摘要
目的：探讨醒脑开窍针灸对脑卒中后下肢功能障碍的改善效果。方法：将本院收治的100例脑卒中后下肢功能障碍患者按随机数字表法分为对照组与观察组各50例,对照组采用经颅磁刺激治疗,观察组加用醒脑开窍针灸治疗,均测定干预前后两组患者10 m最大步行速度（10mWT）、起立-行走计时测试时间（TUGT）,同时采用改良FuglMeyer运动功能评分表（FMA）、Holdden步行功能评分表（FAC）、美国国立卫生研究院卒中量表（NIHSS）、日常生活能力量表（ADL）中Barthel指数表（BI）评定患者步行功能、下肢运动功能、神经功能及日常生活能力的改善情况,采用Ashworth量表测定患者下肢肌张力的变化。结果：（1）干预后,两组10 mWT提高,TUGT缩短（P〈0.05）,观察组10 mWT高于对照组,TUGT低于对照组（P〈0.05）;（2）干预前,两组FAC表、FMA表评分对比差异无统计学意义（P〉0.05）,干预后,两组上述量表均上升（P〈0.05）,观察组干预后FAC表、FMA表评分均高于对照组（P〈0.05）;（3）观察组干预10周下肢肌张力0级所占比例明显高于对照组（P〈0.05）;（4）干预后,两组NIHSS表评分降低,BI指数表评分上升（P〈0.05）,观察组NIHSS表评分低于对照组,BI指数表评分高于对照组（P〈0.05）。结论：在经颅磁刺激基础上加用中医醒脑开窍针灸干预可改善脑卒中后下肢功能障碍程度,促进其步行功能的改善,提升下肢肌力,改善其日常生活能力。
Objective： To investigate the effects of Xingnao Kaiqiao acupuncture in the treatment of lower limb dysfunction after stroke. Methods： A total of 100 cases of patients with lower limb dysfunction after stroke in our hospital were selected and divided into the control group and the observation group with 50 cases in each group by the random number table method. The control group was treated with conventional transcranial magnetic stimulation while the observation group was additionally treated with Xingnao Kaiqiao acupuncture. The 10-meter walk test（10 mWT） and the timed up and go test time（TUGT） were performed in the two groups before and after the intervention. The walking function,lower limb motor function,neurological function and activities of daily living were evaluated with the Fugl-Meyer Assessment（FMA） of motor function,the Holdden walking function rating scale（FAC）,the modified Fugl-Meyer motor function rating scale（FMA）,the National Institutes of Health Stroke Scale（NIHSS） and Barthel index（BI） in activity of daily living scale（ADL）,and changes of lower limb muscle tension were determined by the Ashworth scale. Results：（1）After the intervention,the 10 mWT was increased and TUGT was shortened in the two groups（P〈0. 05）. The 10 mWT of the observation group was longer than that of the control group,while TUGT was shorter than that of the control group（P〈0. 05）.（2）Before the intervention,there were no significant differences between the two groups in scores of FAC and FMA（P〈0. 05）. After the intervention,scores in the two groups were increased（P〈0. 05）,and the scores of observation group were higher than those of the control group（P〈0. 05）.（3）The proportion of grade 0 lower limb muscle tension in the observation group after 10 weeks of intervention was higher than that in the control group（P〈0. 05）.（4）After the intervention,NIHSS scores were decreased and BI scores were increased in the two groups（P〈0. 05）. The NIHSS score of the observation group was lower than that of the control group,and the BI score was higher than that of the control group（P〈0. 05）. Conclusion： Xingnao Kaiqiao acupuncture combined with transcranial magnetic stimulation can relieve the degree of lower limb dysfunction,promote the improvement of walking function and improve the lower limb muscle strength and activities of daily living of patients after stroke.
作者
张辽
贺飞
张子雯
张换
汪富
ZHANG Liao;HE Fei;ZHANG Ziwen;ZHANG Huan;WANG Fu(Rehebiliatation Department,Wanbei Coal-Electricity Group General Hospital,Suzhou 234000,Anhui,China)
出处
《辽宁中医杂志》
CAS
2018年第9期1957-1960,共4页
Liaoning Journal of Traditional Chinese Medicine
关键词
醒脑开窍针灸
中医
脑卒中
下肢功能障碍
Xingnao Kaiqiao acupuncture
TCM
stroke
lower limb dysfunction
