巨刺丘墟透照海、昆仑透太溪结合康复训练治疗脑卒中后足下垂的随机对照研究

摘要

目的:观察巨刺丘墟透照海、昆仑透太溪结合康复训练治疗脑卒中后足下垂的临床疗效.方法:对符合纳入标准的122例患者,随机分为治疗组和对照组,每组61例.两组均接受偏瘫肢体运动训练中的常规康复训练,对照组在康复训练的基础上给予普通针刺治疗,治疗组在接受康复训练的基础上给予巨刺丘墟透照海、昆仑透太溪,每周治疗5次,连续治疗6周.比较两组患者胫前肌、腓肠肌外侧头的最大积分肌电值(iEMG)、下肢运动功能评分,统计临床疗效.结果:治疗后治疗组与对照组在胫前肌、腓肠肌外侧头iEMG值、下肢运动功能评分方面比较有统计学意义(P<0.05);治疗组与对照组临床疗效总有效率分别为93.44%、80.33%,二者比较有统计学意义(P<0.05).结论:巨刺丘墟透照海、昆仑透太溪结合康复训练能明显的改善脑卒中后足下垂患者的胫前肌、腓肠肌外侧头iEMG值、下肢运动功能,临床疗效优于康复训练结合普通针刺治疗,可进一步推广应用.%Objective:To observe the clinical curative effect of needling GB40-to-LI6 and BL60-to-LI3 combined with rehabilitation training in the treatment of foot drop after stroke.Methods:122 patients who met the inclusion criteria were randomly divided into the treatment group(n=61) and the control group(n=61).Both groups received routine rehabilitation training, on which basis, the control group was also given conventional needling treatment, and the treatment group was also given needling GB40-to-LI6 and BL60-to-LI3;the intervention was 5 times per week for 6 weeks.Integrated electromyogram (iEMG) of tibialis anterior muscles and lateral heads of gastrocnemius muscles, and motor function score of the lower extremities were recorded and compared between the two groups.Results:There were significant differences in terms of the values of iEMG and the scores of motor function between the two groups after treatment(P<0.05);the total effective rate of the treatment group was 93.44%, compared to 80.33% of the control group, with statistically significant difference(P<0.05).Conclusion:The therapy of needling GB40-to-LI6 and BL60-to-LI3 combined with rehabilitation training can significantly improve foot drop of stroke patients, its clinical efficacy is better than the control group.