世界針灸學會聯合會

扶正補土針灸療法對腦卒中偏癱患者步行功能的影響

作者:陳捷 來源:世界針灸雜志 點擊:685次 更新:2019-11-06
  

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

扶正補土針灸療法對腦卒中偏癱患者步行功能的影響

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

aDepartment of Rehabilitation, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China (福建省立醫院康復科,福建 福州 350001,中國)

bSchool of Acupuncture and Moxibustion, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China (福建中醫藥大學針灸學院,福建 福州 350122, 中國)

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

*Corresponding author:

E-mail address: [email protected] (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:觀察扶正補土針法對中風偏癱患者步行功能的影響。

方法:以我院2018年1月至2018年10月收治的缺血性腦卒中偏癱患者57例為研究對象。按隨機數表分為治療組29例和對照組28例。治療組采用扶正補補針灸結合康復治療。對照組給予康復治療比較兩組在 PIERENSTEP步態測量訓練測試系統中的持續步行時間和停頓時間,以及berg平衡量表(bbs)評分。

結果:治療組治療后持續步行時間(1.47±0.28)s較治療前(2.12±0.38)s明顯縮短,差異有顯著性(p<0.05)。治療后停藥時間與治療前比較無顯著性差異(p>0.05)。對照組治療后持續步行時間(1.88±0.22)s明顯短于治療前(2.18±0.30)s,差異有顯著性(P<0.05)治療后停藥時間與治療前比較無顯著性差異(p>0.05)。治療前兩組患者的持續步行時間和停頓時間差異均無統計學意義(P>0.05)治療后,治療組持續步行時間明顯短于對照組(p<0.05),兩組間停頓時間差異無顯著性(p>0.05)。治療前兩組BBS評分無顯著性差異(P>0.05)治療組治療后bbs評分(42.79±2.78)高于治療前(35.86±2.64),差異有顯著性(p<0.05)。對照組治療后bbs評分(39.07±2.67)高于治療前(35.86±2.64),差異有顯著性(p<0.05)。兩組治療后BBS評分比較,治療組高于對照組,有顯著性差異(p<0.05)。

結論:基于康復治療,傅正布土針灸治療能有效改善缺血性腦卒中偏癱患者的步行功能。

[關鍵詞]針灸,扶正補土,缺血性中風,步行功能,PIERENSTEP系統

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