| 陈双钱.针刺联合MonitoredSRehabSSystems下肢智能运动训练系统对卒中偏瘫患者平衡功能及步行功能影响[J].浙江中西医结合杂志,2022,32(4): |
| 针刺联合MonitoredSRehabSSystems下肢智能运动训练系统对卒中偏瘫患者平衡功能及步行功能影响 |
| Acupuncture combined with monitored #$NBS Rehab #$NBS Effects of systems lower limb intelligent motor training system on balance function and walking function of stroke patients with hemiplegia |
| 投稿时间：2021-06-15 修订日期：2021-08-26 |
| DOI： |
| 中文关键词: 针刺 Monitored#$NBSRehab#$NBSSystems下肢智能运动训练系统 脑血流动力学 脊髓运动神经元兴奋性 平衡功能 步行功能 |
| 英文关键词:Acupuncture Monitored S Rehab S Systems lower limb intelligent training system Cerebral hemodynamics Excitability of spinal motoneurons Balance function Walking function |
| 基金项目:温州市科技计划经费自筹项目(Y20170345) |
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| 中文摘要: |
| 目的：观察针刺联合MonitoredSRehabSSystems下肢智能运动训练系统对卒中偏瘫患者平衡功能及步行功能影响。方法：选择2019年12月-2020年12月间于我院就诊的116例脑卒中偏瘫患者进行研究,采用随机数字表法将患者分组,58例患者为研究组,58例患者为对照组,对照组给予MonitoredSRehabSSystems下肢智能运动训练,研究组在对照组基础上给予针刺治疗,两组患者均治疗3个月,治疗前、后检测两组患者大脑中动脉收缩期血流速度(Vs)、平均血流速度(Vm)、阻力指数(RI)水平,给予患者肌电图检测,记录Hmax波、Mmax波,计算H/Mmax,采用 Berg平衡量表(BBS)评价两组患者平衡能力,采用功能性步行分级(FAc)评价患者步行功能,采用Fugl-Meyer运动功能量表评价两组患者下肢运动功能,采用日常生活能力评定表(ADL)评价患者日常生活能力,采用脑卒中专门化生存质量量表(SS-QOL)评价患者生活质量。结果：研究组患者Vm、Vs水平高于对照组(P＜0.05),研究组患者RI水平低于对照组(P＜0.05),研究组患者Hmax、Mmax、H/Mmax水平低于对照组(P＜0.05),研究组患者BBS、FAc、下肢运动功能评分高于对照组(P＜0.05 ),研究组患者ADL、SS-QOL评分高于对照组(P＜0.05)。结论：针刺联合MonitoredSRehabSSystems下肢智能运动训练系统治疗卒中偏瘫患者,可改善患者脑血流动力学,调节患者脊髓运动神经元兴奋性,提升患者患者平衡功能、步行功能及下肢运动功能,改善患者日常生活水平及生活质量。 |
| 英文摘要: |
| Objective: To observe the effect of acupuncture combined with monitored S Rehab S Objective to investigate the effect of systems lower limb intelligent motor training system on balance function and walking function of stroke patients with hemiplegia.Methods: Methods: 116 cases of stroke patients with hemiplegia treated in our hospital from December 2019 to December 2020 were selected and randomly divided into study group (58 cases) and control group (58 cases) S Rehab S The study group was given acupuncture treatment on the basis of the control group, and both groups were treated for 3 months.Before and after treatment, the systolic blood flow velocity (VS), mean blood flow velocity (VM) and resistance index (RI) of the middle cerebral artery in the two groups were detected. EMG was used to detect the patients. The Hmax wave and mmax wave were recorded, and H / mmax was calculated. The balance ability of the two groups was evaluated by Berg Balance Scale (BBS), and the walking function was evaluated by functional walking scale (FAC), Fugl Meyer motor function scale was used to evaluate the motor function of lower limbs, ADL and ss-qol were used to evaluate the quality of life.Results: The levels of VM and vs in the study group were higher than those in the control group (P < 0.05), the levels of RI in the study group were lower than those in the control group (P < 0.05), and the levels of Hmax, mmax and H / mmax in the study group were lower than those in the control group (P < 0.05) The scores of BBS, FAC and lower limb motor function in the study group were higher than those in the control group (P < 0.05), and the scores of ADL and ss-qol in the study group were higher than those in the control group (P < 0.05).Conclusion: acupuncture combined with monitored S Rehab S It can improve the cerebral hemodynamics, regulate the excitability of spinal motor neurons, improve the balance function, walking function and lower limb motor function, and improve the daily living standard and quality of life of patients. |
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