分期动静针刺对脑卒中早期康复的增强作用  

Effects of Staging Dynamic-static Acupuncture on Acute Stroke Patients Received Early Rehabilitation

作　　者：欧阳颀[1] 魏智钧[1] 张春梅[1] 周巍[1] 王丹[1] 李华[1] 张立夫[1] 

机构地区：[1]北京军区总医院,北京100700

出　　处：《针灸临床杂志》2009年第10期3-5,共3页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨分期动静针刺对脑卒中患者早期康复的加强作用。方法:将符合纳入标准的156例脑卒中患者随机分为对照组和治疗组各78例,均常规接受药物治疗及早期康复,治疗组同时采用分期动静针刺治疗,治疗时间为3个月,采用Fugl-Meyer运动功能评分、修订的巴氏指数评分及临床神经功能缺损评分,对两组治疗前后进行评分比较和临床疗效分析。结果:治疗组基本治愈和显著进步的占77.03%,对照组61.33%,两组差异明显(P<0.05)。治疗后两组FMA和MBI评分均比治疗前明显增高(P<0.01),但治疗组运动功能和日常生活活动能力改善优于对照组(P<0.05或P<0.01)。结论:分期动静针刺可明显促进脑卒中的早期康复。Objective:To investigate the effects of staging dynamic-static acupuncture on acute stroke patients received early rehabilitation.Methods: 156 acute stroke patients were randomly divided into treatment group and control group with 78 cases each.All patients of the two groups were given conventional clinical treatment and early rehabilitation,the cases of the treatment group were added with staging dynamic-static acupuncture treatment.The treatment course was 3 months.The clinical effect was evaluated by the Nerve Function Insufficient(NFI).The motor function and activities of daily living of all patients were assessed by the Fugl-Meyer Assessment(FMA) and Modified Barthel Index(MBI) before treatment,1 and 3 months after treatment.Results: The cured rate and marked effective rate in the treatment group of 74 cases were 16.22% and 60.81%,while that in control group of 75 cases were 10.67% and 50.67% respectively.There was significant difference in the cured rate and marked effective rate between the two groups(P<0.05).The FMA and MBI scores of all patients in the two groups significantly improved after treatment(P<0.01),while the scores of the cases in the treatment group were obviously higher than that of the control group(P<0.05 or <0.01).Conclusion: Staging acupuncture could obviously promote the early rehabilitation of the patients with acute stroke.

关 键 词：脑卒中 分期动静针刺 早期康复 

分 类 号：R246.1[医药卫生—针灸推拿学]