|
|
|
| Clinical effect of core muscle training combined with acupuncture in treatment of ischemic stroke patients with hemiplegia |
| DANG Hui CHEN Weirong WU Qingjun YANG Feifei CHEN Caiheng CHEN Guoqi LI Caixia |
| Department of Rehabilitation Medicine, Danzhou People′s Hospital, Hainan Province, Danzhou 571700, China |
|
|
|
Abstract Objective To study the clinical effect of core muscle training combined with acupuncture in treatment of ischemic stroke patients with hemiplegia. Methods A total of 100 cases of ischemic stroke patients with hemiplegia were selected in Danzhou People′s Hospital of Hainan Province from June 2016 to April 2017, and they were randomly divided into control group and observation group with 50 cases in each group according to the random number table method. The control group was given core muscle training, and the observation group was treated with acupuncture on the basis of control group, the walking parameters, lower extremity motor function,resistance index (RI), pulsatility index (PI) and mean blood flow velocity (Vm) of bilateral middle cerebral arteries was compared between the two groups before treatment and 1 month after treatment. The quality of life was evaluated by Barthel index (BI) scale. Results The simplified Fugl-Meyer Motor Function Scale (FMA) and Berg Balance Scale (BBS) scores of the two groups were higher than those of the control group after 1 month of treatment, and the observation group was higher than those of the control group (P ＜ 0.05); the timed standing walk test (TGUT) was lower than that of the control group (P ＜ 0.05). The walking speed, stride length, healthy side stride length, affected side stride length and leg support period of the two groups improved 1 month after treatment, and those in the observation group were higher than the control group (P ＜ 0.05). One month after treatment, Vm in the observation group was higher than that in the control group (P ＜ 0.05), while RI and PI in the observation group was lower than those in the control group (P ＜ 0.05). The BI of the two groups increased 1 months after treatment, and the observation group was higher than that of the control group (P ＜ 0.05). Conclusion Core muscle group training combined with acupuncture can effectively improve cerebral blood flow, walking parameters, lower extremity motor function and quality of life in Ischemic stroke patients with hemiplegia, the clinical value is excellent.
|
|
|
|
|
|
[1] Fabri TL，Stewart ML，Stevens SA. Informing pediatric rehabilitation：Language-based neuropsychological profile following traumaticbrain injury and stroke secondary to arteriovenous malformation [J]. J Pediatr Rehabil Med，2018，11（1）：15-21.
[2] Bashir Q，Ishfaq A，Baig AA. Safety of Diagnostic Cerebral and Spinal Digital Subtraction Angiography in a Developing Country：A Single-Center Experience [J]. Interv Neurol，2018，7（1-2）：99-109.
[3] Song TJ，Chang Y，Chun MY，et al. High Dietary Glycemic Load is Associated with Poor Functional Outcome in Patients with Acute Cerebral Infarction [J]. J Clin Neurol，2018，14（2）：165-173.
[4] 欧阳迎，吴毅，周立晨，等.Bobath理念引导下的核心肌群训练对脑卒中偏瘫患者步行功能的影响[J].中华物理医学与康复杂志，2015，37（6）：424-427.
[5] 朱咏梅，张田宁，田千慧，等.针刺联合肌电生物反馈疗法对脑卒中患者下肢功能的影响[J].中国康复医学杂志，2015，30（6）：576-579.
[6] 王薇薇，王新德.第六届全国脑血管病学术会议纪要[J].中华神经科杂志，2004，37（4）：346-348.
[7] 金冬梅，燕铁斌.Berg平衡量表及其临床应用[J].中国康复理论与实践，2002，11（3）：155-157.
[8] 赵津京，王凯，杨志丽，等.磁共振扩散张量成像联合Fugl-Meyer量表对老年急性脑梗死患者疗效评估的作用[J].中国脑血管病杂志，2014，11（12）：639-642.
[9] 高小芬，于卫华.采用Barthel指数评定表对医养结合老年患者护理级别再分度研究[J].护理学杂志，2014，29（4）：1-4.
[10] Wang X，You S，Sato S，et al. Current status of intravenous tissue plasminogen activator dosage for acute ischaemic stroke：an updated systematic review [J]. Stroke Vasc Neurol，2018，3（1）：28-33.
[11] Motorna NV，Rybalko SL，Starosyla DB，et al. The study of leukocyte phagocytic activity in the presence of herpetic infection and stroke [J]. Wiad Lek，2018，71（1 pt 2）：155-159.
[12] 倪荣福，吴云，李秋君，等.重复周围磁刺激联合核心肌群训练在慢性非特异性下腰痛的疗效观察[J].颈腰痛杂志，2018，39（2）：188-191.
[13] 陈剑飞，李强，谢建平，等.四肢联动及核心肌群训练在脊髓不完全性损伤患者站立训练中的应用[J].浙江临床医学，2018，20（3）：476-478.
[14] 傅勤慧，裴建，惠建荣，等.电针治疗中风后偏瘫患者中医症征疗效评价[J].上海针灸杂志，2018，37（8）：863-868.
[15] 袁红玲，袁银萍，谢金金，等.不同针刺频次治疗脑梗死恢复期偏瘫患者的效果[J].中国医药导报，2018，15（11）：123-126.
[16] 丛文杰，金珍珍，董海欣，等.针刺结合核心肌群训练对缺血性脑卒中偏瘫患者平衡功能的影响[J].中华全科医学，2018，16（10）：1726-1729.
[17] 秦思，朱天民.针刺结合康复技术治疗脑卒中肢体偏瘫的临床研究进展[J].中国康复医学杂志，2015，30（3）：310-312.
[18] 贾慧敏，葛宣宣，赵庆贺，等.核心肌群及徒手呼吸功能训练对脑卒中后吞咽障碍的效果[J].中国康复理论与实践，2017，23（3）：326-329.
[19] 王苇，赵义，周龙江，等.脑梗死偏瘫患者针刺下神经作用机制的血氧水平依赖性功能磁共振成像及弥散张量成像研究[J].中华物理医学与康复杂志，2015，37（9）：662-667.
[20] 任秀君.针刺对高血脂合并脑缺血大鼠神经干细胞和神经营养因子的影响[D].北京：北京中医药大学，2007. |
|
|
|
