腰腹部电针对中风后偏瘫患者步行能力影响的临床观察

发布时间：2018-05-24 21:13

本文选题：中风 + 步行能力　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:客观评价腰腹部电针对中风后偏瘫患者步行能力的影响,优化偏瘫患者下肢功能恢复的治疗方案,为临床治疗提供新思路。方法:60例符合标准的患者采用随机数字表法,分成治疗组30例,对照组30例。对照组采用神经内科常规对症及康复治疗,并接受针灸科常规头针(顶区、顶前区、枕下区)及体针治疗。治疗组在对照组治疗的基础上选取腰腹部电针(以下简称腰腹部电针组)。两组均每天治疗2次,每次30分钟;每周治疗6天,休息1天,连续治疗4周。治疗前后使用RM Gait步态分析系统测量患者的步长、步速、步频、双支撑相占步态周期百分比,对两组患者的步行能力进行评价;采用改良的下肢Fugl-Meyer评定(FMA)及Tinnetti平衡量表对下肢功能及平衡能力进行评价。研究结束后采用SPSS20.0统计软件对数据进行处理与分析。结果:1.治疗组(腰腹部电针组)与常规电针组患者经治疗后患侧下肢的步速、步频、步长均较疗前有明显提高,双支撑相占步态周期百分比明显下降,差异均具有统计学意义(P0.01),且腰腹部电针组优于常规针刺组(P0.05)。2.治疗组(腰腹部电针组)与常规电针组患者经治疗后FMA评分(下肢)较治疗前有明显提高,差异具有统计学意义(P0.01),且腰腹部电针组优于常规针刺组(P0.05)。3.治疗组(腰腹部电针组)与常规电针组患者经治疗后Tinnetti评分较治疗前有明显提高,差异具有统计学意义(P0.01),且腰腹部电针组优于常规针刺组(P0.05)。结论:1.腰腹部电针组与常规电针组对中风后偏瘫患者的步行能力均能起到改善作用。2.腰腹部电针组对改善中风后步行能力的疗效优于常规电针组。
[Abstract]:Objective: to evaluate the effect of lumbar and abdominal electroacupuncture on walking ability of patients with hemiplegia after stroke, and to optimize the treatment scheme of lower limb function recovery in patients with hemiplegia, so as to provide a new idea for clinical treatment. Methods 60 patients who met the standard were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was treated with routine neurology and rehabilitation therapy, and received routine scalp acupuncture (parietal area, preparietal area, suboccipital area) and body acupuncture treatment in acupuncture and moxibustion department. The treatment group in the control group on the basis of the selection of waist-abdominal electroacupuncture (hereinafter referred to as lumbar abdominal electroacupuncture group). The two groups were treated twice a day for 30 minutes, 6 days a week for 1 day, and 4 weeks for continuous treatment. Using RM Gait gait analysis system before and after treatment to measure the gait length, step speed, gait frequency and double support phase in the percentage of gait cycle, the walking ability of the two groups was evaluated. The lower extremity function and balance ability were evaluated by modified Fugl-Meyer and Tinnetti balance scale. At the end of the study, the data were processed and analyzed by SPSS20.0 statistical software. The result is 1: 1. In the treatment group (waist and abdomen electroacupuncture group) and conventional electroacupuncture group, the walking speed, the frequency and the step length of the affected side of the lower extremity after treatment were significantly higher than those before treatment, and the percentage of double supporting phase in gait cycle was obviously decreased. The difference was statistically significant (P 0.01), and the waist and abdomen electroacupuncture group was superior to the routine acupuncture group (P 0.05). 2. The FMA score of the patients in the treatment group (waist and abdomen electroacupuncture group) and the routine electroacupuncture group was significantly higher than that before treatment, and the difference was statistically significant (P 0.01), and the waist and abdomen electroacupuncture group was superior to the routine acupuncture group (P 0.05). The Tinnetti score of the patients in the treatment group (waist and abdomen electroacupuncture group) and the routine electroacupuncture group was significantly higher than that before treatment, and the difference was statistically significant (P 0.01), and the lumbar abdominal electroacupuncture group was superior to the conventional acupuncture group. Conclusion 1. Both waist and abdomen electroacupuncture group and conventional electroacupuncture group can improve walking ability of patients with hemiplegia after stroke. The effect of waist-abdominal electroacupuncture group on improving walking ability after stroke was better than that of routine electroacupuncture group.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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