电针刺激结合Bobath技术对脑卒中患者下肢运动功能障碍的疗效

发布时间：2018-05-27 14:15

本文选题：脑卒中 + Bobath技术　；参考：《中国医科大学学报》2017年12期

【摘要】：目的探究电针刺激结合Bobath技术对脑卒中患者下肢运动功能的治疗效果。方法选取我院脑卒中患者87例作为研究对象,采用随机数字表法将患者分为A组、B组、C组,每组29例,A组患者采用Bobath技术培训,B组患者采用电针刺激进行治疗,C组在进行Bobath技术培训基础上结合电针刺激治疗。采用Fugl-Meyer运动功能评分(FMA)、改良Barthel指数评分(MBI)、改良Ashworth分级(MAS)、步行分级评定(FAC)对治疗前后患者下肢的运动情况进行评定。结果 3组患者比较,治疗前FMA、MBI评分各项以及整体评分的差异均无统计学意义(P0.05)。治疗后3组患者的FMA、MBI评分各项以及整体评分均高于治疗前,且治疗后C组FMA、MBI评分各项以及整体评分高于A、B组,差异均有统计学意义(P0.05)。3组患者比较,治疗前MAS分级、FAC分级的差异无统计学意义(P0.05),治疗后C组与A、B组比较,MAS分级的差异有统计学意义(P0.05),C组与A组比较FAC分级的差异有统计学意义(P0.05),C组与B组比较FAC分级的差异无统计学意义(P0.05)。结论电针刺激结合Bobath技术对脑卒中患者下肢运动功能的治疗效果较好,与单纯进行电针刺激或Bobath技术培训相比,能够明显提高患者日常生活能力、下肢运动功能、步行能力以及改善肢体痉挛状况。
[Abstract]:Objective to explore the therapeutic effect of electroacupuncture combined with Bobath on motor function of lower extremities in stroke patients. Methods Eighty-seven patients with stroke in our hospital were randomly divided into two groups: group A, group B, and group C. 29 patients in group A were trained by Bobath technique. Group B was treated with electroacupuncture stimulation. Group C was treated with electroacupuncture combined with electroacupuncture on the basis of Bobath technical training. The motor function of patients before and after treatment were evaluated by Fugl-Meyer motor function score, modified Barthel index score, modified Ashworth score and walking grade. Results there was no significant difference in FMA-MBI scores and overall scores between the three groups before treatment (P 0.05). After treatment, the FMA-MBI scores and the overall scores of the three groups were higher than those of the patients before treatment, and the FMA-MBI scores and the overall scores in the C group were higher than those in the Agna B group after treatment, and the differences were statistically significant. There was no significant difference in MAS grade before treatment. There was no significant difference in FAC grade between group C and group A after treatment. There was significant difference between group C and group A in FAC grade. There was significant difference between group C and group B in FAC grade. There was no significant difference between the two groups (P 0.05). Conclusion electroacupuncture combined with Bobath is effective in the treatment of lower extremity motor function in stroke patients. Compared with electroacupuncture stimulation or Bobath training, it can obviously improve the ability of daily life and motor function of lower extremity. Walking ability and improving limb spasms.
【作者单位】：中国医科大学附属第一医院康复医学科;中国医科大学附属盛京医院康复医学科;
【基金】：辽宁省教育厅科学研究项目(LK201655)
【分类号】：R743.3

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