《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (05): 313-314.

• 临床康复 • 上一篇    下一篇

针刺对脑卒中偏瘫患者肢体运动功能康复的临床观察

雷龙鸣; 林正; 曾湘玲; 王泽涛   

  1. 湖南中医学院 长沙 410007
  • 收稿日期:2002-09-24 出版日期:2003-05-25 发布日期:2003-05-25

Clinical observation on rehabilitation of extremity motor function in the hemiplegic patients with stroke by acupuncture

LEI Long-ming,LIN Zheng,ZENG Xiang-ling,et al   

  1. Hunan College of TCM,Changsha 410007,Hunan,China
  • Received:2002-09-24 Published:2003-05-25 Online:2003-05-25

PDF (PC)

被引次数

24

摘要： 目的探讨治疗脑卒中偏瘫的有效针刺康复方案。方法对 62例脑卒中偏瘫患者采用1日两次,巨刺、与非巨刺交替的治疗方法,治疗前后采用Brunnstrom偏瘫运动功能评价法和修订的Bathel指数法评价患者的运动功能和日常生活能力(ADL)。结果治疗3个月后,BrunnstromⅣ期以上62.90%,ADL积分60分以上56.45%。治疗前及治疗1、2个月后Brummstrom分级变化有非常显著性差异(P<0.01),2和3个月间分级变化无显著性差异(P>0.05)。结论每日两次巨刺与非巨刺交替的治疗方法有利于偏瘫患者运动功能和ADL的恢复 ,尤其适应于早期(2个月内)的治疗。

关键词: 脑卒中, 偏瘫, 针刺疗法, 巨刺, 非巨刺

Abstract: ObjectiveTo explore an effective rehabilitation method to treat hemiplegic patients with stroke by acupuncture.Methods62 hemiplegic patients were treated by Opposing needling and Non-opposing needling twice a day in alternate way.The motor function of patients was assessed with Brunnstrom Assessment and activities daily living(ADLs) were assessed with Barthel Index revised.ResultsAt 3 months after the treatment,The rate of motor function improved above Ⅳ-Ⅳ level accounted for 62.90%,that of ADL improved 60 points accounted for 56.45%.There were significant difference in Brunnstrom level among pre-treatment and 1,2 months after the treatment(P<0.01),but no significant difference between 2 and 3 months (P>0.05).ConclusionsOpposing needling and Non-opposing needling used twice a day in alternate way can promote the recovery of motor function and ADL of hemiplegic patients with stroke,especially early (less than 2 months) recovery.

Key words: stroke, hemiplegia, acupuncture, Opposing needling, Non-opposing needling