| 引用本文:杨勤1，倪璐2.针灸联合镜像反馈疗法对脑卒中患者下肢痉挛的康复疗效[J].世界中医药,2020,(19):. |
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| 针灸联合镜像反馈疗法对脑卒中患者下肢痉挛的康复疗效 |
| Rehabilitation Effects of Acupuncture Combined with Mirror Feedback Therapy on the Rehabilitation of Lower Limb Spasm in Patients with Cerebral Apoplexy |
| 投稿时间：2020-03-31 |
| DOI：10.3969/j.issn.1673-7202.2020.19.027 |
| 中文关键词: 脑卒中 下肢 痉挛 镜像疗法 针灸 表面肌电图 步态 |
| English Keywords:Stroke Lower limb Spasm Mirror therapy Acupuncture Surface electromyography Gait |
| 基金项目:安徽省自然科学基金项目(1308085MH174)——通督调神针灸预处理对脑缺血再灌注大鼠相关mirans调控机制研究 |
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| 中文摘要: |
| 目的:观察针灸联合镜像反馈疗法对脑卒中痉挛下肢运动能的康复效果。方法:选取2016年1月至2019年6月黄山市人民医院收治的脑卒中患者60例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组30例。对照组患者接受神经内科常规药物治疗及常规康复训练基础上加用镜像反馈训练疗法,观察组在对照组基础上加用针灸治疗,30 min/次,5次/周,共治疗4周。比较2组卒中患者运动评分标准(MAS)、Fugl-Meyer下肢运动功能量表(FMA)、Berg平衡功能量表(BBS)、日常生活活动(ADL)能力进行评定、表面肌电图(EMG)以及三维步态参数的变化。结果:1)经过为期4周治疗后2组患者的股四头肌、小腿三头肌MAS较治疗前改善(P<0.05),观察组优于对照组。2)治疗后2组患者FMA、BBS及ADL较治疗前提高(P<0.05),观察组较对照组提高(P<0.05)。3)2组患者步频、步幅、步速、踝关节最大背屈角度、踝关节最大跖屈角度均较治疗前提高(P<0.05),观察组优于对照组(P<0.05)。4)治疗后2组患侧下肢股四头肌、小腿三头肌的MVC、EMG均较治疗前提高(P<0.05),观察组提高的幅度较对照组大(P<0.05)。结论:针灸联合镜像疗法对脑卒中后痉挛性偏瘫患者有良好疗效,建议临床推广应用。 |
| English Summary: |
| To observe the rehabilitation effect of acupuncture combined with mirror feedback therapy on the rehabilitation of spastic lower limb motor function in patients with cerebral apoplexy. Methods:A total of 60 patients with cerebral apoplexy admitted to Huangshan People's Hospital were randomly divided into a control group (n＝30) and an observation group (n＝30). The patients in the control group were treated with mirror feedback training on the basis of routine drug therapy and rehabilitation training in the Department of Neurology, and the patients in the observation group were treated with acupuncture on the basis of the control group, 30 min/time, 5 times a week for 4 weeks. The motor score standard (MAS), Fugl-Meyer lower limb motor function scale (FMA), Berg balance function scale (BBS), activities of daily living (ADL), surface electromyography (EMG) and three-dimensional gait parameters were compared between the 2 groups. Results:1) After 4-week treatment, the MAS of quadriceps femoris and triceps calf of the 2 groups were improved, and the observation group was better than the control group. 2) After treatment, the levels of FMA, BBS and ADL in the 2 groups were higher than those before treatment, and those in the observation group were higher than those in the control group (P<0.05). 3) The walking frequency, stride length, walking speed, maximum dorsiflexion angle and maximum metatarsal flexion angle of ankle joint in the 2 groups were higher than those before treatment (P<0.05), and the observation group was better than the control group (P<0.05). 4) After treatment, the MVC and EMG of the quadriceps femoris and triceps of the lower extremities in the 2 groups were higher than those before treatment, and the increase in the observation group was greater than that in the control group (P<0.05). Conclusion:Acupuncture combined with mirror therapy has a good effect on patients with spastic hemiplegia after stroke. It is recommended for clinical application. |
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