摘要
目的探讨针刺结合康复训练治疗脑卒中偏瘫开始的时间与运动功能和日常生活能力恢复的关系。方法60位入选急性期脑卒中偏瘫患者非随机分为实验组(早期针刺结合康复训练组30名)与对照组(非早期针刺结合康复训练组30名),两组均在常规药物治疗的基础上进行干预治疗,实验组在发病14天内开始介入干预措施,对照组在发病15～30天内开始介入干预措施,运用分期配穴针刺治疗法结合bobath疗法于治疗前、治疗30天时采用简化Fugl-Meyer运动功能评定值、改良巴氏指数评定值(MBI)作为观察疗效指标。结果两组治疗后的简化Fugl-Meyer运动功能评定值和MBI值均有提高,实验组疗效明显优于对照组。结论脑卒中偏瘫患者在常规药物治疗的基础上早期介入针刺及康复训练的疗效明显高于非早期介入,为医疗资源的充分利用提供依据。
Objective To determine time window of early group acupuncture treatment with rehabilitative exercises treat stroke and value the effects of early rehabilitation on motor function and ADL. Methods 60 hemiplegic patients with acute stroke were no randomly divided into experimental group and control group （early group acupuncture treatment with rehabilitative exercises, 30 patients） and control group （no early group acupuncture treatment with rehabilitative exercises, 30 pa tients）.2 groups were treated with systematic acupuncture treatment with rehabilitative exercises within 2 weeks, control group were treated lather, at the same time, 2 groups accept usual medicine treating all. 2 groups were assessed by the Fugl-Meyer assessment （FMA） and modified barthel index （MBI）. Results Fugl-Meyer indices and MBI were significantly increased after treatment as compared with those before treatment in both 2 groups, and experimental group were more than control group. Conclusion Hemiplegic patients who accept treatment of acpuncture treatment with rehabilitative exercises in acute stroke on the base of accepting usual medicine will get better recover than those patients of no early groups.
出处
《中国现代医药杂志》
2009年第11期19-21,共3页
Modern Medicine Journal of China
关键词
脑卒中
偏瘫
早期
针刺
功能训练
Stroke Hemiplegic Early stage Acupuncture Rehabilitative exercises
