上海针灸杂志2017，Vol.36Issue(10)：1159-1163,5.DOI:10.13460/j.issn.1005-0957.2017.10.1159
早期针刺干预对偏瘫平衡障碍患者日常生活能力的影响
Effect of Early-stage Acupuncture Intervention on Activities of Daily Living in Patients with Hemiplegic Balance Disturbance
摘要
Abstract
Objective To observe the clinical efficacy of balance acupuncture predominantly by puncturing Jiaji points (EX-B2) from C4 to T1and from T12 to L1in treating hemiplegic balance disturbance after cerebral stroke. Method A total of 180 hemiplegia patients were randomized into 3 groups, 60 cases in balance acupuncture group, 60 cases in ordinary acupuncture group, and 60 cases in basic control group. After 1-month treatment and 3 months after the treatment, the motor function (Fugl-Meyer Assessment, FMA), balance function (Berg Balance Scale, BBS; Timed Up and Go Test, TUGT), and activities of daily living (ADL) (Barthel Index, BI) were observed.Result After 1-month treatment and 3 months after the treatment, limb function, balance ability and ADL were significantly different from those before the treatment in balance acupuncture group (P<0.01); after 1-month treatment, limb function in balance acupuncture group was significantly different from that in basic control group (P<0.05), and the differences were more statistically significant in comparing the rest indexes between the two groups (P<0.01); there were significant differences between ordinary acupuncture group and basic control group (P<0.05). Three months after the treatment, there was a significant difference in comparing balance function between balance acupuncture group and basic control group (P<0.05), and the differences were more statistically significant in comparing the rest indexes between the two groups (P<0.01), there was no significant difference in comparing balance function between ordinary acupuncture group and basic control group (P>0.05).Conclusion In combination with basic treatment, balance acupuncture works better than ordinary acupuncture and basic control in improving limb function, ADL and balance function of hemiplegia patients.关键词
针刺/偏瘫/中风后遗症/平衡障碍/日常生活能力/Fugl-Meyer量表/Berg平衡量表/Barthel指数Key words
Acupuncture/Hemiplegia/Post-stroke syndrome/Balance disturbance/Activities of daily living/Fugl-Meyer Assessment/Berg Balance Scale/Barthel Index分类
医药卫生引用本文复制引用
邓多喜,郭奎奎,李国民,张志琦,谢娇,彭亮,谢辉..早期针刺干预对偏瘫平衡障碍患者日常生活能力的影响[J].上海针灸杂志,2017,36(10):1159-1163,5.基金项目
国家自然科学基金青年项目(81403471) （81403471）
湖南中医药管理局课题(201482) （201482）
