分期针刺联合运动疗法对脑卒中患者的疗效分析  

Effects of the Staging Acupuncture Combined with Physical Therapy on Stroke

作　　者：张凤琴[1] 邵晶兰 何冬梅[1] 李惠珍[2] 

机构地区：[1]秦皇岛市北戴河医院康复科,河北秦皇岛市066100 [2]秦皇岛市北戴河医院神经内科,河北秦皇岛市066100

出　　处：《中国康复理论与实践》2009年第11期1048-1050,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨分期针刺联合运动康复治疗对脑卒中患者临床神经功能缺损程度、运动功能以及日常生活活动(ADL)能力的影响。方法将166例脑卒中患者分为分期针刺联合运动疗法(治疗组)83例,普通针刺联合运动疗法(对照组)83例。采用脑卒中临床神经功能缺损程度评分量表(MESSS)、简化Fugl-Meyer(FMA)量表、Barthel指数(BI)作为评价指标,分别于治疗前和治疗2个月后对患者进行评价。结果治疗前两组间基线水平无显著性差异(P>0.05),治疗后治疗组MESSS、FMA、BI评分均优于对照组(P<0.05)。治疗组总有效率为90.36%,对照组总有效率为74.49%(P<0.05)。结论与普通针刺联合运动疗法相比,分期针刺联合运动疗法能更好地改善脑卒中患者的神经功能、运动功能以及日常生活能力。Objective To study the effects of the staging acupuncture combined with physical therapy on the neural function, motor function and activities of daily living in stroke patients. Methods 166 cases were divided into two groups： 83 cases in the treatment group were treated with staging acupuncture combined with physical therapy; 83 cases in the control group were treated with traditional acupuncture combined with physical therapy. They were evaluated with modified Edinburgh-Scandinavia Stroke Scale （MESSS） ,Fugl Meyer Assessment （FMA）, and Bathel Index （BI） before and 2 months after treatment. Results There was no significant difference between these 2 groups before treatment （P〈0.05）, but were significant differences in MESSS, FMA and BI （P〈0.05） after treatment. The incidence of recovery after treatment was 90.36% in treatment group, significantly better than that of the control group （74.49%, P〈0.05）. Conclusion In comparison with the traditional acupuncture, the staging acupuncture can significantly improve the effect on stroke based on the physical therapy.

关 键 词：脑卒中 分期针刺 运动疗法 神经功能 运动功能 日常生活活动(ADL) 

分 类 号：R743.3[医药卫生—神经病学与精神病学]