针刺与康复技术对脑梗死上肢瘫及日常生活能力的影响  

Effects of acupuncture and rehabilitation techniques on the upper limb paralysis and activities of daily living of patients with cerebral infarction

作　　者：刘永刚 王东雁[2] 席栋兵 周文江[2] 丁俊[2] 周伟青[2] 

机构地区：[1]漳县中医院,甘肃定西748300 [2]酒泉市人民医院,甘肃酒泉735000

出　　处：《中医临床研究》2015年第22期35-36,38,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨针刺配合康复技术对脑梗死上肢瘫患者的上肢运动功能及日常生活活动能力(ADL)的影响。方法:将114例脑梗死上肢瘫患者随机分为针刺配合康复技术组(A组),针刺组(B组),康复技术组(C组)和对照组(D组)。应用针刺疗法和康复技术康复治疗,观察简式Fugl-Meyer评分(FMA),Barthel指数(MBI)和简易上肢功能评分,评定治疗前后患者的上肢运动功能及日常生活活动能力(ADL)。结果:在对脑梗死上肢瘫患者的运动功能及日常生活活动能力(ADL)的影响方面,A组明显优于其他3组,B组和C组无差异,A、B、C各组治疗后优于D组。结论:针刺和康复技术联合治疗是治疗急性脑梗死上肢瘫和早期康复较为理想的方法。Objective： To investigate effects of acupuncture and rehabilitation techniques on the upper limb paralysis and activities of daily living （ADL） of patients with cerebral infarction. Methods： 114 patients were randomly divided into the acupuncture plus rehabilitation techniques group （group A）, the acupuncture group （group B）, the rehabilitation techniques group （group C）, and the control group （group D）. Acupuncture and rehabilitation techniques were applied. FMA, MBI and simple upper limb function score in 4 groups were observed. Upper limb kinetic functions and ADL in 4 groups were evaluated. Results： The efficacy in group A was significantly better than that in the other three groups; group B and group C were similar. The total efficacy in group A, group B and group C were better than that in group D. Conclusion： Early acupuncture plus rehabilitation technique was an ideal method for treating acute cerebral infarction early rehabilitation of upper limb paralysis.

关 键 词：脑梗死 针刺 康复护理 上肢瘫 日常生活活动能力 

分 类 号：R245.31[医药卫生—针灸推拿学]