康复训练和针刺对缺血性脑卒中患者神经功能缺损和运动功能的影响  

Effects of Rehabilitation Training and Acupuncture on the Neural Function Deficit and Motor Function in Patients with Ischemic Stroke

作　　者：李丽[1] 白玉龙[1] 胡永善[1] 吴毅[1] 崔晓 谢蓓菁[3] 朱秉[1] 徐一鸣[1] 虞先敏 张荣 

机构地区：[1]复旦大学附属华山医院康复医学科,上海200040 [2]上海市长宁区天山中医院康复医学科 [3]上海市华山医院永和分院康复医学科 [4]上海市杨浦区老年医院康复医学科

出　　处：《中国运动医学杂志》2010年第3期281-284,共4页Chinese Journal of Sports Medicine

基　　金：上海卫生局科研课题(2009-250);上海市闸北区医学科研课题(重点2008-05)

摘　　要：目的:探讨康复训练和针刺两种治疗手段对缺血性脑卒中患者神经功能缺损和运动功能的影响。方法:80例缺血性脑卒中患者随机分为康复组和针刺组。根据患者偏瘫恢复的不同阶段,康复组采用具有针对性的康复训练方案,针刺组采用头针加体针进行治疗,两组均治疗28天。分别在治疗前、治疗28天后以及治疗后56天随访时对患者进行临床神经功能缺损程度评分(NDS)、功能综合评定量表(FCA)运动功能评分,并统计分析。结果:治疗前康复组和针刺组NDS、FCA运动功能评分在统计学上均未见显著性差异。治疗后28天和第56天随访时,两组NDS、FCA运动功能评分与治疗前相比均有显著性差异。治疗后28天时,两组间NDS、FCA运动功能评分与治疗前的差值无显著性差异,而在第56天随访时,两组间NDS、FCA运动功能评分与治疗前差值有显著性差异。结果表明:康复训练与针刺均可降低缺血性脑卒中患者神经功能缺损程度,并提高患者运动功能,且在第56天随访时康复训练组恢复程度高于针刺组。Objective In order to explore the effects of rehabilitation training and acupuncture on the neuralfunction deficit and motor function in patients with ischemic stroke. Methods Eighty patients with ischemic strokewere randomly divided into rehabilitation and acupuncture groups. According to different recovery stages,the rehabilitation group received purposeful rehabilitation training for 28 days while the acupuncture group received scalpneedling combined with body acupuncture. The neural deficit scores （NDS） and motor function comprehensive assessmen（tFCA）were evaluated at the recruitmen（tM0）,the 28^th（M1）and 56^th（M2）days after treatment. Results Nosignificant differences were found in the NDS and motor FCA between the rehabilitation and the acupuncture groupsat the recruitment. The significant differences appeared at the 28^th and the 56^th days comparing with baseline assessments in each group. There was no significant difference in the changes of NDS and motor FCA between thetwo groups at 28^th day,however,the NDS and motor FCA in rehabilitation group revealed better outcome than the acupuncture group at the 56^th day. Conclusion The study indicated that both rehabilitation training and acupuncture could improve the neural function and enhance the motor function in patients with ischemic stroke.

关 键 词：康复训练 针刺 缺血性脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R246[医药卫生—临床医学]