Effect of acupuncture and moxibustion combined with intelligent exercise training system for lower limbs on motor function and nerve function in patients with hemiplegia after cerebral infarction

doi:10.3877/cma.j.issn.1674-0785.2021.12.004

Abstract

Abstract:

Objective

To explore the effect of acupuncture and moxibustion combined with intelligent exercise training system for lower limbs on motor function and nerve function in patients with hemiplegia after cerebral infarction.

Methods

From January 2019 to January 2021, 120 patients with hemiplegia after cerebral infarction were selected at Qianxinan Hospital of Traditional Chinese Medicine. Using the random number table method, the patients were randomly divided into an observation group and a control group, with 60 cases in each group. Both groups were given basic treatment and treated with an intelligent sports training system, and the observation group was additionally treated with acupuncture and moxibustion. The treatment course of both groups was 4 weeks. The clinical efficacy, lower limb motor function, neurological function, and quality of life of the two groups were compared before and 4 weeks after treatment.

Results

The total effective rate (95.00%) of the observation group was higher than that of the control group (78.33%; P＜0.05). After 4 weeks of treatment, the lower limb FMA and BBS scores were increased in both groups (P＜0.05); these scores in the observation group were higher than those of the control group (P＜0.05). After 4 weeks of treatment, the NIHSS score was decreased in both groups (P＜0.05); this score in the observation group was lower than that of the control group (P＜0.05). Compared with the values before treatment, the scores of emotional function, physical function, social function, and mental health in both groups increased after 4 weeks of treatment (P＜0.05); these scores in the observation group were significantly higher than those of the control group (P＜0.05).

Conclusion

Acupuncture and moxibustion combined with lower limbs intelligent exercise training system has a significant effect on patients with hemiplegia after cerebral infarction, and can improve their lower limb motor function and nerve function.

Key words: Acupuncture, Lower limb intelligent exercise training system, Cerebral infarction, Hemiplegia, Lower limb motor function, Nerve function

Hong Huang, Rong Hu, Youfei Wu, Jinzhu Yang. Effect of acupuncture and moxibustion combined with intelligent exercise training system for lower limbs on motor function and nerve function in patients with hemiplegia after cerebral infarction[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(12): 933-936.

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Figures/Tables 5

组别	例数	性别［例（%）］		年龄（岁， $x ¯$ ±s）	病程（月， $x ¯$ ±s）	梗死部位［例（%）］			偏瘫部位［例（%）］
组别	例数	男	女	年龄（岁， $x ¯$ ±s）	病程（月， $x ¯$ ±s）	基底节	额叶	颞叶	左侧	右侧
观察组	60	34（56.67）	26（43.33）	63.89±6.52	3.97±0.82	35（58.33）	14（23.33）	11（18.33）	35（58.33）	25（41.67）
对照组	60	32（53.33）	28（46.67）	62.78±7.95	4.10±0.86	33（55.00）	18（30.00）	9（15.00）	34（56.67）	26（43.33）
t/χ²值		0.135		0.836	0.847	0.759			0.034
P值		0.714		0.405	0.399	0.684			0.854

组别	例数	性别［例（%）］		年龄（岁， $x ¯$ ±s）	病程（月， $x ¯$ ±s）	梗死部位［例（%）］			偏瘫部位［例（%）］
组别	例数	男	女	年龄（岁， $x ¯$ ±s）	病程（月， $x ¯$ ±s）	基底节	额叶	颞叶	左侧	右侧
观察组	60	34（56.67）	26（43.33）	63.89±6.52	3.97±0.82	35（58.33）	14（23.33）	11（18.33）	35（58.33）	25（41.67）
对照组	60	32（53.33）	28（46.67）	62.78±7.95	4.10±0.86	33（55.00）	18（30.00）	9（15.00）	34（56.67）	26（43.33）
t/χ²值		0.135		0.836	0.847	0.759			0.034
P值		0.714		0.405	0.399	0.684			0.854

组别	例数	基本治愈	显著进步	进步	无效	总有效率
观察组	60	14（23.33）	26（43.33）	17（28.33）	3（5.00）	57（95.00）
对照组	60	8（13.33）	21（35.00）	18（30.00）	13（21.67）	47（78.33）
χ²值						7.212
P值						0.007

组别	例数	下肢FMA评分		BBS评分
组别	例数	治疗前	治疗4周	治疗前	治疗4周
观察组	60	20.96±3.12	29.73±2.86^a	19.37±4.24	42.36±5.25^a
对照组	60	21.27±3.20	25.37±2.63^a	19.68±4.17	30.09±5.87^a
t值		0.537	8.692	0.404	12.069
P值		0.592	＜0.001	0.687	＜0.001

组别	例数	治疗前	治疗4周
观察组	60	10.02±1.85	3.62±0.57^a
对照组	60	9.83±1.91	5.84±0.81^a
t值		0.554	17.362
P值		0.581	＜0.001

组别	例数	情感功能		生理功能		社会功能		精神健康
组别	例数	治疗前	治疗4周	治疗前	治疗4周	治疗前	治疗4周	治疗前	治疗4周
观察组	60	58.94±4.25	75.32±5.46^a	54.89±3.74	72.56±4.41^a	57.71±3.84	72.13±4.26^a	52.83±4.53	73.24±5.14^a
对照组	60	59.32±4.81	67.12±4.95^a	54.23±3.68	65.72±4.19^a	58.32±3.65	64.82±3.98^a	53.64±4.12	64.87±5.68^a
t值		0.459	8.619	0.974	8.710	0.892	9.713	1.025	8.464
P值		0.647	＜0.001	0.332	＜0.001	0.374	＜0.001	0.308	＜0.001

References 18

1	乐琳. 下肢康复机器人对脑梗死后下肢偏瘫患者康复的影响 [J]. 中华物理医学与康复杂志, 2020, 42(6): 536-538.
2	Ueta Y, Akiba Y, Yamazaki J, et al. Cerebral infaction and myalgia in a 75-year-old man with eosinophilic granulomatosis with polyangiitis [J]. Intern Med, 2020, 59(23): 3089-3092.
3	Zhang TZ, Jiang Y, Luo XT, et al. Oral myiasis after cerebral infarction in an elderly male patient from southern China: a case report [J]. World J Clin Cases, 2020, 8(24): 6499-6503.
4	付玉涛, 张晓慧, 陈国杰, 等. 开窍通络汤联合阿加曲班对脑梗死后偏瘫患者神经功能和血管内皮功能的影响 [J]. 现代中西医结合杂志, 2020, 29(34): 3812-3815.
5	何亚丽, 张相成, 刘宏. 不同康复治疗介入时机与脑梗死后偏瘫病人康复效果的相关性研究 [J]. 中国实用神经疾病杂志, 2020, 23(24): 2187-2191.
6	汪瑛, 汪节, 江六顺. 头皮针对脑梗死后偏瘫神经功能缺损情况、平衡及步行能力的临床研究 [J]. 中华中医药学刊, 2020, 38(8): 242-245.
7	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018 [J]. 中华神经科杂志, 2018, 51(9): 666-682.
8	随燕芳, 崔振华, 史静琴, 等. 运动想象疗法对脑梗死后偏瘫患者躯干屈伸肌群表面肌电信号的影响 [J]. 广西医学, 2021, 43(3): 292-296.
9	Fujino Y, Kawasaki T, Kawamata H, et al. Cerebral infarction with pulmonary thromboembolism due to immobilization [J]. Intern Med, 2020, 59(22): 2955-2959.
10	王科, 王琼芬, 钟永强, 等. 眼针联合电针对急性脑梗死后偏瘫患者神经功能缺损及t-PA、PAI-1、D-D水平影响 [J]. 针灸临床杂志, 2020, 36(2): 30-33.
11	苏琦, 徐德恩, 丁宇玲. 髋关节强化训炼对脑梗死后偏瘫患者肢体功能障碍康复的影响 [J]. 解放军预防医学杂志, 2019, 37(5): 152-153, 158.
12	汪维伟, 吴慧. 通脑活络汤联合康复训练治疗脑梗死后偏瘫的疗效观察 [J]. 中国中医药科技, 2021, 28(1): 150-152.
13	朱峰, 高建芸, 高润, 等. 电针结合运动想象疗法对脑梗死后偏瘫的临床疗效观察 [J]. 中国针灸, 2017, 37(9): 927-931.
14	郭闫萍. 针灸联合康复训练对脑梗死后偏瘫患者日常生活能力及肢体运动功能的影响 [J]. 四川中医, 2016, 34(2): 174-177.
15	杜华, 魏树林, 张莉. 急性脑梗死后偏瘫患者早期针灸康复治疗的疗效分析 [J]. 检验医学与临床, 2016, 13(z2): 337-338.
16	励志英. 针灸联合康复治疗脑梗死后偏瘫的疗效分析 [J]. 中国急救医学, 2017, 37(z2): 24-26.
17	刘金香. 早期针灸康复治疗急性脑梗死后偏瘫的疗效观察 [J]. 中国急救医学, 2018, 38(z2): 263.
18	朱鹤. 针灸辅助康复训练对脑梗死后偏瘫病人神经功能和肢体运动功能的影响 [J]. 中西医结合心脑血管病杂志, 2020, 18(10): 1620-1623.

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