摘要
目的:验证热补针法结合康复训练对缺血性脑卒中偏瘫患者早期运动功能的改善作用。方法:将80例患者随机分为针刺结合康复组、康复组,每组40例。两组均接受内科常规治疗,康复组采用运动再学习康复训练方案进行治疗,针刺结合康复组采用热补针法结合运动再学习康复训练进行治疗,针灸穴取肩髃、曲池、合谷、阳陵泉、阴陵泉、足三里、三阴交,施热补针法,共治疗3周。治疗前后分别采用脑卒中患者临床神经功能缺损程度评分、Fugl-Meyer量表评分、运动功能评估量表(MAS)评分、日常生活活动能力量表(Barthel指数)评分、简明精神状态量表(MMSE)评分对偏瘫患者进行评估。结果:针刺结合康复组有效率为87.5%(35/40),优于康复组的67.5%(27/40)(P<0.05)。两组治疗后神经功能缺损程度评分、Fugl-Meyer评分、MAS评分、Barthel指数评分均有改善(P<0.01,P<0.05),其改善程度针刺结合康复组优于康复组(P<0.01,P<0.05)。结论:热补针法结合康复训练对缺血性脑卒中偏瘫患者偏瘫肢体早期运动功能有明显的改善作用,且明显优于单纯康复训练方法。
Objective To verify the improvement function of warming-reinforcing acupuncture combined with re- habilitation training on the early motor function of hemiparalysis patients caused by ischemic brain stroke. Methods Eighty cases were randomly divided into a warming-reinforcing acupuncture combined with rehabilitation training group （group A） and a rehabilitation training group （group B）, 40 cases in each group. Both groups were treated with internal routine treatment. The Motor Relearning Program rehabilitation was used in group B, while warming-reinforcing acupuncture combined with Motor Relearning Program rehabilitation were used in group A. Jianyu （LI 15）, Quchi （LI 11）, Hegu （LI 4）, Yanglingquan （GB 34）, Yinlingquan （SP 9）, Zusanli （ST 36）, Sanyinjiao （SP 6） were selected, and warming-reinforcing method was used in these points, they were treated for 3 weeks. The neurological functional deficits scores of hemiparalysis patients, Fugl-Meyer Score, Motor Function Assessment Score （MAS）, Barthel Index and Mini-mental State Examination （MMSE） were used to evaluate the condition of hemiparalysis patients before and after treatment. Results The effective rate of group A （87. 5 % ,35/40） superior to that of group B （67. 5% ,27/40） （P〈0.05）. The neurological functional deficit scores, Fugl-Meyer score, MAS and Barthel Index of both groups were improved after treatment （P〈0. 01 ,P〈0. 05）, and the improved degree of group A was better than that of group B （P〈0. 01 ,P〈0. 05）. Conclusion There is obvious improvement function of warming-reinforcing acupuncture combined with rehabilitation training on the early motor function of hemiparalysis patients caused by ischemic brain stroke, and the function is better than that of simple rehabilitation training.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第6期441-445,共5页
Chinese Acupuncture & Moxibustion
基金
上海市卫生局资助项目:2006L017A
关键词
中风
缺血性脑病
针刺补法
康复
随机对照试验
Stroke
Brain Ischernia
Acupuncture Reinforcing Method~ Randomized Controlled Trials （RCT）
