【摘要】 目的探讨针刺、推拿对缺血性脑卒中复发体质因素及生存质量的影响。方法选取2010年2月—2014年6月来我院康复科因脑卒中住院的患者268例。按照简单随机抽样的方法将患者分为针刺推拿治疗组(AM组)和常规康复训练组(R组),采用分卷调查的方式检测针刺、推拿后对患者体质因素以及生存质量的影响。结果 R组治疗后,瘀血体质以及痰湿体质均下降,同治疗前相比且具有显著性差异(P<0.05),而平和体质、虚证体质却升高(P<0.05);AM组治疗后,瘀血体质、痰湿体质以及痰湿体质均下降,同治疗前相比且具有显著性差异(P<0.05),而平和体质、虚证体质却升高(P<0.05);此外,AM组治疗后平和体质患者相对于R组具有显著性差异(P<0.05)。治疗后,R组在FMA积分以及SF-36(生命质量)积分均高于治疗前,差异具有统计学意义(P<0.05);AM组FMA积分、MBI积分以及SF-36(生命质量)积分方面均高于治疗前(P<0.05);此外,AM组FMA积分、MBI积分以及SF-36(生命质量)积分方面均高于R组。治疗后,R组湿热体质患者,评分明显下降(P<0.05),而AM组5种体质因素患者,NIHSS评分均明显下降(P<0.05);此外,AM组平和体质、瘀血体质以及痰湿体质患者经NIHSS评分均低于R组(P<0.05)。结论针刺、推拿对缺血性脑卒中复发体质因素具有明显的改善作用,能够明显提高患者生存质量和神经功能恢复状况。更多还原

【Abstract】 Objective Acupuncture,massage on the impact of physical factors of ischemic stroke recurrence and quality of life. Methods The 268 cases of patients in mid-February 2010 to June 2014 to our hospital because of a stroke rehabilitation hospital. According to a simple random sampling method were divided into acupuncture and massage therapy group( AM group) and conventional rehabilitation group( R group),using sub-volume survey methods to detect acupuncture,physical factors and impact on patient quality of life after massage. Results Before treatment,all kinds of R group and AM group the number of patients there was no significant difference( P > 0. 05) recurrent physical factors. R group after treatment,blood and phlegm physical physique decreased,with significant differences( P < 0. 05) compared with pre-treatment and, while peace constitution, physical deficiency but increased( P < 0. 05); AM group therapy after bleeding physique,physical phlegm and dampness constitution decreased,as compared with the treatment before and has significant difference( P < 0. 05),while the peace constitution,physical deficiency but increased( P < 0. 05); in addition,after the AM group therapy in patients with respect to peace constitution R group has significant difference( P < 0. 05). Before treatment,the patients in each group FMA integration,MBI integration and SF-36( quality of life) calculus no significant difference( P > 0. 05); after treatment,R group in the FMA integration and SF-36( quality of life) are integral higher than before treatment,the difference was statistically significant( P < 0. 05); AM group FMA integration,MBI integration and SF-36( quality of life) were higher than before treatment integral aspect( P < 0. 05); in addition,AM group FMA Points,MBI integration and SF-36( quality of life) were higher than the R group calculus. Before treatment,the two groups of patients with a variety of physical factors of recurrence NIHSS score was no significant difference( P > 0. 05); after treatment,R group,the patients body heat,scores decreased significantly( P < 0. 05),while the AM group five kinds of physical factors in patients,NIHSS scores were significantly decreased( P < 0. 05); in addition,AM group peaceful constitution,physique and physical fitness in patients with phlegm stasis by the NIHSS scores were lower than the R group( P < 0. 05). Conclusion Acupuncture and massage can improve recurrent physical factors of ischemic stroke and increase patients’ quality of life and neurological functions significantly.更多还原