通督调神针法联合任务导向训练在中风后偏瘫护理中的应用*

作者：杨丽荣1，贾志杰1，李雪玉2

单位：1.唐山市中医医院，河北 唐山 063000； 2.唐山市眼科医院，河北 唐山 063000

引用：引用：杨丽荣，贾志杰，李雪玉.通督调神针法联合任务导向训练在中风后偏瘫护理中的应用[J].中医药导报,2026,32(5):105-108,123.

DOI：10.13862/j.cn43-1446/r.2026.05.017

PDF： 下载PDF

摘要：

目的：探究通督调神针法联合任务导向训练（TOT）对中风后偏瘫患者的疗效。方法：按照随机数字表法将124例中风后偏瘫患者分为观察组（n=62）和对照组（n=62）。对照组进行TOT，观察组在对照组基础上给予通督调神针法干预。对比两组患者临床症状、神经功能缺损程度、肢体功能、日常生活能力及心理状态，并评价临床疗效。结果：观察组总有效率为93.55%（58/62），高于对照组的80.65%（50/62），差异有统计学意义（P＜0.05）。干预后，两组患者中医证候积分、美国国立卫生院卒中量表（NIHSS）各项评分、广泛性焦虑障碍量表（GAD-7）评分、抑郁症筛查量表（PHQ-9）评分均较干预前降低（P＜0.05），上下肢Fugl-Meyer运动功能评分（FMA）、改良Barthel指数（MBI）各项评分均较干预前升高（P＜0.05）；且观察组患者中医证候积分、NIHSS各项评分、GAD-7评分、PHQ-9评分均低于对照组（P＜0.05），上下肢FMA评分、MBI指数各项评分均高于对照组（P＜0.05）。结论：通督调神针法联合TOT可有效改善中风后偏瘫患者临床症状及神经功能缺损，提高患者肢体活动功能及日常生活能力，改善心理状态。

关键词：中风；偏瘫；通督调神针法；任务导向训练；神经功能；肢体功能；康复护理

Abstract：

Objective: To investigate the efficacy of Tongdu Tiaoshen acupuncture combined with task-oriented training (TOT) in patients with post-stroke hemiplegia. Methods: According to the random number table method, 124 patients with post-stroke hemiplegia were divided into an observation group (n=62) and a control group (n=62). The control group received TOT, and the observation group received Tongdu Tiaoshen acupuncture in addition to TOT. Clinical symptoms, degree of neurological impairment, limb function, activities of daily living, and psychological status were compared between the two groups, and the clinical efficacy was evaluated. Results: The total effective rate in the observation group was 93.55% (58/62), which was significantly higher than that in the control group (80.65%, 50/62) (P<0.05). After intervention, TCM syndrome scores, National Institutes of Health Stroke Scale (NIHSS) scores, Generalized Anxiety Disorder-7 (GAD-7) scores, and Patient Health Questionnaire-9 (PHQ-9) scores were significantly decreased, while Fugl-Meyer Assessment (FMA) scores and modified Barthel Index (MBI) scores were significantly increased in both froups (P<0.05). After intervention, the TCM syndrome scores, NIHSS scores, GAD-7 scores, and PHQ-9 scores in the observation group were significantly lower than those in the control group (P<0.05), while the FMA scores of upper and lower limbs and MBI scores were significantly higher than those in the control group (P<0.05). Conclusion: Tongdu Tiaoshen Acupuncture combined with TOT effectively alleviates clinical symptoms, improves neurological impairment, limb motor function, activities of daily living and psychological status in post-stroke hemiplegia patients.

Key words：stroke; hemiplegia; Tongdu Tiaoshen acupuncture; task-oriented training; neurological function; limb function; rehabilitation nursing

发布时间：2026-05-23

点击量：407