CAJ | 학술논문

目的：探讨针刺结合Bobath疗法治疗脑卒中偏瘫患者核心肌群运动功能障碍的疗效。方法抽取144例脑卒中后偏瘫患者分成对照组、治疗1组和治疗2组。治疗1组单纯使用Bobath疗法治疗。治疗2组采用腹针、头针、Bobath手法治疗。纳入研究的所有患者于入院时、入院后第30天及第60天分别进行腹部核心肌肉徒手肌力评级、Berg评分及Barthel指数评分。结果入院时3组人群的核心肌力评分、Berg平衡评分、ADL评分比较差异无统计学意义(P＞0.05)。3组入院后第30天和第60天核心肌力评分、Berg平衡评分、ADL评分均显著增高(P＜0.05)，并且治疗2组各项评分明显高于对照组、治疗1组(P＜0.05)。结论采用针刺结合Bobath疗法能够更好地改善脑卒中患者的核心肌群运动功能障碍。
목적：탐토침자결합Bobath요법치료뇌졸중편탄환자핵심기군운동공능장애적료효。방법추취144례뇌졸중후편탄환자분성대조조、치료1조화치료2조。치료1조단순사용Bobath요법치료。치료2조채용복침、두침、Bobath수법치료。납입연구적소유환자우입원시、입원후제30천급제60천분별진행복부핵심기육도수기력평급、Berg평분급Barthel지수평분。결과입원시3조인군적핵심기력평분、Berg평형평분、ADL평분비교차이무통계학의의(P＞0.05)。3조입원후제30천화제60천핵심기력평분、Berg평형평분、ADL평분균현저증고(P＜0.05)，병차치료2조각항평분명현고우대조조、치료1조(P＜0.05)。결론채용침자결합Bobath요법능구경호지개선뇌졸중환자적핵심기군운동공능장애。
Objective To investigate the therapeutic efficacy of acupuncture plus Bobath therapy in treating motor dysfunction of the core muscles in patients with hemiplegia after cerebral stroke.Method Totally 144 patients with post-stroke hemiplegia were divided into a control group, treatment group 1 and treatment group 2. The treatment group 1 was intervened by Bobath therapy, while the treatment group 2 was by abdominal acupuncture and scalp acupuncture in association with Bobath therapy. The recruited patients were examined for the manual muscle strength rating of the abdominal core muscles, Berg Balance Scale (BBS) score, and Barthel Index (BI) score on the day of admission, the 30th day and 60th day after admission.Result There were no significant inter-group differences in comparing the core muscle strength, BBS, and the Activities of Daily Living (ADL) on the day of admission (P>0.05). The core muscle strength, BBS, and ADL were significantly increased on the 30th and 60th day after admission in the three groups (P<0.05), and the scores in treatment group 2 were significantly higher than that in the control group and treatment group 1 (P<0.05).Conclusion Acupuncture plus Bobath therapy can significantly improve the motor dysfunction of the core muscles in patients with hemiplegia after cerebral stroke.