《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1048-1050.

• 临床研究 • 上一篇    下一篇

分期针刺联合运动疗法对脑卒中患者的疗效分析

张凤琴1a;邵晶兰1a;何冬梅1a;李惠珍1b   

  1. 1. 秦皇岛市北戴河医院，a.康复科;b.神经内科，河北秦皇岛市 066100
  • 收稿日期:2009-08-07 修回日期:2009-09-18 出版日期:2009-11-01 发布日期:2009-11-01

Effects of the Staging Acupuncture Combined with Physical Therapy on Stroke

ZHANG Feng-qin,SHAO Jing-lan,HE Dong-mei,et al   

  1. Department of Rehabilitation, Qinhuangdao Beidaihe Hospital，Qinhuangdao 066100, Hebei, China
  • Received:2009-08-07 Revised:2009-09-18 Published:2009-11-01 Online:2009-11-01

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被引次数

13

摘要： 目的 探讨分期针刺联合运动康复治疗对脑卒中患者临床神经功能缺损程度、运动功能以及日常生活活动（ADL）能力的影响。方法 将166例脑卒中患者分为分期针刺联合运动疗法（治疗组）83例，普通针刺联合运动疗法（对照组）83例。采用脑卒中临床神经功能缺损程度评分量表（MESSS）、简化Fugl-Meyer(FMA)量表、Barthel指数（BI）作为评价指标，分别于治疗前和治疗2个月后对患者进行评价。结果 治疗前两组间基线水平无显著性差异(P>0.05)，治疗后治疗组MESSS、FMA、BI评分均优于对照组（P<0.05）。治疗组总有效率为90.36%，对照组总有效率为74.49%（P<0.05）。结论 与普通针刺联合运动疗法相比，分期针刺联合运动疗法能更好地改善脑卒中患者的神经功能、运动功能以及日常生活能力。

关键词: 脑卒中, 分期针刺, 运动疗法, 神经功能, 运动功能, 日常生活活动（ADL）

Abstract: Objective To study the effects of the staging acupuncture combined with physical therapy on the neural function, motor function and activities of daily living in stroke patients. Methods 166 cases were divided into two groups: 83 cases in the treatment group were treated with staging acupuncture combined with physical therapy; 83 cases in the control group were treated with traditional acupuncture combined with physical therapy. They were evaluated with modified Edinburgh-Scandinavia Stroke Scale (MESSS)，Fugl-Meyer Assessment (FMA), and Bathel Index (BI) before and 2 months after treatment. Results There was no significant difference between these 2 groups before treatment (P>0.05), but were significant differences in MESSS, FMA and BI (P<0.05) after treatment. The incidence of recovery after treatment was 90.36% in treatment group, significantly better than that of the control group (74.49%, P<0.05). Conclusion In comparison with the traditional acupuncture, the staging acupuncture can significantly improve the effect on stroke based on the physical therapy.

Key words: stroke, staging acupuncture, physical therapy, neural function, motor function, activities of daily living （ADL）