体针结合本体感觉神经肌肉促进技术对急性期脑卒中偏瘫患者肩关节半脱位的疗效观察

目的研究体针与本体感觉神经肌肉促进技术相结合的疗法对急性期脑卒中偏瘫肩关节半脱位的疗效。方法选择急性期脑卒中偏瘫患者60例,随机分为本体感觉神经肌肉促进技术疗法组,体针结合本体感觉神经肌肉促进技术疗法组,各30例。对脑卒中偏瘫患者运动功能恢复及并发症的情况进行分析。结果体针结合本体感觉神经肌肉促进技术疗法对急性期脑卒中偏瘫患者肩关节半脱位的治疗,简化Fugl-Meyer上肢运动功能评分、肩肘关节活动度评估以及改良Barthel指数均明显优于单纯的本体感觉神经肌肉促进技术疗法,经t检验两组差异有显著性(P<0.05)。结论运用体针结合本体感觉神经肌肉促进疗法可有效加快急性期脑卒中偏瘫肩关节半脱位患者的治疗进程,改善日常生活活动能力,提高生活质量。

Study on effect of acupuncture and proprioceptive neuromuscular facilitation combined therapy in acute phase of stroke hemiplegic patients with shoulder joint subluxation

Objective To study the efficacy of acupuncture and proprioceptive neuromuscular facilitation combined therapy on acute phase of stroke hemiplegic patients with shoulder joint subluxation.Methods Sixty cases of acute phase of stroke with hemiplegia were randomly divided into two groups,proprioceptive neuromuscular facilitation therapy group and body acupuncture combined with proprioceptive neuromuscular facilitation therapy group,each with 30 cases.Correlation analysis was carried out on recovery of motor function and complications of hemiplegic stroke patients.Results The therapy of body acupuncture combined with proprioceptive neuromuscular facilitation on acute phase of stroke hemiplegic shoulder subluxation was superior to that of simple proprioceptive neuromuscular facilitation evaluated by simplified Fugl-Meyer upper limb motor function scores,shoulder and elbow joint activity evaluation and improvement index,there was significant difference between these two groups in t test.Conclution The therapy of body acupuncture combined with proprioceptive neuromuscular facilitation can effectively expedite the therapeutic process of patients with shoulder subluxation in acute phase of stroke hemiplegia,improve the ability of daily living activities and raise their quality of life.