多效经穴激活治疗仪联合针刺疗法对脑出血患者偏瘫肢体运动功能的影响

Effect of Multi-Effect Acupoint Activating Instrument Combined with Acupuncture Therapy on Motor Function of Hemiplegic Limbs in Patients with Cerebral Hemorrhage

摘要: 目的：探究急性脑出血患者采用多效经穴激活治疗仪联合针刺疗法对偏瘫肢体运动功能恢复的临床疗效。方法：回顾性分析本院收入病房的108例脑出血偏瘫患者，根据患者治疗方法不同分为A组33例，B组37例，C组38例。A组接受常规康复科治疗，B组在A组基础上接受多效经穴激活治疗仪治疗，C组在A组的基础上接受针刺治疗联合多效经穴激活治疗仪。评估患者治疗前、治疗一月后肢体运动功能，评定方法参照简式Fugl-Meyer运动功能评分(FMA)、日常生活活动能力(Barthel index, BI)、Holden步行功能以评定治疗结果。结果：治疗一月后三组患者患侧肢运动功能评分FMA、BI、Holden步行能力均较治疗前明显提高(P < 0.05)，C组与A组B组FMA、BI、Holden步行能力治疗效果比较均有统计学意义(P < 0.05)。结论：多效经穴激活治疗仪联合针刺疗法可有效改善脑出血患者偏瘫侧肢体运动功能。

Abstract: Objective: To explore the clinical effect of multi-effect meridian point activation therapy combined with acupuncture therapy on the recovery of hemiplegic limb motor function in patients with acute cerebral hemorrhage. Methods: 108 patients with cerebral hemorrhage and hemiplegia in inwards of our hospital were retrospectively analyzed and divided into Group A (33 cases), Group B (37 cases) and Group C (38 cases) according to different treatment methods. Group A received conventional rehabilitation treatment, Group B received multi-effect meridian acupoint activation therapy on the basis of Group A, and Group C received acupuncture treatment combined with multi-effect meridian acupoint activation therapy on the basis of Group A. The patients’ motor function was evaluated before and after treatment for one month. The results were evaluated by referring to the simple Fugl-Meyer motor function score (FMA), Barthel Index (BI) and Holden walking function. Results: After 1 month of treatment, FMA, BI and Holden walking ability of the affected limb in the three groups were significantly improved compared with those before treatment (P < 0.05), and there were statistically significant differences in FMA, BI and Holden walking ability between Group C and Group A and Group B (P < 0.05). Conclusion: Multi-effect meridian acupoint activating instrument combined with acupuncture therapy can effectively improve the limb motor function of hemiplegic patients with cerebral hemorrhage.