头针结合Pro-Kin平衡仪治疗脑卒中平衡功能障碍的临床研究

发布时间：2018-05-09 14:51

本文选题：头针 + Pro-Kin平衡仪　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨头针(进行康复训练时双侧枕下旁线、顶中线留针)结合Pro-Kin平衡仪治疗首次脑卒中偏瘫患者平衡功能障碍的疗效。方法:将符合筛选要求的81例脑卒中偏瘫后平衡功能障碍的患者,根据临床实验要求随机为试验组(27例)、对照组A(27例)和对照组B(27例)。对照组B只进行常规的康复训练,对照组A在B的基础上加用头针(进行康复训练时留针),试验组则在A的基础上进行Pro-Kin平衡仪站立位训练。三组患者在干预前和干预四周结束时,均用同一治疗师对所有患者进行评估,使用Pro-Kin平衡仪自带的睁眼静态平衡测试系统、Berg平衡量表。结果:(1)三组在干预四周后Berg平衡量表评分和平衡仪-双足站立位睁眼静态平衡测试中的重心摆动轨迹长、重心移动外周面积均较干预前增加,差异有统计学意义(P0.01);(2)三组重心摆动轨迹长、外周面积、Berg平衡量表进行方差分析多重检验,提示试验组治疗疗效最好,对照组A次之。结论:Pro-Kin平衡仪站立位训练对于脑卒中偏瘫患者平衡功能障碍的改善优于常规康复训练,并且在康复训练过程中结合中医传统治疗-头针则更能有效地改善平衡功能。
[Abstract]:Objective: to investigate the effect of scalp acupuncture (bilateral suboccipital parietal line, parietal midline acupuncture) combined with Pro-Kin balance instrument in the treatment of balance dysfunction in patients with hemiplegia after first stroke. Methods: 81 patients with balance dysfunction after stroke hemiplegia were randomly divided into two groups: experimental group (n = 27) and control group (n = 27) and control group (n = 27). Control group B was given routine rehabilitation training, control group A was treated with scalp acupuncture on the basis of B, while the experimental group was given Pro-Kin balance instrument standing training on the basis of A. All patients in the three groups were evaluated by the same therapist before and at the end of the intervention. The static balance test system with Pro-Kin balance instrument was used to test the balance of all the patients. Results (1) after four weeks of intervention, the score of Berg balance scale and the balance instrument and the static balance test of standing with eyes in the three groups had a longer track of center of gravity swing, and the circumference of center of gravity movement increased than that before intervention. The difference was statistically significant (P 0.01). The results showed that the treatment effect was the best in the trial group, followed by the control group A, with the Berg balance scale of peripheral area and the long trajectory of the center of gravity. Conclusion the standing position training with the weight Pro-Kin balance instrument can improve the balance function of stroke hemiplegic patients better than the routine rehabilitation training, and combined with traditional Chinese medicine treatment-scalp acupuncture can improve the balance function more effectively in the course of rehabilitation training.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【相似文献】