本文選題：腦卒中　切入點(diǎn)：平衡障礙　出處：《成都中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的： 本研究旨在通過嚴(yán)格規(guī)范的臨床隨機(jī)對(duì)照實(shí)驗(yàn),觀察核心肌群訓(xùn)練結(jié)合電針加常規(guī)康復(fù)訓(xùn)練與電針加常規(guī)康復(fù)訓(xùn)練對(duì)改善腦卒中患者平衡障礙的有效性,并評(píng)價(jià)兩種方案在治療該病的療效上的差異。 方法： 將符合納入標(biāo)準(zhǔn)112例的腦卒中后的偏癱患者隨機(jī)分為試驗(yàn)組與對(duì)照組,試驗(yàn)組與對(duì)照組各56例。所有患者均使用神經(jīng)科常規(guī)對(duì)癥治療,在此基礎(chǔ)上進(jìn)行常規(guī)綜合治療(電針+常規(guī)康復(fù)訓(xùn)練),試驗(yàn)組在對(duì)照組的基礎(chǔ)上加用核心肌群訓(xùn)練。兩組均治療10次為一個(gè)療程,共治療2個(gè)療程,兩療程間休息2天。治療前、治療10次后和治療20次后分別對(duì)兩組患者的Berg平衡量表評(píng)分、Fulg-Meyer能力評(píng)定、sheikh軀干控制能力測(cè)定、核心肌群徒手肌力評(píng)定、Barthel生活指數(shù)評(píng)定、腦卒中專用生活質(zhì)量量表等進(jìn)行評(píng)定,并對(duì)這些指標(biāo)的改善情況進(jìn)行療效評(píng)價(jià)。 結(jié)果： 1.組內(nèi)比較：與治療前相比,試驗(yàn)組與對(duì)照組的Fugl-Meyer能力評(píng)定、Berg平衡量表評(píng)定、核心肌群肌力評(píng)定、軀干控制能力測(cè)定、日常生活活動(dòng)能力和生活質(zhì)量在治療后均有明顯改善(P0.05)。 2.組間比較：治療后試驗(yàn)組的Fugl-Meyer評(píng)定、核心肌群肌力評(píng)定、Berg平衡量表評(píng)分、sheikh軀干控制能力測(cè)定、Barthel生活指數(shù)評(píng)定、腦卒中專用生活質(zhì)量量表的改善程度與對(duì)照組相比差異均有統(tǒng)計(jì)學(xué)意義(P0.05),試驗(yàn)組優(yōu)于對(duì)照組。 3.組間比較：試驗(yàn)組與對(duì)照組對(duì)改善中風(fēng)患者癥狀均有療效,兩組臨床療效差異(進(jìn)步率)有統(tǒng)計(jì)學(xué)意義(P0.05),臨床有效率試驗(yàn)組優(yōu)于對(duì)照組。 結(jié)論： 電針加常規(guī)康復(fù)結(jié)合核心肌群訓(xùn)練與電針加常規(guī)康復(fù)對(duì)改善腦卒中患者平衡障礙均有療效,但電針加常規(guī)康復(fù)結(jié)合核心肌群訓(xùn)練的臨床療效更為顯著,能更好的提高腦卒中后偏癱患者的平衡能力、運(yùn)動(dòng)功能和核心肌群肌力。同時(shí)通過相關(guān)性分析得出,平衡功能的改善有助于腦卒中患者運(yùn)動(dòng)功能和日常生活能力的提高,并與患者生活質(zhì)量亦呈正相關(guān),有一定的深入研究及探討的價(jià)值。
[Abstract]:Objective:. The purpose of this study was to observe the effectiveness of core muscle group training combined with electroacupuncture plus routine rehabilitation training and electroacupuncture plus routine rehabilitation training in improving the balance disorders of stroke patients through a strictly standardized randomized controlled trial. The difference between the two schemes in the treatment of the disease was evaluated. Methods:. 112 patients with hemiplegia after stroke were randomly divided into the experimental group and the control group, 56 cases in the experimental group and 56 cases in the control group. All the patients were treated with routine neurologic therapy. On this basis, routine comprehensive therapy (conventional electroacupuncture rehabilitation training) was performed in the experimental group, which was supplemented with core muscle group training on the basis of the control group. Both groups were treated for 10 times as a course of treatment, with a total of 2 courses of treatment. Before treatment, 10 times after treatment and 20 times after treatment, the Berg balance scale scores of the two groups were evaluated by Fulg-Meyer 's ability to assess the ability of control of the trunk of sheikh, and the assessment of the muscle strength of the core muscle group with bare hand was evaluated as Barthel's index of life. The quality of life (QOL) of stroke was evaluated and the improvement of these indexes was evaluated. Results:. 1. Intragroup comparison: compared with before treatment, the Fugl-Meyer ability assessment and Berg balance scale, core muscle strength assessment, trunk control ability, daily life activity and quality of life of the experimental group and the control group were significantly improved after treatment. 2. Comparison between groups: after treatment, the Fugl-Meyer assessment, the core muscle strength assessment and the Berg balance scale score were used to evaluate the control ability of the trunk and the Barthel life index. Compared with the control group, the improvement degree of the special quality of life scale for stroke was significantly different from that of the control group (P 0.05), and the experimental group was superior to the control group. 3. Comparison between the two groups: both the experimental group and the control group were effective in improving the symptoms of stroke patients, the difference of clinical efficacy between the two groups was statistically significant (P 0.05), and the clinical effective rate in the experimental group was better than that in the control group. Conclusion:. Both electroacupuncture and routine rehabilitation combined with core muscle group training and electroacupuncture combined with routine rehabilitation were effective in improving the balance disorder of stroke patients, but the clinical effect of electroacupuncture plus routine rehabilitation combined with core muscle group training was more significant. It can improve the balance ability, motor function and core muscle strength of patients with hemiplegia after stroke. At the same time, the improvement of balance function is helpful to the improvement of motor function and daily living ability of stroke patients. And also positive correlation with the quality of life of patients, which has a certain value of in-depth research and discussion.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R743.3

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