| 摘要: |
| 目的：探讨天轨辅助下核心肌群强化训练联合巨刺带脉穴对脑卒中患者躯干控制及行走能力的影响。方法：将52 例脑卒中患者随机分为治疗组和对照组，每组各26 例。2组均予降压、降糖、调脂稳定斑块、改善循环等内科基础治疗，对照组予基础康复治疗及天轨辅助下核心肌群强化训练，治疗组在对照组基础上予以巨刺带脉穴治疗，2组均连续治疗4周。于治疗前及治疗4周后，分别评估2组患者的躯干控制能力疗效判定量表（Sheikh Trunk Control Ability Scale,Sheikh）、躯干损伤评定量表（Trunk Impairment Scale,TIS）及步行功能分级量表（Holden Functional Ambulation Classification,Holden）。结果：治疗4周后，2组患者Sheikh、TIS评分和Holden评级治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P＜0.05）。结论：天轨辅助下核心肌群训练联合巨刺带脉穴可改善脑卒中患者躯干控制能力及行走能力，值得临床推广。 |
| 关键词: 脑卒中 天轨 核心肌群训练 巨刺 躯干控制力 行走能力 |
| DOI： |
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| Clinical effect of core muscle group training assisted by overhead tracks combined with giant needling at Daimai point in post-stroke patients: An analysis of 26 cases |
| XU Ruixu,ZHU Lijian,XU Tingting |
| (Quanzhou First Hospital Affiliated to Fujian Medical University，Quanzhou 362000，Fujian，China) |
| Abstract: |
| Objective：To investigate the effect of core muscle group training assisted by overhead tracks combined with giant needling at Daimai point on trunk control and walking ability in post-stroke patients.Methods: A total of 52 stroke patients were randomly divided into treatment group and control group，with 26 patients in each group.Both groups received basic medical treatment for reducing blood pressure，lowering blood glucose，regulating blood lipids to stabilize plaques，and improving circulation;furthermore，the patients in the control group received basic rehabilitation treatment and core muscle group training assisted by overhead tracks，while those in the treatment group received giant needling at Daimai point in addition to the treatment in the control group;both groups were treated for 4 consecutive weeks.Sheikh Trunk Control Ability Scale，Trunk Impairment Scale (TIS)，and Holden Functional Ambulation Classification were used for assessment before treatment and after 4 weeks of treatment.Results: After 4 weeks of treatment，both groups had significant changes in Sheikh，TIS score，and Holden classification，and there were significant differences in these scores between the two groups after treatment (P < 0.05).Conclusion: Core muscle group training assisted by overhead tracks combined with giant needling at Daimai point can improve trunk control ability and walking ability in post-stroke patients，and therefore，it holds promise for clinical application. |
| Key words: stroke overhead tracks core muscle group training giant needling trunk control ability walking ability |
