针灸结合平衡训练对脑卒中患者日常生活活动能力的影响
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摘要
①目的探讨针灸结合平衡训练对脑卒中患者平衡及日常生活活动能力的影响。②方法将80例脑卒中患者随机分为对照组和观察组,每组40例。对照组给予常规针灸治疗,观察组给予针灸治疗同时采用B-PHY型平衡功能训练仪进行平衡训练。平衡训练2次/天,分别于治疗前、治疗后4周对两组患者采用Berg平衡量表(BBS)、Barthel指数进行评定,比较两组的治疗效果。③结果经过4周康复治疗后,两组患者BBS、Barthel评分与治疗前比较,差异有统计学意义(P<0.05),且观察组两项评分明显高于对照组(P<0.05)。④结论针灸结合平衡训练能显著改善脑卒中患者的平衡、运动功能,提高日常生活活动能力。
Objective To explore the effect of acupuncture combined with balanced training on daily life activities ability of patients with stroke.Methods A total of 80 patients were randomly divided into two groups:observation group(40patients)and control group(40patients).The patients in both groups were given routine acupuncture therapy,while those in the observation group at the same time received balanced training,two times a day,four weeks later,the treatment effects were compared used BBS and Barthel index between the two groups.Results After four weeks of rehibilatation treatment,BBS and the Barthel index compared with before treatment,the difference was statistically significant between the two groups.The BBS scores and the Barthel index scores were higher in the observation group than the control group(P <0.05).Conclusion The combination therapy can significantly improve the daily life activities ability of patients with stroke.
Objective To explore the effect of acupuncture combined with balanced training on daily life activities ability of patients with stroke.Methods A total of 80 patients were randomly divided into two groups:observation group(40patients)and control group(40patients).The patients in both groups were given routine acupuncture therapy,while those in the observation group at the same time received balanced training,two times a day,four weeks later,the treatment effects were compared used BBS and Barthel index between the two groups.Results After four weeks of rehibilatation treatment,BBS and the Barthel index compared with before treatment,the difference was statistically significant between the two groups.The BBS scores and the Barthel index scores were higher in the observation group than the control group(P <0.05).Conclusion The combination therapy can significantly improve the daily life activities ability of patients with stroke.
引文
[1]林夏妃,丘卫红,窦祖林.脑卒中后平衡功能障碍的研究进展[J].中国康复医学杂志,2011,26(2):191-194
[2]Lee JH,Snels IAK,Beckerman H,et al.Exercise therapy for arm function in stroke patients:a systematic review of ran-domized controlled trials[J].Clin Rehabil,2001,15(1):20-31
[3]杨雅琴,王拥军,冯涛,等.平衡评价量表在临床中的应用[J].中国康复理论与实践,2011,17(8):709-712
[4]沈敏,方栋,顾秋燕,等.Tetrax平衡测试与训练对脑梗死偏瘫患者平衡功能的影响[J].中国康复理论与实践,2011,16(3):249-250
[5]侯智.三级康复训练对脑卒中偏瘫患者肢体功能恢复及生活质量的影响[J].中国实用神经疾病杂志,2014,17(4):19-21
[6]徐春梅,曲红伟,秦楠,等.康复平衡训练法结合头穴透刺对中风后小脑性共济失调患者日常生活活动能力的影响[J],中国中医药科技,2013,20(4):403-404
[7]王建文,寄婧.头针结合视觉反馈平衡仪训练治疗脑卒中偏瘫平衡功能障碍42例临床观察[J].甘肃中医学院学报,2013,30(4):44-46.
[8]田迎春,张绍钦.眼针结合运动疗法治疗脑梗死恢复期偏瘫临床观察[J].中华中医药学刊,2013,31(3):674
[9]刘忠文,任学军,秦茵,于增志.脑卒中偏瘫患者下肢功能与ADL移动动作能力的关系[J].中国康复医学杂志,2012,31(20):108-109
[10]曾沛金,黎高林.头针结合康复训练对脑卒中患者平衡功能障碍的临床研究[J].中国医药导刊,2012,14(12):2034-2035
[11]王建文,赵力生.电脑平衡仪视觉反馈偏瘫患者平衡功能和步行能力的影响[J].中国康复理论与实践,2010,16(7):657-658
[12]朱琪,乔蕾.视觉代偿对脑卒中偏瘫患者平衡功能的影响[J].中国康复理论与实践,2006,12(2):143-144
[13]罗艳,曹铁流,丁渊,等.Pro-Kin平衡功能训练仪对脑卒中患者平衡功能的改善作用[J].中国老年学杂志,2011,31(24):4909-4911
[2]Lee JH,Snels IAK,Beckerman H,et al.Exercise therapy for arm function in stroke patients:a systematic review of ran-domized controlled trials[J].Clin Rehabil,2001,15(1):20-31
[3]杨雅琴,王拥军,冯涛,等.平衡评价量表在临床中的应用[J].中国康复理论与实践,2011,17(8):709-712
[4]沈敏,方栋,顾秋燕,等.Tetrax平衡测试与训练对脑梗死偏瘫患者平衡功能的影响[J].中国康复理论与实践,2011,16(3):249-250
[5]侯智.三级康复训练对脑卒中偏瘫患者肢体功能恢复及生活质量的影响[J].中国实用神经疾病杂志,2014,17(4):19-21
[6]徐春梅,曲红伟,秦楠,等.康复平衡训练法结合头穴透刺对中风后小脑性共济失调患者日常生活活动能力的影响[J],中国中医药科技,2013,20(4):403-404
[7]王建文,寄婧.头针结合视觉反馈平衡仪训练治疗脑卒中偏瘫平衡功能障碍42例临床观察[J].甘肃中医学院学报,2013,30(4):44-46.
[8]田迎春,张绍钦.眼针结合运动疗法治疗脑梗死恢复期偏瘫临床观察[J].中华中医药学刊,2013,31(3):674
[9]刘忠文,任学军,秦茵,于增志.脑卒中偏瘫患者下肢功能与ADL移动动作能力的关系[J].中国康复医学杂志,2012,31(20):108-109
[10]曾沛金,黎高林.头针结合康复训练对脑卒中患者平衡功能障碍的临床研究[J].中国医药导刊,2012,14(12):2034-2035
[11]王建文,赵力生.电脑平衡仪视觉反馈偏瘫患者平衡功能和步行能力的影响[J].中国康复理论与实践,2010,16(7):657-658
[12]朱琪,乔蕾.视觉代偿对脑卒中偏瘫患者平衡功能的影响[J].中国康复理论与实践,2006,12(2):143-144
[13]罗艳,曹铁流,丁渊,等.Pro-Kin平衡功能训练仪对脑卒中患者平衡功能的改善作用[J].中国老年学杂志,2011,31(24):4909-4911