文章摘要
庞争争 ，吕亚希 ，高春华.头针联合反复促通疗法对偏瘫患者下肢运动功能的疗效观察[J].神经损伤功能重建,2023,(9):518-521
头针联合反复促通疗法对偏瘫患者下肢运动功能的疗效观察
Therapeutic Effect of Scalp Acupuncture Combined with Repetitive Facilitation Exercise onLower Limb Motor Function in Patients with Hemiplegia PANG
  
DOI：
中文关键词: 脑卒中  头针  反复促通疗法  下肢运动功能
英文关键词: stroke  scalp acupuncture  repetitive facilitation therapy  lower limb motor function
基金项目:湖北省自然科学基 金（KYN 通路在重 复经颅磁刺激治疗 大鼠脑卒中后疲劳 中 作 用 机 制 的 研 究，No. 2019CFC9 21）
作者单位
庞争争1 ，吕亚希1 ，高春华2 1. 武汉市第一医院 针灸科 2. 华中科技大学同 济医学院附属同济 医院康复医学科 
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中文摘要:
      目的：观察头针结合反复促通疗法（repetitive facilitative exercise，RFE）对偏瘫患者下肢运动功能障碍 的影响。方法：将90例脑卒中患者采用随机数字表法分为RFE组（45例）和对照组（45例）。2组均接受头 针加常规康复治疗，RFE组还在头针留针期间予RFE，连续治疗6周。在治疗前及治疗6周后，采用下肢 Fugl-Meyer 运动功能量表（Fugl-Meyer assessment，FMA）评估下肢运动功能、Berg 平衡量表（Berg balance scale，BBS）评估平衡能力、改良Barthel指数量表（modified Barthel index，MBI）评估日常活动能力、10米最 大步行速度测试（10-meter maximum walking test，10MWT）评估步行能力。结果：治疗6周后2组患者BBS、 10MWT、MBI、FMA评分均高于治疗前（P＜0.01），且RFE组治疗后的BBS、10MWT、MBI、FMA评分均显 著优于对照组（P＜0.01）。结论：头针结合RFE治疗偏瘫患者下肢运动功能有较好疗效。
英文摘要:
      To investigate the therapeutic effect of scalp acupuncture combined with repetitive facilitation exercise (RFE) on lower limb motor dysfunction in hemiplegic patients. Methods: A total of 90 patients with stroke were randomly divided into RFE group (n=45) and control group (n=45) using a random number table method. The control group received scalp acupuncture and routine rehabilitation treatment while the RFE group received RFE during the retention period of scalp needle. All treatments were administered continuously for 6 weeks. Before and after treatments, the motor function of lower limbs was evaluated using the Fugl-Meyer assessment (FMA), the balance ability was evaluated using the Berg balance scale (BBS), the daily activity ability was evaluated using the modified Barthel index scale (MBI), and the walking ability was evaluated using the 10-meter maximum walking speed test (10MWT). Results: After 6 weeks of treatments, the BBS, 10MWT, MBI, and FMA scores in patients of both groups were significantly higher than those before treatment (P<0.01). The BBS, 10MWT, MBI, and FMA scores of the RFE group after treatment were significantly higher than those of the control group after treatment (P<0.01). Conclusion: The combination of scalp acupuncture and RFE demonstrated a better therapeutic effect than regular scalp acupuncture on lower limb motor function in hemiplegic patients.
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