摘要
目的探讨"靳三针"针刺治疗对中风后偏瘫患者偏瘫肢体运动功能和日常生活活动能力的影响。方法将135例中风后偏瘫患者随机分为"靳三针"组、康复组、"靳三针"加康复组各45例,在基础药物治疗上,分别应用"靳三针"针刺治疗、康复治疗、"靳三针"针刺联合康复治疗,分别于治疗前、治疗后14天、治疗后28天用Fugl-Meyer法及Barthel指数评定两组患者偏瘫肢体运动功能和日常生活活动能力。结果 3组患者治疗14天、28天后Fugl-Meyer值及Barthel指数积分均较治疗前明显提高,差异有统计学意义(P<0.01);并且治疗后28天Fugl-Meyer值及Barthel指数积分均较14天提高(P<0.05)。治疗后28天"靳三针"组及"靳三针"加康复组Fugl-Meyer值分别与康复组比较差异有统计学意义(P<0.05),治疗后28天"靳三针"加康复组Barthel指数积分与康复组比较有统计学意义(P<0.05)。结论 "靳三针"针刺疗法能促进中风后偏瘫患者偏瘫肢体运动功能和日常生活活动能力,联合康复治疗效果更好。
Objective To evaluate the influence of Jinsanzhen therapy （A 3-point acupuncture method created by prof.JIN） on the motor function and activities of daily life of the apoplectic hemiplegia patients.Methods Totally 135 apoplectic hemiplegia patients were randomized into three groups：Jinsanzhen group,Rehabilitation group,and Jinsanzhen plus rehabilitation group,with 45 cases in each.The degree of hemiplegia motor function and activities of daily life of the patients was assessed with Fugl-Meyer assessment （FM） and Barthel index before,14 and 28 days after treatment.Results After 14 and 28 days＇ treatment,the FM value and Barthel index score of all the three groups are significantly increased （P0.01）.The FM value and Barthel index score after 28 days＇ treatment were higher than those after 14 days＇ treatment （P0.05）.Compared with the Rehabilitation group,the improvement of Jinsanzhen group and Jinsanzhen plus rehabilitation groups in the FM value was significant after 28 days＇ treatment （P0.05）;and the difference in the Jinsanzhen plus rehabilitation group in Barthel index score was significant after 28 days＇ treatment （P0.05）.Conclusion Jinsanzhen therapy is effective in promoting the motor function and activities of daily life of the apoplectic hemiplegia patients.The effect will be better in case it is applied together with rehabilitation.
出处
《中医杂志》
CSCD
北大核心
2010年第6期524-527,共4页
Journal of Traditional Chinese Medicine
基金
“十一五”国家科技支撑计划资助项目(2006BAI12B02-3)
关键词
“靳三针”
中风后偏瘫
康复
肢体运动功能
日常生活活动能力
Jinsanzhen therapy （A 3-point acupuncture method created by prof.JIN）
Apoplectic hemiplegia
Rehabilitation
Motor function
Activities of daily life
