(P<0.05),且治疗4周后FMA评分、BBS评分均较本组治疗2周后升高(P<0.05);治疗组治疗2、4周后FMA评分均高于对照组治疗同期(P<0.05),治疗组治疗4周后BBS评分高于对照组治疗同期(P<0.05)。结论五线七针头针疗法治疗卒中后下肢功能障碍,能明显改善患者下肢运动功能和平衡能力,疗效优于国标头针疗法。
Objective To observe the effect of five threads seven needles scalp acupuncture in the treatment of lower extremity dysfunction after stroke. Methods 90 patients with lower extremity dysfunction after stroke were randomly divided into two groups according to the method of drawing lots. 45 cases in treatment group were treated by five threads and seven needles, while 45 cases in control group were treated by national standard scalp acupuncture. Both groups were treated for 4 weeks. The Brunnstrom grade before and after treatment was compared between the two groups. The changes of Fugl Meyer’s lower extremity motor function assessment scale(FMA)and balance scale(BBS) before and after treatment were compared between the two groups. Results The Brunnstrom grade of the two groups was improved after two and four weeks of treatment(P<0.05). After two weeks of treatment, there was a significant difference between the Brunnstrom patients with less than or equal to grade IV and the patients with more than or equal to grade V(P<0.05), after four weeks of treatment, there was no significant difference between the two groups(P>0.05). The scores of FMA and BBS in the two groups after two and four weeks of treatment were higher than those in the group before treatment(P<0.05), and the scores of FMA and BBS in the two groups after four weeks of treatment were higher than those in the group after two weeks of treatment(P<0.05). The FMA score of the treatment group after two and four weeks of treatment were higher than that of the control group at the same time(P<0.05). The BBS score of the treatment group after four weeks of treatment was higher than that of the control group at the same time(P<0.05). Conclusion Five threads seven needles scalp acupuncture therapy can improve the motor function and balance ability of the lower extremity after stroke, and the curative effect is better than the national standard scalp acupuncture therapy.
作者
邢潇
齐丛会
杨洁
崔林华
XING Xiao;QI Conghui;YANG Jie(Department of Acupuncture and Moxibustion,Hebei People's Hospital,Shijiazhuang,Hebei 050051)
出处
《河北中医》
2019年第10期1540-1544,共5页
Hebei Journal of Traditional Chinese Medicine
基金
河北省中医药管理局2018年度中医药类科研计划课题(编号:2018083)
关键词
卒中
下肢
动作障碍
康复
针刺疗法
Stroke
Lower extremity
Dyskinesia
Rehabilitation
Acupuncture therapy
