康复学报2025，Vol.35Issue(2)：130-137,8.DOI:10.3724/SP.J.1329.2025.02004
腕踝针联合肺康复训练对缺血性脑卒中偏瘫患者的影响
Effects of Wrist-Ankle Acupuncture Combined with Pulmonary Rehabilitation Training on Patients with Hemiplegic after Cerebral Ischemic Stroke
摘要
Abstract
Objective To observe the effects of wrist-ankle acupuncture combined with pulmonary rehabilitation training on respiratory function,trunk control and motor function of hemiplegic patients after cerebral ischemic stroke(CIS).Methods A total of 100 hemiplegic patients after CIS who were hospitalized in the Rehabilitation Hospital Affiliated to Fujian University of Tradition-al Chinese Medicine from November 2021 to October 2023 were recruited and divided into control group and observation group ac-cording to the random number table generated by the SPSS 25.0 software,with 50 cases in each group.During the course of the treat-ment,six cases in the control group and four cases in the observation group discontinued or dropped out for various reasons,and fi-nally 44 cases and 46 cases were included in the control group and the observation group,respectively.Both groups received basic treatment of western medicine and routine rehabilitation treatment.The control group received conventional pulmonary function training,including external diaphragmatic pacing treatment(30 minutes a time),abdominal breathing training(15 minutes a time),once a day,five days a week for four weeks.The observation group additionally received wrist-ankle acupuncture with the needles retained,once a day,45 minutes a time,five times a week for four weeks.Before and after treatment,an advanced exercise cardio-pulmonary function tester was used to detect the pulmonary ventilation function[forced vital capacity(FVC),forced expiratory vol-ume in the first second(FEV1),maximum peak expiratory flow rate(PEF),maximum minute ventilation volume(MVV)];an intelli-gent respiratory endurance training device was used to detect the respiratory muscle strength[maximum inspiratory pressure(MIP),maximum expiratory pressure(MEP)];the Trunk Impairment Scale(TIS)was used to evaluate the trunk control ability(dynamic sit-ting balance,static sitting balance,coordination ability);the Fugl-Meyer Assessment(FMA)was used to evaluate motor function;and adverse events(local pain,hematoma,mild bleeding,adhesive tape allergy,etc.)during the treatment period were observed.Results Compared with those before treatment,FVC,FEV1,PEF,MVV,MIP,MEP,dynamic sitting balance score,static sitting balance score,coordination ability score,TIS total score and FMA score in both groups after treatment increased significantly,and the differences were statistically significant(P<0.05).Compared with the control group,FVC,FEV1,PEF,MVV,MIP,MEP,dynamic sitting balance score,static sitting balance score,coordination ability score,TIS total score and FMA score in the observation group after treatment increased,and the differences were statistically significant(P<0.05).There were no serious adverse events in both groups.Conclusion Wrist-ankle acupuncture combined with pulmonary rehabilitation training can improve pulmonary ventilation function,respiratory muscle strength and endurance,trunk control ability and motor function of patients with hemiplegia after CIS,which is recommended for clinical promotion and application.关键词
缺血性脑卒中/偏瘫/腕踝针/肺康复训练/呼吸功能/运动功能Key words
cerebral ischemic stroke/hemiplegic/wrist-ankle acupuncture/pulmonary rehabilitation training/respiratory func-tion/motor function引用本文复制引用
郑美,赖文芳,周小炫,黄建峰,陈开珍..腕踝针联合肺康复训练对缺血性脑卒中偏瘫患者的影响[J].康复学报,2025,35(2):130-137,8.基金项目
国家自然科学基金面上项目(82174001) （82174001）
福建省科技厅引导性项目(2020Y0052) （2020Y0052）
