调督舒筋手法联合康复训练对脑梗死患者躯干功能及血管新生因子的影响

Effects of Tiaodu Shujin method combined with rehabilitation training on trunk function and angiogenesis factors in patients with cerebral infarction

关键词:  脑梗死  躯干控制能力  调督舒筋手法  康复训练  血管内皮生长因子

Key words:  cerebral infarction  trunk control  Tiaodu Shujin method  rehabilitation training  VEGF

摘要:

[目的] 观察调督舒筋手法联合康复训练对脑梗死患者躯干控制功能及血清血管内皮生长因子（VEGF）、碱性成纤维细胞生长因子（bFGF）、促血管生成素-2（Ang-2）水平的影响。[方法] 选取2019年6月—2021年6月在河北省中医院康复医学科接受治疗的70例脑梗死患者为观察对象，随机分为观察组和对照组各35例。在常规内科基础治疗的前提下，对照组予以单纯康复训练疗法，观察组实施调督舒筋手法联合康复训练。比较两组患者治疗前后的躯干控制功能与血清VEGF、bFGF、Ang-2水平的变化，并评估两组患者临床疗效。[结果] 两组患者治疗后躯干损伤（TIS）量表（静态平衡、动态平衡、协调3个分量表）评分、伯格平衡（Berg）量表评分、肢体运动功能（FMA）量表评分均较治疗前提高（P＜0.05），且观察组显著高于对照组（P＜0.05）。两组患者治疗后血清VEGF、bFGF、Ang-2水平均较治疗前提高（P＜0.05），且观察组显著高于对照组（P＜0.05）。治疗后观察组的总有效率为91.42%（32/35），明显高于对照组总有效率74.28%（26/35），差异无统计学意义（P>0.05）。[结论] 调督舒筋手法联合康复训练疗效显著，可显著改善脑梗死患者的躯干损伤状况，提升患者躯干控制能力，并上调血清VEGF、bFGF、Ang-2水平，促进侧支循环的建立。

Abstract:

[Objective] To observe the effects of the combination of Tiaodu Shujin method and rehabilitation training on trunk control function and serum levels of vascular endothelial growth factor(VEGF),basic fibroblast growth factor(bFGF)and angiopoieti-2(Ang-2) in patients with cerebral infarction. [Methods] Seventy patients with cerebral infarction treated in the department of rehabilitation medicine of our hospital from June 2019 to June 2021 were selected as observation subjects and randomly divided into 35 cases each in the observation group and the control group. Under the premise of conventional internal medicine basic treatment,the control group was given simple rehabilitation training therapy,and the observation group implemented the combination of rehabilitation training with Tiaodu Shujin method. The changes of trunk control function and serum levels of VEGF,bFGF,Ang-2 and then assess the clinical efficacy of patients were compared between the two groups before and after treatment. [Results] After treatment in the two groups of patients,the TIS scale (three subscales of static balance,dynamic balance,and coordination) scores,Berg scale scores,and FMA scale scores were all improved compared with the pr-treatment period(P<0.05),and the observation group was significantly higher than the control group (P<0.05). After treatment in the two groups of patients,the serum levels of VEGF,bFGF,Ang-2 were all improved compared with the pr-treatment period (P<0.05),and the observation group was significantly higher than the control group (P<0.05).The total effective rate of the observation group was 91.42% (32/35)after treating,which was significantly higher than the total effective rate of the control group 74.28% (26/35),and the difference was no statistically significant(P>0.05). [Conclusion] The combination of the Tiaodu Shujin method and rehabilitation training can significantly improve the trunk injury condition and trunk control ability of patients with cerebral infarction,as well as upregulate the serum VEGF,bFGF and Ang-2 levels and promote the establishment of collateral circulation.