综合康复技术加经络导平治疗脑卒中偏瘫的早期疗效研究  

Research on early clinical result for treating apoplexy hemiplegia with comprehensive rehabilitation techniques plus electric meridian parallel points stimulation

作　　者：洪永锋[1] 钱红[1] 

机构地区：[1]安徽医科大学附属省立医院康复医学科,合肥230001

出　　处：《安徽医学》2008年第6期687-689,共3页Anhui Medical Journal

摘　　要：目的研究综合康复技术加经络导平治疗脑卒中偏瘫的早期疗效。方法2006年10月至2007年12月对来自我院神经内科的49例脑卒中患者进行筛选,其中符合纳入标准的45例,因脑卒中复发退出3例,余42例脑卒中患者随机分为研究组(23例)和对照组(19例)。研究组采用综合康复技术加经络导平治疗;对照组仅采用综合康复技术治疗。两组患者在脑卒中急性期均已接受良姿位摆放等康复护理,急性期后即进入康复治疗。康复治疗前及3个月后,运用Brunnstrom分期、Fugl-Meyer评分、Barthel指数综合评定康复疗效。各项得分使用均数±标准差表示。运用双独立样本t检验进行组间结果比较;运用配对样本t检验进行组内前后结果比较。结果两组患者治疗前后各项得分均有显著提高(P<0.01);两组间比较,研究组各项得分较对照组差异均有统计学意义(P<0.05)。结论综合康复技术加经络导平治疗脑卒中偏瘫的早期效果满意。Objective To study early therapeutic effect on apoplexy hemiplegia treated with comprehensive rehabilitation techniques and electric stimulation on meridian parallel points. Methods 45 patients, according to certain criteria, were selected from all the 49 patients suffered from apoplexy hemiplegia in Department of Neurology, Anhui Provincial Hospital, during the period of Oct. ,2006 to Dec. ,2007. As 3 cases were cancelled because of the relapse of apoplexy, the remainder 42 patients were divided into two groups at random, one as a study group （23 patients） , which was treated by comprehensive rehabilitation techniques and electric stinmlation on meridian parallel points, the other as a control group （19 patients） treated only with comprehensive rehabilitation techniques. Patients of the two groups were both treated with rehabilitation nursing in an acute phase, such as moderate posture placement and so on, and rehabilitation care after the acute phase. Before rehabilitation care and three month later, the therapeutic effects were evaluated by Brunnstrom stages, Fugl - Meyer grades and Barthel index. Each grade was represented by mean ±standard deviation; t - test of double independent samples was used to compare results between the two groups, and t - test of samples of match was used to compare intra - group results. Results The therapeutic effects on the two groups were good, and each grade after the treatment was obviously increased （ P 〈 0.01 ）. However, by comparing the two groups＇ grades after rehabilitation, it is apparent that the effect of the study group was better than the control group （ P 〈 0.05 ）. Conclusion Comprehensive rehabilitation techniques and electric stimulation on meridian parallel points can have a good early effect on hemiplegia.

关 键 词：综合康复技术 经络导平 脑卒中 早期疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学]