核心肌群训练对脑卒中患者平衡障碍影响的临床研究

发布时间：2018-03-30 02:30

本文选题：脑卒中　切入点：平衡障碍　出处：《成都中医药大学》2014年硕士论文

【摘要】：目的：本研究旨在通过严格规范的临床随机对照实验,观察核心肌群训练结合电针加常规康复训练与电针加常规康复训练对改善脑卒中患者平衡障碍的有效性,并评价两种方案在治疗该病的疗效上的差异。方法：将符合纳入标准112例的脑卒中后的偏瘫患者随机分为试验组与对照组,试验组与对照组各56例。所有患者均使用神经科常规对症治疗,在此基础上进行常规综合治疗(电针+常规康复训练),试验组在对照组的基础上加用核心肌群训练。两组均治疗10次为一个疗程,共治疗2个疗程,两疗程间休息2天。治疗前、治疗10次后和治疗20次后分别对两组患者的Berg平衡量表评分、Fulg-Meyer能力评定、sheikh躯干控制能力测定、核心肌群徒手肌力评定、Barthel生活指数评定、脑卒中专用生活质量量表等进行评定,并对这些指标的改善情况进行疗效评价。结果： 1.组内比较：与治疗前相比,试验组与对照组的Fugl-Meyer能力评定、Berg平衡量表评定、核心肌群肌力评定、躯干控制能力测定、日常生活活动能力和生活质量在治疗后均有明显改善(P0.05)。 2.组间比较：治疗后试验组的Fugl-Meyer评定、核心肌群肌力评定、Berg平衡量表评分、sheikh躯干控制能力测定、Barthel生活指数评定、脑卒中专用生活质量量表的改善程度与对照组相比差异均有统计学意义(P0.05),试验组优于对照组。 3.组间比较：试验组与对照组对改善中风患者症状均有疗效,两组临床疗效差异(进步率)有统计学意义(P0.05),临床有效率试验组优于对照组。结论：电针加常规康复结合核心肌群训练与电针加常规康复对改善脑卒中患者平衡障碍均有疗效,但电针加常规康复结合核心肌群训练的临床疗效更为显著,能更好的提高脑卒中后偏瘫患者的平衡能力、运动功能和核心肌群肌力。同时通过相关性分析得出,平衡功能的改善有助于脑卒中患者运动功能和日常生活能力的提高,并与患者生活质量亦呈正相关,有一定的深入研究及探讨的价值。
[Abstract]:Objective:. The purpose of this study was to observe the effectiveness of core muscle group training combined with electroacupuncture plus routine rehabilitation training and electroacupuncture plus routine rehabilitation training in improving the balance disorders of stroke patients through a strictly standardized randomized controlled trial. The difference between the two schemes in the treatment of the disease was evaluated. Methods:. 112 patients with hemiplegia after stroke were randomly divided into the experimental group and the control group, 56 cases in the experimental group and 56 cases in the control group. All the patients were treated with routine neurologic therapy. On this basis, routine comprehensive therapy (conventional electroacupuncture rehabilitation training) was performed in the experimental group, which was supplemented with core muscle group training on the basis of the control group. Both groups were treated for 10 times as a course of treatment, with a total of 2 courses of treatment. Before treatment, 10 times after treatment and 20 times after treatment, the Berg balance scale scores of the two groups were evaluated by Fulg-Meyer 's ability to assess the ability of control of the trunk of sheikh, and the assessment of the muscle strength of the core muscle group with bare hand was evaluated as Barthel's index of life. The quality of life (QOL) of stroke was evaluated and the improvement of these indexes was evaluated. Results:. 1. Intragroup comparison: compared with before treatment, the Fugl-Meyer ability assessment and Berg balance scale, core muscle strength assessment, trunk control ability, daily life activity and quality of life of the experimental group and the control group were significantly improved after treatment. 2. Comparison between groups: after treatment, the Fugl-Meyer assessment, the core muscle strength assessment and the Berg balance scale score were used to evaluate the control ability of the trunk and the Barthel life index. Compared with the control group, the improvement degree of the special quality of life scale for stroke was significantly different from that of the control group (P 0.05), and the experimental group was superior to the control group. 3. Comparison between the two groups: both the experimental group and the control group were effective in improving the symptoms of stroke patients, the difference of clinical efficacy between the two groups was statistically significant (P 0.05), and the clinical effective rate in the experimental group was better than that in the control group. Conclusion:. Both electroacupuncture and routine rehabilitation combined with core muscle group training and electroacupuncture combined with routine rehabilitation were effective in improving the balance disorder of stroke patients, but the clinical effect of electroacupuncture plus routine rehabilitation combined with core muscle group training was more significant. It can improve the balance ability, motor function and core muscle strength of patients with hemiplegia after stroke. At the same time, the improvement of balance function is helpful to the improvement of motor function and daily living ability of stroke patients. And also positive correlation with the quality of life of patients, which has a certain value of in-depth research and discussion.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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