《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (11): 1058-1060.

• 临床研究 • 上一篇    下一篇

中医康复法与神经生理疗法治疗恢复期脑卒中患者的对比研究

朱勤贤; 张国庆; 顾伯林; 周湘明   

  1. 苏州大学附属第二医院中医康复科,江苏苏州市 215000
  • 收稿日期:2007-05-23 出版日期:2007-11-01 发布日期:2007-11-01

Effect of Rehabilitation of Traditional Chinese Medicine or Neurophysiological Therapy on Recovering Stroke Patients

ZHU Qin-xian,ZHANG Guo-qing, GUBo-lin, et al   

  1. Departmentof Rehabilitation of Traditional Chinese Medicine, the Second Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China
  • Received:2007-05-23 Published:2007-11-01 Online:2007-11-01

摘要: 目的比较规范的中医康复法与神经生理疗法对处于恢复期的脑卒中患者的功能恢复的疗效。方法将符合纳入条件的62例脑卒中患者随机纳入中医组和对照组,中医组在常规内科治疗的基础上给予规范的中医康复手法,对照组给予常规内科治疗和神经生理疗法(NPT),分别于入院时和出院时利用Fugl-Meyer评定(FMA)、Barthel指数(BI)进行评定。结果与入院时相比,出院时中医组和对照组患者的FMA、BI评分均有明显的改善,其中,中医组BI改善值优于对照组(P=0.015),FMA评分两组间无显著性差异。结论中医康复手法和神经生理疗法均能明显地改善恢复期脑卒中的肢体运动功能和日常生活活动能力,但中医康复手法在提高患者的日常生活活动能力方面更有优势。

关键词: 脑卒中, 中医, 康复, 神经生理疗法(NPT)

Abstract: Objective To explore the effect of the rehabilitation of Traditional Chinese Medicine(TCM)and neurophysiological therapy(NPT)on motor function in patients with stroke.Methods62 patients with ischemic or hemorrhagic stroke at the recovery stage were divided into two groups.They were given the routine medical treatment and rehabilitation.The patients in the TCM group were given rehabilitation of TCM,while the patients in the control group were given rehabilitation of NPT.They were evaluated with Fugl-Meyer Assessment(FMA)and the Barthel Index(BI)at the beginning and the end of the treatment.ResultsAfter the treatments,the scores of FMA and BI improved obviously in both groups.The BI of the TCM group improved more than that of the control group after the treatments(P=0.015).But the improvement of the FMA between these two groups was not significant.ConclusionBoth the rehabilitation of TCM and NPT can significantly improve the function of stroke patients during the convalescent stage,and TCM is more effective on activity of daily living.

Key words: stroke, Traditional Chinese Medicine, rehabilitation, neurophysiological therapy(NPT)