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Brunnstrom分期针刺对脑卒中后肢体功能障碍的疗效观察 被引量:4

Therapeutic effect of Brunnstrom staging on limb dysfunction after stroke
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摘要 目的探讨不同的选穴方案治疗脑卒中后偏瘫患者肢体功能障碍的改善及预后的影响。方法采用随机对照法分析脑卒中后偏瘫患者肢体功能障碍的诊疗情况。按照不同的选穴方案,分成试验组和对照组,每组40例。两组患者在常规康复训练的基础之上,对照组给予传统的针刺选穴方案,试验组依据不同的Brunnstrom分期,选取不同的穴组治疗。结果治疗后两组患者FMA评分和Barthel评分均较治疗前提高(P>0.05),治疗后试验组总有效率明显高于对照组(P<0.05)。治疗1个月后,分析两组患者偏瘫侧肢体功能的恢复均未产生不良反应,治疗安全性良好。结论合理的选穴方案对于改善脑卒中患者的功能障碍有重要意义,能有效提高预后,提高患者生存能力以便早日回归家庭,回归社会,值得推广。 Objective To investigate the effects of different acupoint selection regimens on the improvement of limb dysfunction and prognosis in patients with hemiplegia after stroke.Methods Randomized controlled analysis of the diagnosis and treatment of limb dysfunction in patients with hemiplegia after stroke.According to different acupoint selection scheme,the experimental group and the control group were divided into 40 groups in each group.On the basis of routine rehabilitation training,the two groups were given a traditional acupuncture selection method.The experimental group was treated with different acupoints according to different Brunnstrom stages.Results After treatment,the FMA score and Barthel score were significantly higher than those before treatment(P>0.05).The total effective rate of the experimental group was significantly higher than that of the control group(P<0.05).After 1 month of treatment,no adverse reactions were observed in the recovery of limb function in the two groups,and the treatment safety was good.Conclusion Reasonable acupoint selection program is of great significance for improving the dysfunction of stroke patients.It can effectively improve the prognosis and improve the survivability of patients so that they can return to the family as soon as possible and return to society.It is worth promoting.
作者 蒋鹏军 乔冠莹 胡彦红 张路路 惠永芳 黄菀益 李贞祯 JIANG Pengjun;QIAO Guanying;HU Yanhong;ZHANG Lulu;HUI Yongfang;HUANG Yiyi;LI Wei(Rehabilitation medicine department,Korla hospital,the second division of Xinjiang production and Construction Corps,Korla 841000,China)
出处 《中国老年保健医学》 2019年第6期27-29,共3页 Chinese Journal of Geriatric Care
基金 第二师库尔勒医院院级科技计划项目(编号20180227)
关键词 脑卒中 偏瘫 肢体功能障碍 stroke hemiplegia limb dysfunction
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