世界针灸学会联合会

扶正补土针灸疗法对脑卒中偏瘫患者步行功能的影响

作者:陈捷 来源:世界针灸杂志 点击:540次 更新:2019-11-06
  

Effects of fuzhengbutu acupuncture-moxibustion therapy on walking function in the patients with post-stroke hemiplegia

扶正补土针灸疗法对脑卒中偏瘫患者步行功能的影响

Bin SHAO (邵斌)a, Dong-mei ZHANG (张冬梅)a, Jian-bin WANG (王建斌)b, Jie CHEN (陈捷)a*

aDepartment of Rehabilitation, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China (福建省立医院康复科,福建 福州 350001,中国)

bSchool of Acupuncture and Moxibustion, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China (福建中医药大学针灸学院,福建 福州 350122, 中国)

☆Supported by Rural and Urban Community Project for Promoting Appropriate Techniques of Fujian Health and Family Planning Administration:2018006

*Corresponding author:

E-mail address: bigcowabc@sina.com (Jie CHEN)


ABSTRACT

Objective: To observe the effects of fuzhengbutu (strengthening antipathogenic qi and tonifying the earth) acupuncture-moxibustion therapy on walking function in the patients with post-stroke hemiplegia.

Methods: A total of 57 patients with hemiplegia after ischemic stroke treated in our hospital from January 2018 through to October 2018 were collected as the study objects. According to random number table, they were divided into a treatment group (29 cases) and a control group (28 cases). In the treatment group, the fuzhengbutu acupuncture-moxibustion therapy combined with rehabilitation treatment was adopted. In the control group, the rehabilitation treatment was given. The persistent walking time and pause time in PIERENSTEP gait measurable training and test system as well as the score of Berg balance scale (BBS) were compared between the two groups.

Results: In the treatment group, the persistent walking time after treatment(1.47 ± 0.28) s was shorter obviously versus before treatment (2.12 ± 0.38) s, indicating the significant difference (P < 0.05). The pause time after treatment was not different obviously versus before treatment (P > 0.05). In the control group, the persistent walking time after treatment (1.88±0.22) s was shorter obviously versus before treatment (2.18 ± 0.30) s, indicating the significant difference (P < 0.05). The pause time after treatment was not different obviously versus before treatment (P  > 0.05). Before treatment, the differences were not significant in the persistent walking time and pause duration in the patients of either group (P  > 0.05). After treatment, the persistent walking time in the treatment group was shorter obviously than the control group (P  < 0.05) and the difference in pause time was not significant between the two groups (P  > 0.05). Before treatment, there was no difference in BBS score between the two groups (P  > 0.05). In the treatment group, BBS score (42.79±2.78) after treatment was higher than (35.86 ± 2.64) before treatment, indicating the significant difference (P  < 0.05). In the control group, BBS score (39.07 ± 2.67) after treatment was higher than (35.86 ± 2.64) before treatment, indicating the significant difference (P  < 0.05). In comparison of BBS score after treatment between the two groups, the score in the treatment group was higher than the control group, indicating the significant difference (P < 0.05).

Conclusion: Based on rehabilitation treatment, Fuzhengbutu acupuncture-moxibustion therapy effectively improves the walking function of the patients with hemiplegia after ischemic stroke.

Keywords:

Acupuncture-moxibustion, Fuzhengbutu (Strengthening the antipathogenic qi and tonifying the earth), Ischemic stroke, Walking function, PIERENSTEP system

[摘 要]

目的:观察扶正补土针法对中风偏瘫患者步行功能的影响。

方法:以我院2018年1月至2018年10月收治的缺血性脑卒中偏瘫患者57例为研究对象。按随机数表分为治疗组29例和对照组28例。治疗组采用扶正补补针灸结合康复治疗。对照组给予康复治疗比较两组在 PIERENSTEP步态测量训练测试系统中的持续步行时间和停顿时间,以及berg平衡量表(bbs)评分。

结果:治疗组治疗后持续步行时间(1.47±0.28)s较治疗前(2.12±0.38)s明显缩短,差异有显著性(p<0.05)。治疗后停药时间与治疗前比较无显著性差异(p>0.05)。对照组治疗后持续步行时间(1.88±0.22)s明显短于治疗前(2.18±0.30)s,差异有显著性(P<0.05)治疗后停药时间与治疗前比较无显著性差异(p>0.05)。治疗前两组患者的持续步行时间和停顿时间差异均无统计学意义(P>0.05)治疗后,治疗组持续步行时间明显短于对照组(p<0.05),两组间停顿时间差异无显著性(p>0.05)。治疗前两组BBS评分无显著性差异(P>0.05)治疗组治疗后bbs评分(42.79±2.78)高于治疗前(35.86±2.64),差异有显著性(p<0.05)。对照组治疗后bbs评分(39.07±2.67)高于治疗前(35.86±2.64),差异有显著性(p<0.05)。两组治疗后BBS评分比较,治疗组高于对照组,有显著性差异(p<0.05)。

结论:基于康复治疗,傅正布土针灸治疗能有效改善缺血性脑卒中偏瘫患者的步行功能。

[关键词]针灸,扶正补土,缺血性中风,步行功能,PIERENSTEP系统