[1]韩康,林立雪,戚军,等.平衡阴阳针联合康复训练对脑卒中后痉挛性偏瘫患者运动功能的影响[J].陕西中医,2025,46(7):973-978.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.022]
　HAN Kang,LIN Lixue,QI Jun,et al.Impact of Yin-Yang acupuncture balance and rehabilitation training on motor function in stroke-induced spastic hemiplegia patients[J].,2025,46(7):973-978.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.022]
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平衡阴阳针联合康复训练对脑卒中后痉挛性偏瘫患者运动功能的影响

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年7期
页码:
973-978
栏目:
针灸经络
出版日期:
2025-07-05

文章信息/Info

Title:
Impact of Yin-Yang acupuncture balance and rehabilitation training on motor function in stroke-induced spastic hemiplegia patients
作者:
韩康; 林立雪; 戚军; 陶星; 李祖虹
（武汉市第一医院康复医学科，湖北 武汉 430030)
Author(s):
HAN Kang; LIN Lixue; QI Jun; TAO Xing; LI Zuhong
(Department of Rehabilitation Medicine,Wuhan First Hospital,Wuhan 430030,China)
关键词:
脑卒中; 平衡阴阳针; 康复训练; 痉挛性偏瘫; 运动功能; 神经功能
Keywords:
Stroke; Yin-Yang balance acupuncture; Rehabilitation training; Spastic hemiplegia; Motor function; Neurological function
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2025.07.022
文献标志码:
A
摘要:
目的：分析平衡阴阳针联合康复训练对脑卒中后痉挛性偏瘫患者运动功能的影响。方法：选取脑卒中后痉挛性偏瘫患者108例，采用简单随机分组（单双号法）分为常规组（单号）、针刺组（双号），每组54例。常规组予以康复训练治疗，针刺组在常规治疗基础上予以平衡阴阳针治疗。比较两组治疗前后的中医症状积分、Berg平衡功能量表评分、Fugl-Meyer运动功能量表（FMA）评分、改良Ashworth痉挛评定量表（MAS）分级、神经功能缺损程度量表（NIHSS）评分、改良巴氏量表（MBI）评分、脑源性神经细胞营养因子（BDNF）水平、5次椅子坐立测试（5-TSST）时间及积分肌电值（IEMG）差异。结果：治疗后，两组主症及次症积分均降低，且针刺组较常规组更低（均P＜0.05）。治疗后，两组平衡功能和 FMA 评分均提高，且针刺组高于常规组（P＜0.05）。治疗后，两组MAS分级中0、1、1+级患者比例增加，2、3级患者比例减少，且针刺组与常规组比较，差异有统计学意义（均P＜0.05）。治疗后，两组NIHSS评分、5-TSST时间均降低，BDNF、MBI评分均升高，且针刺组与常规组比较，差异有统计学意义（均P＜0.05）。治疗后，两组肱二头肌、股直肌 IEMG 均降低，肱三头肌、股二头肌 IEMG 水平均升高，且针刺组与常规组比较，差异有统计学意义（均P＜0.05）。结论：平衡阴阳针联合康复训练可有效改善脑卒中后痉挛性偏瘫患者的平衡和运动功能，减轻偏瘫肢体痉挛程度，提高日常生活能力，促进神经功能恢复，改善表面肌电图水平。
Abstract:
Objective:Aimed to evaluate impact of combining balancing Yin-Yang acupuncture with rehabilitation training on the motor function of patients suffering from spastic hemiplegia subsequent to stroke.Methods:A total of 108 patients diagnosed with spastic hemiplegia following a stroke were recruited for this study.They were randomly assigned to either conventional group (assigned odd-numbered identifiers) or acupuncture group (assigned even-numbered identifiers) through simple random sampling using the odd-even method.Each group consisted of 54 patients.The conventional group received standard rehabilitation training,while the acupuncture group underwent balancing Yin-Yang acupuncture in addition to the routine treatment regimen.The following parameters were measured and compared between the two groups before and after the treatment:traditional Chinese medicine symptom scores,scores on the berg balance scale,fugl-meyer motor function assessment (FMA) scores,modified ashworth spasm assessment scale (MAS) grades,national institutes of health stroke scale (NIHSS) scores,modified barthel index (MBI) scores,levels of brain-derived neurotrophic factor (BDNF),times taken for the 5-times sit-to-stand test (5-TSST),and integrated electromyography (IEMG) values.Results:After the treatment period,both primary and secondary symptom scores decreased in both groups.Notably,the acupuncture group exhibited significantly lower symptom scores compared to the conventional group (all P＜0.05).In terms of balance function and motor function,both groups showed an increase in berg balance scale scores and FMA scores post-treatment.However,the acupuncture group had higher scores in these aspects than the conventional group (P＜0.05).Regarding the MAS grades,in both groups,the proportion of patients with MAS grades 0,1,and 1+ increased,while the proportion of patients with grades 2 and 3 decreased.The differences between the two groups were statistically significant (all P＜0.05).For the neurological assessment,both groups experienced decrease in NIHSS scores and reduction in 5-TSST times after treatment.Simultaneously,there was an increase in BDNF levels and MBI scores.The acupuncture group demonstrated more pronounced improvements compared to the conventional group,statistically significant differences (all P＜0.05).In terms of muscle activity,as measured by IEMG,both groups showed decrease in the IEMG of the biceps brachii and rectus femoris,along with increase in IEMG of the triceps brachii and biceps femoris.The differences between the two groups were statistically significant (all P＜0.05).Conclusion:The combination of balancing Yin-Yang acupuncture and rehabilitation training was an effective therapeutic approach for patients with spastic hemiplegia after stroke.It can significantly enhance balance and motor function,alleviate the degree of spasm in affected limbs,improve activities of daily living,facilitate neurological function recovery,and optimize surface electromyography parameters.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(82405568)
更新日期/Last Update: 2025-07-09