电针腰部核心肌群治疗脑卒中后平衡功能障碍的临床疗效观察

发布时间：2018-08-08 19:51

【摘要】：目的:通过电针针刺腰部核心肌群治疗脑卒中后平衡功能障碍,观察该法加强患者躯干肌肌力,提高患者躯干控制能力,改善随意运动协调性,提高患者平衡能力的临床疗效。方法:在本研究中,选取脑卒中后平衡功能障碍的患者62例作为研究对象。将所有患者随机分为2组,对照组31例,治疗组31例,对照组给予神经内科常规治疗和针刺,治疗组在此基础上加针刺腰部核心肌群,应用Berg平衡量表、Fugl-Meyer平衡功能评定量表、sheikh躯干控制能力测定量表、核心肌群徒手肌力评定量表对患者进行评定,观察患者平衡功能障碍改善情况。结果:1、对照组与治疗组的Berg平衡量表、Fugl-Meyer平衡功能评定量表、sheikh躯干控制能力测定量表、核心肌群徒手肌力评定量表评分积分治疗前后组内对比均显著提高,差异有统计学意义(p0.01);2、治疗后,治疗组Berg平衡量表、Fugl-Meyer平衡功能评定量表、sheikh躯干控制能力测定量表、核心肌群徒手肌力评定量表评分积分与对照组进行组间比较,疗效更优,差异显著(p0.05)。结论:1、电针腰部核心肌群可提高脑卒中患者躯干肌肌力及躯干控制能力,促进下肢功能恢复,提高步行能力;2、电针腰部核心肌群能改善脑卒中患者平衡功能,提高动作协调性,是脑卒中康复的有效治疗方法。
[Abstract]:Objective: to observe the clinical effect of this method on strengthening the muscle strength of trunk muscle, improving the control ability of trunk, improving the coordination of random movement and improving the balance ability of patients after stroke. Methods: in this study, 62 patients with poststroke balance dysfunction were selected. All the patients were randomly divided into two groups: the control group (n = 31) and the treatment group (n = 31). The Berg balance scale and Fugl-Meyer balance function scale were used to evaluate the control ability of the trunk of Fugl-Meyer and the bare hand muscle strength of the core muscle group to observe the improvement of the balance dysfunction of the patients. Results the Berg balance scale of the control group and the treatment group, the Fugl-Meyer balance function scale and the measurement of the control ability of the trunk of Fugl-Meyer, the score of the core muscle group with the unarmed muscle strength assessment scale, were significantly improved before and after treatment. The difference was statistically significant (p0.01). After treatment, the Berg balance scale and the Fugl-Meyer balance function scale were used to measure the control ability of the trunk, and the score of the core muscle group was better than that of the control group. The difference was significant (p0.05). Conclusion electroacupuncture of lumbar core muscle group can improve trunk muscle strength and trunk control ability of stroke patients, promote lower limb function recovery and improve walking ability. Electroacupuncture of waist core muscle group can improve balance function and motion coordination of stroke patients. It is an effective treatment for stroke rehabilitation.
【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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