醒脑开窍针刺法联合康复训练治疗脑卒中的临床观察  

Clinical Observation of Acupuncture using Xingnao Kaiqiao Needling Method and Rehabilitation Training on Stroke

作　　者：甄君[1] 欧建英[1] 张雷[2] 杨艳杰[1] 范建中[3] 

机构地区：[1]中山大学附属第五医院康复医学科,广东珠海市519000 [2]中山大学附属第五医院神经科,广东珠海市519000 [3]南方医科大学南方医院康复医学科,广东广州市510515

出　　处：《中国康复理论与实践》2011年第4期370-372,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察醒脑开窍针刺法联合康复训练治疗脑卒中患者的临床疗效。方法 70例脑卒中患者随机分为观察组(n=35)和对照组(n=35),两组均按常规治疗,并及时进行康复训练,观察组加用醒脑开窍针刺法,4周为1个疗程。比较各组Fugl-Meyer运动功能评分、神经功能缺损程度评分和Barthel指数改善情况以及临床疗效。结果两组患者治疗后神经功能缺损程度明显减轻(P<0.05),Fugl-Meyer运动功能评分和Barthel指数均明显增加(P<0.05),观察组的治疗效果优于对照组(P<0.05)。结论醒脑开窍针刺法联合康复训练能有效促进脑卒中患者神经功能的恢复,提高运动功能,改善患者的生活质量和预后。Objective To observe the clinical effection of acupuncture using Xingnao Kaiqiao needling method and rehabilitation training on patients with stroke.Methods70 patients with stroke were randomly divided into the observation group（n=35）and the control group（n=35）,both groups receiving routine treatment and early rehabilitation training,while acupuncture using Xingnao Kaiqiao needling method was given additionally to the observation group,4 weeks for a course.The Fugl-Meyer Assessment,assessment of neurological deficit,the Barthel Index and the clinical effect were compared among two groups.ResultsThe neurological deficit decreased obviously,and the Fugl-Meyer Assessment and Barthel Index increased significantly in two groups after the treatment（P〈0.05）.The theraputic effect was significantly better in the observation group than in the control group（P〈0.05）.ConclusionAcupuncture using Xingnao Kaiqiao needling method combined with rehabilitation training can more effectively promote the recovery of nerve function,enhance motor function,and significantly improve the quality of life and the prognosis of patients with stroke.

关 键 词：脑卒中 醒脑开窍 针刺 康复 

分 类 号：R743[医药卫生—神经病学与精神病学] R245[医药卫生—临床医学]