[1]顾晨丛,景亚丽,王文君,等.头针联合平衡仪训练对脑卒中后患者平衡功能及日常生活能力的影响[J].西部中医药,2025,38(02):141-145.[doi:10.12174/j.issn.2096-9600.2025.02.31]
　GU Chencong,JING Yali,WANG Wenjun,et al.Effects of Scalp Acupuncture and Balance Instrument Training on Balance Function and Daily Living Ability after Stroke[J].Western Journal of Traditional Chinese Medicine,2025,38(02):141-145.[doi:10.12174/j.issn.2096-9600.2025.02.31]
点击复制

头针联合平衡仪训练对脑卒中后患者平衡功能及日常生活能力的影响()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年02期
页码:
141-145
栏目:
特色医疗
出版日期:
2025-02-15

文章信息/Info

Title:
Effects of Scalp Acupuncture and Balance Instrument Training on Balance Function and Daily Living Ability after Stroke
作者:
顾晨丛1, 景亚丽1, 王文君1, 王利春2
1.河北中医药大学，河北 石家庄 050091
2.沧州市中西医结合医院，河北 沧州 061000
Author(s):
GU Chencong1, JING Yali1, WANG Wenjun1, WANG Lichun2
1.Hebei University of Chinese Medicine, Shijiazhuang 050091, China
2.Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061000, China
关键词:
脑卒中; 日常生活能力; 平衡功能; 头针; 平衡训练
Keywords:
stroke; daily living ability; balance function; scalp acupuncture; balance training
分类号:
R255.2
DOI:
10.12174/j.issn.2096-9600.2025.02.31
文献标志码:
B
摘要:
目的观察头针联合平衡仪训练对脑卒中患者平衡功能及日常生活能力的影响。 方法将脑卒中患者120例按随机数字表法分为头针组、平衡仪组和联合组各40例。头针组予头针治疗，平衡仪组予Pro-kin平衡仪训练治疗，联合组予头针联合平衡仪训练治疗，3组均连续治疗4周。比较3组患者治疗前后Fugl-Meyer评定量表（fugl-meyer assessment，FMA）、改良Barthel指数量表（modified barthel index，MBI）、Berg平衡量表（berg balance scale，BBS）、美国国立卫生研究院卒中量表（national institute of health stroke scale，NIHSS）、脑卒中专门化生活质量量表（stroke specific quality of life scale，SS-QOL）以及功能性步行分级量表（functional ambulation category scale，FAC）评分，并检测两组患者颅内血流动力学［收缩期最快血流速度（peak systolic velocity，Vs）、舒张期最快血流速度（end-diastolic velocity，Vd）和平均血流速度（mean velocity，Vm）］。 结果治疗后3组患者FMA、MBI、FAC及SS-QOL评分均升高（P＜0.05），联合组高于头针组和平衡仪组（P＜0.05）；BBS评分均升高（P＜0.01），NIHSS评分均降低（P＜0.01），联合组BBS及NIHSS评分改善程度优于头针组和平衡仪组（P＜0.05）；Vs、Vd、Vm均升高（P＜0.01），联合组高于头针组和平衡仪组（P＜0.05）。 结论头针联合平衡仪训练能够通过改善脑卒中患者颅内血流动力学和神经缺损等情况，提升患者平衡功能、运动功能、步行能力、日常生活能力等，从而提高患者生活质量。
Abstract:
ObjectiveTo observe the influence of scalp acupuncture combined with balance instrument training on balance function and daily living ability of stroke patients. MethodsAll 120 patients were allocated to scalp acupuncture group, balance instrument group and the combination group (n=40 cases) according to random number table method. The scalp acupuncture group was treated with scalp acupuncture, balance instrument group accepted the treatment with Pro-Kin balance training instrument, scalp acupuncture combined with balance instru-ment training was administered to the combination group, three groups were treated for four weeks continuously. To compare FMA, MBI, BBS, NIHSS, SS-QOL and FAC scores before and after the treatment in three groups, to detect intracranial hemodynamics including Vs, Vd and Vm in the two groups. ResultsAfter the treatment, FMA, MBI, FAC and SS-QOL scores were increased in three groups (P<0.05), the combination group was higher than balance instrument group and balance instrument group (P<0.05); BBS scores were elevated (P<0.01), NIHSS scores were lowered (P<0.01), the improvements of BBS and NIHSS scores of the combination group were superior to these of scalp acupuncture group and balance instrument group (P<0.05); Vs, Vd and Vm were lifted (P<0.01), the combination group was higher than scalp acupuncture group and balance instrument group (P<0.05). ConclusionScalp acupuncture combined with balance instrument training could improve the patients’ quality of life by improving intracranial hemodynamics and neurological deficit, lifting the patients’ balance function, motor function, walking ability and daily living ability.

相似文献/References:

[1]胡敏棣,李晓娟,边笑梅.中医体质学说在脑卒中防治中的应用[J].西部中医药,2012,25(10):99.
　HU Min-li,LI Xiao-juan,BIAN Xiao-mei.Application of TCM Constitution Theory to the Prevention of Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2012,25(02):99.
[2]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
　LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(02):100.
[3]何君芳,冯海霞△,姚惠侠,等.甘肃省脑卒中康复治疗现状*[J].西部中医药,2012,25(12):118.
　HE Jun-fang,FENG Hai-xia,YAO Hui-xia,et al.On Rehabilitation Treatments for Cerebral Apoplexy in Gansu Province[J].Western Journal of Traditional Chinese Medicine,2012,25(02):118.
[4]陈松涛.蒙古族人群原发性高血压ABPM参数与脑卒中筛查的相关性分析[J].西部中医药,2013,26(06):35.
　CHEN Songtao.Study on ABPM Parameter of Primary Hypertension in Mongolian Nationality and Screening of Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(02):35.
[5]姚惠侠,冯海霞△,何君芳,等.脑卒中患者对负性情绪及心理治疗认知状况的调查[J].西部中医药,2012,25(08):56.
　YAO Hui-xia,FENG Hai-xia,HE Jun-fang,et al.Survey on Stroke Patients′ Cognition of Negative Emotion and Psychological Treatment[J].Western Journal of Traditional Chinese Medicine,2012,25(02):56.
[6]陈松涛.蒙古族人群原发性高血压晨峰现象与脑卒中筛查的研究分析[J].西部中医药,2013,26(07):56.
　CHEN Songtao.Study between Cerebral Apoplexy Screening and Morning Surge in Patients from Mongolian Nationality with Primary Hypertension[J].Western Journal of Traditional Chinese Medicine,2013,26(02):56.
[7]李西兄.早期康复介入对急性脑卒中偏瘫患者运动功能的影响[J].西部中医药,2013,26(07):107.
　LI Xixiong.Effects of Early Rehabilitation Intervention on Motor Function of Hemiplegic Patients with Acute Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(02):107.
[8]曾贤翠,王文彦,顾克繁,等.白银市气象因素与脑卒中的相关性研究[J].西部中医药,2012,25(07):55.
　ZENG Xian-cui,WANG Wen-yan,GU Ke-fan,et al.Relativity Study between Cerebral Apoplexy and Meteorological Factors of Baiyin Municipality[J].Western Journal of Traditional Chinese Medicine,2012,25(02):55.
[9]刘超,李成山,李妍怡△.中风膏对缺血性脑卒中患者血小板聚集率的影响[J].西部中医药,2013,26(12):5.
　LIU Chao,LI Chengshan,LI Yanyi.Effects of ZhongFeng Ointment on Platelet Aggregation Rate of the Patients with Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2013,26(02):5.
[10]刘强,卢章琼,罗坚,等.小针刀治疗脑卒中致肱二头肌痉挛的研究*[J].西部中医药,2014,27(07):102.
　LIU Qiang,LU Zhangqiong,LUO Jian,et al.Study on Small Needle-knife in the Treatment for Biceps Spasm of Stroke Patients[J].Western Journal of Traditional Chinese Medicine,2014,27(02):102.
[11]关贞军,李祥,邢若威.芪芍益肾平肝方对卒中后肌张力障碍患者运动功能的影响[J].西部中医药,2024,37(04):128.[doi:10.12174/j.issn.2096-9600.2024.04.26]
　GUAN Zhenjun,LI Xiang,XING Ruowei.Effects of Qishao Benefiting-kidney Calming-liver Formula on the Motor Function of Patients with Post-stroke Dystonia[J].Western Journal of Traditional Chinese Medicine,2024,37(02):128.[doi:10.12174/j.issn.2096-9600.2024.04.26]
[12]王芳,史文莉,史英萍.中医特色疗法对脑卒中后肩手综合征患者的影响[J].西部中医药,2025,38(02):149.[doi:10.12174/j.issn.2096-9600.2025.02.33]
　WANG Fang,SHI Wenli,SHI Yingping.Effects of TCM - featured Therapy on the Patients with Post-stroke Shoulder-hand Syndrome[J].Western Journal of Traditional Chinese Medicine,2025,38(02):149.[doi:10.12174/j.issn.2096-9600.2025.02.33]

备注/Memo

备注/Memo:
顾晨丛（1997—），女，硕士学位，医师。研究方向：脑病康复的中西医结合研究。河北省医学科学研究课题（20200701）。
更新日期/Last Update: 2025-02-15