Brunnstrom分级取穴治疗脑卒中后偏瘫的临床观察  

Clinical Research of Brunnstrom Grade Acupuncture Plus Acupoint Selection on Hemiplegic Catients

作　　者：马素慧[1] 窦娜[1] 陈长香[1] 李建民[1] 崔颖[1] 李丹[1] 吴庆文[1] 

机构地区：[1]华北煤炭医学院康复医学系,河北唐山063000

出　　处：《辽宁中医杂志》2010年第8期1572-1574,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:观察Brunnstrom分级取穴对脑卒中肢体偏瘫运动功能和ADL的影响。方法:将95例脑卒中患者随机分为观察组48例和对照组47例,观察组按Brunnstrom分级取穴,对照组采用传统方法取穴,两组均进行常规神经内科处理,并Bobath技术为主的康复训练;并对两组采用简式Fugl-Meye运动功能评测(FMA)和Barthel指数在治疗前、治疗后1个月、3个月进行量化评定;结果:治疗1、3个月后两组FMA评分、Barthel指数与治疗前比较均有提高,治疗1个月后观察组FMA评分和Barthel指数评分优于对照组(P<0.05),治疗3个月后观察组FMA评分和Barthel指数评分明显优于对照组(P<0.01),结论:按照Brunnstrom分级取穴可以明显改善偏瘫肢体的运动功能,提高ADL能力。Objective：Research on the effect of Brunnstrom grade acupuncture plus acupoint selection in motor function and ADL on hemiplegic patients.Methods：95 hemiplegic patients was randomized into rehabilitation group （n=48） and control group （n=47）.The control group received traditional acupuncture,while rehabilitation group used Brunnstrom grade acupuncture plus acupoint.Both of two groups took regular rehabilitation treatment,and assessed by Fugl-Meyer （FMS） and Barthel index pre and post-treatments after 1month and 3 month.Results：The motor functions were better than pro-treatments in both groups,and FMS scores as well as Barthel index of rehabilitation group is statistical higher（P 0.05） after 1month,still had very statistical difference after 3 month（P 0.01）.Conclusion：Brunnstrom grade acupuncture plus acupoint selection do well in promoting rehabilitation on motor function and ADL ability.

关 键 词：脑卒中 Brunnstrom分级 取穴 运动功能 ADL 

分 类 号：R682.22[医药卫生—骨科学]