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
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摘要
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.
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.
引文
[1]徐晓红,郑鹏,牟开今,等.运动想象疗法配合头针治疗中风偏瘫患者上肢功能障碍[J].长春中医药大学学报,2017,33(6):936-938.
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[12]韩笑,邹忆怀,付彩红,等.阳陵泉穴在中风偏瘫治疗中的临床价值及效应机制[J].吉林中医药,2016,36(10):1050-1053.
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[15]N AVARRO-BONNET J,MARTíNEZ-ANDA J J,BALDERRAMA-SOTO A,et al.Stroke associated with pituitary apoplexy in a giant prolactinoma:a case report[J].Clin Neurol Neurosurg,2014(116):101-103.
[16]陈迎,常玉莹,刘蓓,等.丹芪偏瘫胶囊联合臭氧自血疗法治疗中风恢复期患者下肢功能障碍的临床疗效观察[J].天津中医药,2017,34(8):528-530.
[17]王琳晶,王玉琳,王春英,等.巨刺结合夹脊穴针法治疗中风偏瘫痉挛状态的临床观察[J].中医药信息,2014,31(2):88-90.
[18]CHO T H,RHEIMS S,RITZENTHALER T,et al.Stroke and pituitary apoplexy revealing an internal carotid artery dissection[J].J Stroke Cerebrovasc Dis,2014,23(10):e473-e474.
[19]李毓秋,张健雄,姜侠,等.汗出异常在中风病诊断中的意义[J].吉林中医药,2016,36(4):332-334.
[20]MUNSTER A B,THAPAR A,DAVIES A H.History of carotid stroke[J].Stroke,2016,47(4):e66-e69.
[2]王秀娟,刘强,林翠茹,等.头体针结合治疗中风后上肢痉挛疗效观察[J].上海针灸杂志,2013,32(8):630-632.
[3]高燕,吴高鑫.全国名老中医路绍祖教授治疗中风后偏瘫经验浅谈[J].贵阳中医学院学报,2017,39(4):1-3.
[4]SATO A,OHUDA Y,FUJITA T,et al.Cognitive and physical functions related to the level of supervision and dependence in the toileting of stroke patients[J].Phys Ther Res,2016,19(1):32-38.
[5]GECIRILMESI L G.Cerebral infarction caused by pituitary apoplexy:case report and review of literature[J].Turk Neurosurg,2014,24(5):782-787.
[6]HACHISUKA A,MATSUSHIMA Y,HACHISUKA K,et al.A case of apoplexy attack-like neuropathy due to hereditary neuropathy with liability to pressure palsies in a patient diagnosed with chronic cerebral infarction[J].J Stroke Cerebrovasc Dis,2016,25(6):e83-e85.
[7]AU-YEUNG S S,HUI-CHAN C W.Electrical acupoint stimulation of the affected arm in acute stroke:a placebocontrolled randomized clinical trial[J].Clini Rehabil,2014,28(2):149-158.
[8]魏倩,孙熙罡,高旸,等.针推疗法纠正脑卒中后偏瘫步态的研究集萃[J].浙江中医药大学学报,2013,37(8):1049-1051.
[9]贾澄杰,张宏如,倪光夏,等.头针加音乐联合康复治疗脑卒中后痉挛性偏瘫:随机对照研究[J].中国针灸,2017,37(12):1271-1275.
[10]李小军,胡彩虹,王潇依,等.头电针同步运动疗法对脑卒中后偏瘫康复的临床研究[J].上海针灸杂志,2014,33(11):979-982.
[11]陈大舜,周德生.临床医论及医案之二-中风[J].湖南中医药大学学报,2017,37(3):275-277.
[12]韩笑,邹忆怀,付彩红,等.阳陵泉穴在中风偏瘫治疗中的临床价值及效应机制[J].吉林中医药,2016,36(10):1050-1053.
[13]RABELO M,NUNES G S,DACOSTA AMANTE N M,et al.Reliability of muscle strength assessment in chronic post-stroke hemiparesis:a systematic review and metaanalysis[J].Top Stroke Rehabil,2016,23(1):26-35.
[14]赵宁,李浩,杨万章,等.头针联合重复经颅磁刺激对中风偏瘫患者神经电生理指标的影响[J].世界中西医结合杂志,2017,12(10):1432-1435.
[15]N AVARRO-BONNET J,MARTíNEZ-ANDA J J,BALDERRAMA-SOTO A,et al.Stroke associated with pituitary apoplexy in a giant prolactinoma:a case report[J].Clin Neurol Neurosurg,2014(116):101-103.
[16]陈迎,常玉莹,刘蓓,等.丹芪偏瘫胶囊联合臭氧自血疗法治疗中风恢复期患者下肢功能障碍的临床疗效观察[J].天津中医药,2017,34(8):528-530.
[17]王琳晶,王玉琳,王春英,等.巨刺结合夹脊穴针法治疗中风偏瘫痉挛状态的临床观察[J].中医药信息,2014,31(2):88-90.
[18]CHO T H,RHEIMS S,RITZENTHALER T,et al.Stroke and pituitary apoplexy revealing an internal carotid artery dissection[J].J Stroke Cerebrovasc Dis,2014,23(10):e473-e474.
[19]李毓秋,张健雄,姜侠,等.汗出异常在中风病诊断中的意义[J].吉林中医药,2016,36(4):332-334.
[20]MUNSTER A B,THAPAR A,DAVIES A H.History of carotid stroke[J].Stroke,2016,47(4):e66-e69.