【作者】 刘悦； 刘刚； 王小寅； 贺青涛； 姚国新； 邝伟川； 董明；

【Author】 LIU Yue,LIU Gang,WANG Xiao-yin,HE Qing-tao,YAO Guo-xin,KUANG Wei-chuan,DONG Ming (Department of Rehabilitation Medicine,Guang Dong Second Provincial Traditional Chinese Medicine Hospital,Guangzhou,Guangdong,China 510095)

【机构】 广东省第二中医院康复科；

【摘要】 目的:对比观察分期针刺配合康复训练治疗中风恢复期肢体功能障碍的临床疗效。方法:采用随机单盲对照的方法,将中风恢复期以肢体功能障碍为主的患者60名,随机分为传统针刺组(对照组)和分期针刺组(治疗组)。两组分别接受传统针刺的辨证取穴治疗和现代康复理论指导下的分期针刺取穴治疗,并同时接受系统现代康复训练。采用美国国立卫生院卒中量表(NIHSS)、运动功能评定(FMA)、改良巴氏指数(MBI)以及步行能力分级(FAC)、偏瘫肢体Brunnstrom分期等量表,评定患者肢体功能的改善情况及临床疗效。结果:治疗组治疗后NIHSS评分(13.73±7.16)显著低于对照组(16.84±7.65)(P<0.01);治疗组FMA评分(68.35±23.39)、MBI评分(78.84±25.31)及临床疗效(86.67%)显著高于对照组(60.46±22.58、69.65±26.53、60%)(P<0.01);且治疗组FAC及偏瘫肢体Brunnstrom分期情况比较,治疗组均明显优于对照组(P<0.05)。结论:分期针刺配合康复训练可明显改善中风恢复期患者的肢体功能活动,且分期针刺法的临床疗效优于传统针刺方法。更多还原

【Abstract】 Objective To comparetively observe the clinical effect of staging acupuncture in combination with rehabilitation training for limb dysfunction of stroke patient at convalescent period. Methods Adopting a single-blind,randomized controlled method,60 cases of stroke at convalescent period with limb dysfunction were assigned to 2 groups:traditional acupuncture group(control group) and staging acupuncture group(treatment group).The two groups were respectively treated with syndrome differ treatment of traditional acupuncture and staging acupuncture treatment based of modern rehabilitation theory, and they were treated with systematic rehabilitation training.Improvement of limb function and clinical efficacy were evaluated by the U.S.national institues of health stroke scale(NIHSS),motor function assessment scale(FMA),modified barthel index scale(MBI),walking ability category scale(FAC),and hemiplegic limb brunnstrom stages scale.Results After treatment,the scores of NIHSS in the treatment group(13.73±7.16) was significantly lower than that in the control group(16.84±7.65)(P<0.01),and the scores of FMA(68.35±23.39),MBI(78.84±25.31) and clinical therapeutic effect of 86.67%in the treatment group were significantly higher than those in the control group(60.46±22.58、69.65±26.53、60%)(P<0.01). The situation of FAC and Brunnstrom stage in the treatment group were significantly better than that in the control group(P<0.05).Conclusion The staging acupuncture in combination with rehabilitation training could improve the limb function of stroke patient at convalescent period,and its clinical therapeutic effect was better than traditional acupuncture therapy.更多还原