《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (12): 1163-1166.

• 论文 • 上一篇    下一篇

针刺对脑卒中偏瘫患者踝内翻的疗效观察

尹正录，孟兆祥，薛永骥，陈波   

  1. 苏北人民医院康复医学科，江苏扬州市225001。
  • 收稿日期:2013-01-08 修回日期:2013-02-28 出版日期:2013-12-25 发布日期:2013-12-25
  • 通讯作者: 孟兆祥

Effects of Acupuncture on Ankle Varus for Hemiplegics

YIN Zheng-lu, MENG Zhao-xiang, XUE Yong-ji, et al.   

  1. Department of Rehabilitation,Jiangsu Northern People's Hospital, Yangzhou 225001, Jiangsu, China
  • Received:2013-01-08 Revised:2013-02-28 Published:2013-12-25 Online:2013-12-25

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摘要： 目的观察针刺治疗脑卒中偏瘫并发踝内翻的疗效。方法选取脑卒中偏瘫并发踝内翻患者61 例，随机分成两组。对照组(n=30)进行康复训练、功能性电刺激(FES)，观察组(n=31)在对照组的基础上辅以针刺治疗。治疗前和治疗8 周后采用临床痉挛指数评定踝关节的痉挛程度，简式Fugl-Meyer评定法(FMA)评估下肢运动功能，采用改良Barthel 指数(MBI)评价日常生活活动能力(ADL)，采用Berg 平衡量表评价平衡功能，采用Holden 步行功能分级评价步行功能。结果与治疗前相比，治疗后两组痉挛程度、下肢运动功能、ADL、平衡功能和步行功能均改善(P<0.05)，且观察组优于对照组(P<0.05)。结论配合针刺更有利于改善脑卒中偏瘫并发踝内翻患者的痉挛程度、下肢运动功能、ADL、平衡功能和步行功能。

关键词: 脑卒中, 偏瘫, 踝内翻, 功能性电刺激, 针刺, 康复

Abstract: Objective To explore the effect of acupuncture on ankle varus after stroke. Methods 61 stroke patients with ankle varus were randomly divided into two groups. The control group (n=30) was treated with exercise and function electrical stimulation (FES), while the observation group (n=31) was treated with acupuncture in addition. Clinical Spasticity Index (CSI), Simplified Fugl-Meyer Assessment (FMA), modified Barthel Index (MBI), Berg Balance Scale (BBS), and Holden Functional Ambulation Category (FAC) were applied to assess ankle spasticity, lower limb motor function, the activities of daily living (ADL), balance function and walking ability respectively before and 8 weeks after treatment. Results Compared with pre-treatment, two groups improved in the ankle spasticity, lower limb motor function,ADL, balance function and walking ability 8 weeks after treatment (P<0.05), and the observation group was better than the control group (P<0.05). Conclusion Acupuncture can facilitate to improve the ankle spasticity, lower limb motor function, ADL, balance function and walking ability for stroke patients ankle varus.

Key words: stroke, hemiplegia, ankle varus, function electrical stimulation, acupuncture, rehabilitation