针刺结合功能训练对社区脑卒中患者神经功能的影响  

Effect of acupuncture combined with rehabilitation therapy to improve neurological function in patients lived in community with stroke

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

机构地区：[1]上海市长宁区天山中医医院康复医学科,复旦大学附属华山医院长宁康复分中心,200051 [2]复旦大学附属华山医院康复医学科 [3]长宁区北新泾社区卫生服务中心

出　　处：《中国康复医学杂志》2009年第12期1083-1086,共4页Chinese Journal of Rehabilitation Medicine

基　　金：上海市卫生局科研基金资助项目(2006SOO1A);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神经功能的影响。方法:将长宁区三个社区176例脑卒中患者根据区域随机分为康复组和对照组,根据病程分为软瘫期(Brulmstrom Ⅰ、Ⅱ)、痉挛期(BrunnstromⅢ、Ⅳ)、恢复期(BrunnstromⅤ、Ⅵ)、后遗症期;康复组在常规内科治疗的基础上给予规范的针灸结合功能训练治疗,对照组仅给予一般的常规内科治疗,分别在治疗后2个月月未和5个月月末采用临床神经功能缺损程度量表进行神经功能评定。结果:规范针刺结合功能训练社区康复治疗5个月后,两组患者的神经功能评分均降低,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对脑卒中患者的神经功能的恢复有促进作用.Objective：To study effect of acupuncture combined with rehabilitation therapy on neurological function in stroke patients lived in community. Method：One hundred and seventy-six stroke patients lived in community were divided into rehabilitation therapy group and control group randomly.The patients in two groups were all treated with clinical treatment and with and without rehabilitation therapy. The rehabilitation group were also treated with acupuncture, while the patients in control group didn＇t. All patients were evaluated with Clinical Neurological Function Defects （CNFD） at the admission and 2 and 5 months after treatment. Result： After 5 months, The scores of CNFD of rehabilitation therapy group were lower than those of the control group （P〈0.01）. Conclusion： Effect of acupuncture combined with rehabilitation therapy can obviously improve neurological function in stroke patients lived in community.

关 键 词：针刺 功能训练 社区康复治疗 脑卒中 神经功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]