电针结合运动想象疗法对脑梗死后偏瘫的临床疗效观察

发布时间：2019-04-08 18:57

【摘要】：目的:探讨电针结合运动想象疗法对脑梗死患者偏瘫侧运动功能和生活自理能力恢复的影响。方法:将90例脑梗死偏瘫患者随机分为康复组、电针组和综合组,每组30例。康复组采用脑梗死的常规护理、药物治疗以及常规康复治疗;电针组在康复组基础上加用电针治疗,取穴以百会、顶颞前斜线、顶颞后斜线、肩毭、外关、风市、三阴交为主穴,得气后连接电针治疗仪,留针30 min;综合组在电针组基础上加用运动想象治疗,每次约20 min。3组治疗均每日1次,每周5次,共治疗4周。观察3组治疗前后Barthel指数和Brunnstrom评分的变化。结果:研究中共有3例未能完成试验,最终87例纳入统计,康复组30例,电针组29例,综合组28例。治疗后3组患者Barthel指数和Brunnstrom评分分级情况均较治疗前明显改善(均P0.01);治疗后电针组、综合组Barthel指数较康复组明显升高(均P0.01),综合组患者下肢Brunnstrom评分分级情况较电针组、康复组明显改善(均P0.05)。结论:电针结合运动想象疗法与康复可以明显提高脑梗死患者偏瘫侧的肢体运动功能和生活自理能力,总体临床疗效优于单纯康复或电针治疗。
[Abstract]:Aim: to investigate the effect of electroacupuncture combined with motor imagination therapy on hemiplegic side motor function and self-care ability of cerebral infarction patients. Methods: 90 patients with cerebral infarction hemiplegia were randomly divided into rehabilitation group, acupuncture group and comprehensive group with 30 cases in each group. The rehabilitation group was treated with routine nursing, drug therapy and routine rehabilitation treatment of cerebral infarction. The acupuncture group was treated with electroacupuncture on the basis of rehabilitation group. The acupoints were treated with Baihui, anterior parietal temporal oblique line, shoulder, Weiguan, Fengshi City and Sanyinjiao as the main points. The acupuncture treatment apparatus was connected with the acupuncture instrument after the qi was obtained, and the needle was kept for 30 min;. The combined group was treated with motor imagination therapy on the basis of electro-acupuncture group, each time about 20 min.3 group was treated once a day, 5 times a week, for a total of 4 weeks. The changes of Barthel index and Brunnstrom score were observed before and after treatment. Results: a total of 3 cases failed to complete the test, and 87 cases were included in the statistics. There were 30 cases in rehabilitation group, 29 cases in electroacupuncture group and 28 cases in comprehensive group. After treatment, the Barthel index and Brunnstrom score of the three groups were significantly improved compared with those before treatment (P0.01). After treatment, the Barthel index of acupuncture group and comprehensive group was significantly higher than that of rehabilitation group (all P0.01). The Brunnstrom score of lower limbs of patients in comprehensive group was significantly improved than that of electroacupuncture group and rehabilitation group (all P0.05). Conclusion: electro-acupuncture combined with motor imagination therapy and rehabilitation can significantly improve the limb motor function and self-care ability of hemiplegic side in patients with cerebral infarction, and the overall clinical effect is better than that of simple rehabilitation or electro-acupuncture therapy.
【作者单位】：南京中医药大学;东南大学附属中大医院针灸科;南京医科大学附属南京脑科医院;南京中医药大学附属江苏省中医院针灸康复科;
【分类号】：R246.6

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