针灸联合穴位按摩对脑卒中偏瘫恢复期康复训练依从性的影响
|
摘要
目的:探讨针灸联合穴位按摩对脑卒中偏瘫患者恢复期康复训练依从性影响性。方法:214例脑卒中偏瘫患者按入组先后顺序平均分成两组,每组107例,对照组常规康复训练和药物治疗,研究组在对照组基础上加用针灸、穴位按摩,观察不同治疗方案治疗后对患者依从性、脑卒中生活质量量表(SS-QOL)、疗效等影响性。结果:疗效上,对照组治愈率、总有效率为21.5%、78.5%,研究组为31.77%、88.8%,研究组治愈率、总有效率明显高于对照组(P<0.05)。两组治疗末在SS-QOL各个指标上均显著高于治疗前(P<0.05),治疗末研究组以上指标显著优于对照组(P<0.05)。组内治疗后Barthel指数、FMA评分均显著高于治疗前(P<0.05),治疗末研究组以上指标较对照组高(P<0.05)。对照组完全依从率、总依从率分别为36.45%、77.57%,研究组分别为45.79%、89.72%,组间比较差异有统计学意义(P<0.05),对照组科学运动、合理饮食、规范用药依从率为67.29%、73.83%、77.57%,研究组分别为81.31%、85.05%、86.92%,组间比较差异有统计学意义(P<0.05)。结论:针灸联合穴位按摩能增强脑卒中偏瘫患者恢复期康复训练依从性,提高生活质量。
Objective:To explore the influence of acupuncture combined with acupoint massage on rehabilitation training compliance of stroke patients with hemiplegia. Methods:Totally 214 cases of stroke patients according to the order were divided into two groups, 107 cases in each group. The control group was treated with routine rehabilitation training and drug treatment and the research group used acupuncture and acupoint massage. We observed the patients' compliance and quality of life in Stroke Scale(SS-QOL) and clinical effect.Results:In the control group, the cure rate and the total effective rate were 21.5% and 78.5%, respectively. The study group's were 31.77% and 88.8%. The cure rate and the total effective rate in the study group were significantly higher than those in the control group(P<0.05). The two groups' at the end of treatment were significantly higher than those before treatment(P<0.05), and the indicators above of the treatment group were significantly better than those in the control group(P<0.05). After treatment, the Barthel index and FMA score were significantly higher than that before treatment(P<0.05), and the indicators above of the treatment group were higher than those in the control group(P<0.05). The control group's compliance rate and total compliance rate were 36.45%, 77.57% and those were 45.79% and 89.72% of the study group. There were significant differences between the groups(P<0.05). The control group's scientific exercise, reasonable diet and standardized medication compliance rate were 67.29%, 73.83%, 77.57%, respectively. And the study group's were 81.31%, 85.05%, 86.92%, respectively. The difference between groups was statistically significant(P<0.05). Conclusion:Acupuncture combined with acupoint massage can enhance the compliance of rehabilitation training for hemiplegic patients with stroke and improve the quality of life.
Objective:To explore the influence of acupuncture combined with acupoint massage on rehabilitation training compliance of stroke patients with hemiplegia. Methods:Totally 214 cases of stroke patients according to the order were divided into two groups, 107 cases in each group. The control group was treated with routine rehabilitation training and drug treatment and the research group used acupuncture and acupoint massage. We observed the patients' compliance and quality of life in Stroke Scale(SS-QOL) and clinical effect.Results:In the control group, the cure rate and the total effective rate were 21.5% and 78.5%, respectively. The study group's were 31.77% and 88.8%. The cure rate and the total effective rate in the study group were significantly higher than those in the control group(P<0.05). The two groups' at the end of treatment were significantly higher than those before treatment(P<0.05), and the indicators above of the treatment group were significantly better than those in the control group(P<0.05). After treatment, the Barthel index and FMA score were significantly higher than that before treatment(P<0.05), and the indicators above of the treatment group were higher than those in the control group(P<0.05). The control group's compliance rate and total compliance rate were 36.45%, 77.57% and those were 45.79% and 89.72% of the study group. There were significant differences between the groups(P<0.05). The control group's scientific exercise, reasonable diet and standardized medication compliance rate were 67.29%, 73.83%, 77.57%, respectively. And the study group's were 81.31%, 85.05%, 86.92%, respectively. The difference between groups was statistically significant(P<0.05). Conclusion:Acupuncture combined with acupoint massage can enhance the compliance of rehabilitation training for hemiplegic patients with stroke and improve the quality of life.
引文
[1] 刘洋,宗涛.针灸、穴位按摩联合康复训练治疗气虚阻络型脑卒中后偏瘫43例[J].环球中医药,2017,10(2):231-234.
[2] 张敏.低频脉冲电治疗联合穴位按摩对脑卒中偏瘫患者肢体功能的影响[J].蚌埠医学院学报,2016,41(5):676-677,680.
[3] 王凯,杨建全.运动康复联合针灸对急性脑卒中偏瘫患者肢体运动能力和日常生活活动能力的影响[J].西部中医药,2017,30(7):107-110.
[4] Ikeda Takaaki,Ogawa Kenji,Ohnishi Kouhei, et al.Quantitative evaluation of stroke paralysis considering individual differences in symptoms[C]//2015 IEEE International Conference on Mechatronics: 2015 IEEE International Conference on Mechatronics Nagoya, 2015,2(5):138-143.
[5] Mussa-Ivaldi FA,Casadio M,Ranganathan R, et al.The body-machine interface: A pathway for rehabilitation and assistance in people with movement disorders[J].Expert review of medical devices,2017,10(2):145-147.
[6] 沙碧源,罗婷婷,张丽荣,等.补阳还五汤加减联合针灸治疗脑卒中偏瘫45例临床评价[J].中国药业,2017,26(20):57-59.
[7] 邓兵,游佐.针灸配合康复临床对脑卒中偏瘫患者肢体功能恢复的效果探析[J].影像研究与医学应用,2017,1(11):217-218.
[8] Kanehisa Masayuki,Morinaga Katsuhiko,Kohno Hisae.An uncommon case of random fire-setting behavior associated with Todd paralysis: A case report[J].BMC Psychiatry,2016,12(1):23-25.
[9] 丁琪.针灸配合康复训练治疗脑卒中偏瘫的护理体会[J].医药前沿,2017,7(30):321-322.
[10] 梁菊花,钟文津,覃禹铭,等.穴位按摩配合肢体康复训练在脑卒中偏瘫患者中的应用[J].齐鲁护理杂志,2017,23(23):53-55.
[11] 王亚玲.健康教育路径对脑卒中偏瘫早期康复锻炼依从性的影响[J].世界最新医学信息文摘(连续型电子期刊),2015,15(72):167.
[12] Knutson JS,Hansen K,Nagy J, et al.Contralaterally controlled neuromuscular electrical stimulation for recovery of ankle dorsiflexion: A pilot randomized controlled trial in patients with chronic post-stroke hemiplegia[J].American Journal of Physical Medicine and Rehabilitation,2016,92(8):656-665.
[13] 马天.传统针灸加现代康复对脑卒中偏瘫患者肢体功能恢复影响的临床分析[J].双足与保健,2017,26(12):158-159.
[14] 杨玉芹.针灸推拿联合中医药治疗脑卒中偏瘫患者的临床效果[J].心理医生,2018,24(2):172-173.
[15] Qin-hui Fu,Jian Pei .Acupuncture treatment programs for post-stroke motor rehabilitation in community hospitals: study protocol of a multicenter, randomized, controlled trial[J].Zhong XiYi JieHe XueBao,2016,10(5):55-57.
[16] 禹红.针灸配合康复训练等对脑卒中偏瘫患者肢体功能恢复的影响分析[J].大家健康(下旬版),2017,11(11):43-44.
[17] 王史健,冯玲.脑卒中偏瘫患者针灸联合推拿治疗的功能改善及疗效分析[J].中国医院统计,2017,24(3):218-220.
[18] Veverka T,Hlutík P,Tomáová Z,et al.BoNT-A related changes of cortical activity in patients suffering from severe hand paralysis with arm spasticity following ischemic stroke[J].Journal of the Neurological Sciences: Official Bulletin of the World Federation of Neurology,2016,319(1/2):89-95.
[19] 汪晗.针药并用联合康复训练治疗急性脑卒中偏瘫的有效性分析[J].环球中医药,2017,10(2):228-230.
[20] 杨海霞.中医推拿治疗在脑卒中偏瘫康复中的应用浅析[J].内蒙古中医药,2017,36(15):128-129.
[2] 张敏.低频脉冲电治疗联合穴位按摩对脑卒中偏瘫患者肢体功能的影响[J].蚌埠医学院学报,2016,41(5):676-677,680.
[3] 王凯,杨建全.运动康复联合针灸对急性脑卒中偏瘫患者肢体运动能力和日常生活活动能力的影响[J].西部中医药,2017,30(7):107-110.
[4] Ikeda Takaaki,Ogawa Kenji,Ohnishi Kouhei, et al.Quantitative evaluation of stroke paralysis considering individual differences in symptoms[C]//2015 IEEE International Conference on Mechatronics: 2015 IEEE International Conference on Mechatronics Nagoya, 2015,2(5):138-143.
[5] Mussa-Ivaldi FA,Casadio M,Ranganathan R, et al.The body-machine interface: A pathway for rehabilitation and assistance in people with movement disorders[J].Expert review of medical devices,2017,10(2):145-147.
[6] 沙碧源,罗婷婷,张丽荣,等.补阳还五汤加减联合针灸治疗脑卒中偏瘫45例临床评价[J].中国药业,2017,26(20):57-59.
[7] 邓兵,游佐.针灸配合康复临床对脑卒中偏瘫患者肢体功能恢复的效果探析[J].影像研究与医学应用,2017,1(11):217-218.
[8] Kanehisa Masayuki,Morinaga Katsuhiko,Kohno Hisae.An uncommon case of random fire-setting behavior associated with Todd paralysis: A case report[J].BMC Psychiatry,2016,12(1):23-25.
[9] 丁琪.针灸配合康复训练治疗脑卒中偏瘫的护理体会[J].医药前沿,2017,7(30):321-322.
[10] 梁菊花,钟文津,覃禹铭,等.穴位按摩配合肢体康复训练在脑卒中偏瘫患者中的应用[J].齐鲁护理杂志,2017,23(23):53-55.
[11] 王亚玲.健康教育路径对脑卒中偏瘫早期康复锻炼依从性的影响[J].世界最新医学信息文摘(连续型电子期刊),2015,15(72):167.
[12] Knutson JS,Hansen K,Nagy J, et al.Contralaterally controlled neuromuscular electrical stimulation for recovery of ankle dorsiflexion: A pilot randomized controlled trial in patients with chronic post-stroke hemiplegia[J].American Journal of Physical Medicine and Rehabilitation,2016,92(8):656-665.
[13] 马天.传统针灸加现代康复对脑卒中偏瘫患者肢体功能恢复影响的临床分析[J].双足与保健,2017,26(12):158-159.
[14] 杨玉芹.针灸推拿联合中医药治疗脑卒中偏瘫患者的临床效果[J].心理医生,2018,24(2):172-173.
[15] Qin-hui Fu,Jian Pei .Acupuncture treatment programs for post-stroke motor rehabilitation in community hospitals: study protocol of a multicenter, randomized, controlled trial[J].Zhong XiYi JieHe XueBao,2016,10(5):55-57.
[16] 禹红.针灸配合康复训练等对脑卒中偏瘫患者肢体功能恢复的影响分析[J].大家健康(下旬版),2017,11(11):43-44.
[17] 王史健,冯玲.脑卒中偏瘫患者针灸联合推拿治疗的功能改善及疗效分析[J].中国医院统计,2017,24(3):218-220.
[18] Veverka T,Hlutík P,Tomáová Z,et al.BoNT-A related changes of cortical activity in patients suffering from severe hand paralysis with arm spasticity following ischemic stroke[J].Journal of the Neurological Sciences: Official Bulletin of the World Federation of Neurology,2016,319(1/2):89-95.
[19] 汪晗.针药并用联合康复训练治疗急性脑卒中偏瘫的有效性分析[J].环球中医药,2017,10(2):228-230.
[20] 杨海霞.中医推拿治疗在脑卒中偏瘫康复中的应用浅析[J].内蒙古中医药,2017,36(15):128-129.