头针结合易化技术对脑卒中患者运动功能的影响  

Effect of head acupuncture combined with facilitation techniques on movement function after stroke

作　　者：唐强[1,2] 王德生(指导)[1] 

机构地区：[1]哈尔滨医科大学 [2]黑龙江中医药大学针灸推拿学院,黑龙江哈尔滨市150001

出　　处：《中国康复理论与实践》2001年第2期71-72,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国博士后基金!中博基 [2 0 0 0 ] 2 3号

摘　　要：目的研究头穴丛刺方法结合易化技术对脑卒中后运动功能、ADL、神经功能缺损评分等方面的影响。方法 12 0例脑卒中患者随机分为头针结合康复组、头针组、康复组和对照组 ,每组各 30例。采用简式Fugl Meyer运动功能评分法、临床神经功能缺损程度评分、日常生活活动能力评定等方法综合评定患者的运动和神经功能。结果在对脑卒中患肢运动功能及日常生活活动能力 (ADL)的影响上 ,针刺结合康复组、头针组、康复组均明显优于对照组 (P <0 .0 1) ;在疗效上 ,头针结合康复组明显优于对照组(P <0 .0 1) ,头针组、康复组优于对照组 (P <0 .0 5 ) ;在预防并发症方面 ,头针结合康复组优于对照组 (P <0 .0 5 ) ,而头针组、康复组与对照组相比无显著性差异 (P >0 .0 5 )。结论头穴丛刺方法结合易化技术可以促进脑卒中患者的运动功能和日常生活活动能力的恢复 ,提高临床疗效 ,对异常模式有抑制作用 。ObjectiveTo study effect of head acupuncture combined with facilitation techniques on movement function, ADL, nervous function and prevention of complication, etc. after stroke.Methods120 stroke patients were divided randomly into four groups, group 1 for head acupuncture with facilitation techniques, group 2 for head acupuncture, group 3 for facilitation techniques, and group 4 for control. Fugl Meyer Assessment(FMA), Clinical Nervous Functional Damage Degree(CNFDD), Quality of Life(QOL), etc. were applied to assess movement and nervous function before and after treatment. ResultsThe scores of FMA, CNFDD and ADL rised more significantly in group 1, 2 and 3 than group 4 ( P<0.01). The complications, such as shoulder joint semi dislocation, shoulder hand syndrome, decreased more obviously in group 1 than in group 2, 3 and 4( P>0.05).Conclusions Head acupuncture combined with facilitation techniques can improve the movement function and activity of daily living of the stroke patients, decreasing complication.

关 键 词：脑卒中 康复 头针 易化技术 运动功能 日常生活活动能力 并发症预防 

分 类 号：R743[医药卫生—神经病学与精神病学]