针刺结合功能训练对社区脑卒中患者日常生活能力的影响  

Effect of Acupuncture Combined with Rehabilitation Therapy on Activities of Daily Living in Stroke Patients Lived in Community

作　　者：倪欢欢[1] 崔晓[1] 胡永善[2] 吴毅[2] 瞿佩育[1] 曾慧玲[1] 黄春水[1] 周翠侠[1] 史骏超[1] 姜宏[3] 

机构地区：[1]上海市长宁区天山中医医院康复医学科,上海200051 [2]复旦大学附属华山医院康复医学科,上海200040 [3]长宁区遵义社区卫生服务中心,上海200050

出　　处：《神经病学与神经康复学杂志》2009年第1期27-30,共4页Journal of Neurology and Neurorehabilitation

基　　金：上海市卫生局科研基金资助项目(2006S001A);上海市长宁区卫生局科研基金资助项目(2006D4Y04002)

摘　　要：目的探索规范针刺结合功能训练治疗对社区脑卒中患者日常生活能力的影响。方法将长宁区三个社区176例脑卒中患者根据区域随机分成康复组和对照组,根据病程划分为软瘫期(BrunnstromⅠ、Ⅱ)、痉挛期(BrunnstromⅢ、Ⅳ)、恢复期(BrunnstromⅤ、Ⅵ)和后遗症期;康复组在常规内科治疗的基础上给予规范的针刺结合功能训练治疗,对照组仅给予一般的常规内科治疗,分别在治疗后2个月末和5个月末采用改良Barthel指数评定量表进行日常生活能力的评定。结果规范针刺结合功能训练社区康复治疗5个月后,两组患者的日常生活能力评分均提高,康复组与对照组相比具有显著性差异(P<0.01)。结论规范针刺结合功能训练的社区康复治疗能促进脑卒中患者的日常生活能力的恢复。Objective To study the effect of acupuncture combined with rehabilitation therapy on the activities of daily living in stroke patients lived in community. Methods One hundred and seventyombined with rehabilitation therapy on the rehabilitation therapy group and the control group randomly. The course of disease was classified into four stages,they were flaccid paralysis,spasm,restoration,and sequel. The patients in the two groups were all treated with medical treatment and the patients in the rehabilitation ...

关 键 词：针刺 功能训练 社区康复治疗 脑卒中 日常生活能力量表 

分 类 号：R743.3[医药卫生—神经病学与精神病学]