头针联合运动疗法对脑梗死偏瘫患者下肢运动功能恢复的效果分析

Effect of Scalp Acupuncture Combined with Exercise Therapy on Lower Limb Motor Function Recovery in Patients with Hemiplegia Caused by Cerebral Infraction

摘要: 目的：探讨头针联合运动疗法治疗脑梗死偏瘫患者下肢运动功能障碍的临床疗效。方法：回顾性分析本院收治的脑梗死偏瘫患者60例。根据是否联合使用头针治疗将入选患者分成治疗组30例与对照组30例。所有患者均接受常规治疗，对照组患者接受运动疗法，治疗组先接受头针治疗，并携头针进行运动疗法训练。于治疗前和治疗4周、8周后采用简式Fugl-Meyer下肢运动功能评分(FMA-LE)和Holden步行功能、日常生活活动能力(Barthel index, BI)进行评定。结果：治疗4周、8周后两组患者FMA-LE评分、Holden步行能力评定及BI评分均较治疗前明显提高(P < 0.05)；治疗4周后，两组患者上述指标的差异无统计学意义(P > 0.05)；治疗8周后治疗组患者上述指标均显著优于对照组水平(P < 0.05)。结论：头针联合运动疗法可改善脑梗死患者下肢运动功能。

Abstract: Objective: To investigate the clinical effect of scalp acupuncture and exercise therapy on lower limb motor function in patients with cerebral infraction. Methods: 60 patients recovering from cerebral infarction were retrospective analyzed. According to whether or not they were treated with scalp acupuncture, the patients were divided into treatment group (30 cases) and control group (30 cases). All patients received routine treatment. Patients in control group were only given exercise therapy in activities of the lower limb. Patients in treatment group were given scalp acupuncture and followed by exercise therapy with scalp acupuncture. They were assessed with Fugl-Meyer Assessments of lower extremity (FMA-LE) and Holden walking ability and Activity of daily living (Barthel index) before and at the 4 weeks and 8 weeks over the treatment. Results: FMA-LE, Holden walking ability and Barthel index were improved in all groups after the treatment (P < 0.05). At the 4 weeks of treatment, all indices were not statistically different among two groups (P > 0.05); At the 8 weeks of treatment, treatment group exhibited significantly higher scores for all indices compared with control group (P < 0.05). Conclusion: scalp acupuncture and exercise therapy can improve the lower limb motor function recovery of patients with cerebral infarction.