综合康复治疗结合子午流注低频治疗仪对脑卒中偏瘫患者肢体功能的影响  

Effects of comprehensive rehabilitation therapies combined with Ziwu Liuzhu low frequency therapeutic instrument on the limb function of stroke patients with hemiplegia

作　　者：徐俊峰[1,2] 孙岚[1,2] 汤涛[1,2] 王征美[1,2] 李俊琴[1,2] 

机构地区：[1]中国康复研究中心北京博爱医院中西医结合康复科,北京100068 [2]首都医科大学康复医学院,北京100068

出　　处：《天津中医药》2016年第2期71-74,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：中国康复研究中心基金项目(2012-25)

摘　　要：[目的]观察综合康复治疗结合子午流注低频治疗仪对脑卒中偏瘫患者肢体功能的影响。[方法]选取2012年5月—2015年5月在中国康复研究中心北京博爱医院住院治疗的脑卒中患者60例,将符合纳入标准的患者按照随机数字表法分为治疗组和对照组(各30例),两组均给予肢体综合康复治疗[运动疗法(PT)、作业疗法(OT)、针灸治疗],治疗组在综合康复治疗同时结合使用子午流注低频治疗仪,根据患者就诊时间段选取相应的开穴进行治疗,共治疗2个月。采用美国国立卫生院卒中评分量表(NIHSS)、简化Fugl-Meyer运动功能评分法、改良的Ashworth、Berg平衡量表进行疗效评价。[结果]NIHSS神经功能评分、改良的Ashworth评分、Berg平衡功能:治疗1个月后治疗组与对照组无显著性差异,治疗2个月后两组比较差异有统计学意义(P<0.05)。Fugl-Meyer运动功能评分在治疗1个月和治疗2个月后治疗组与对照组比较差异无统计学意义(P>0.05)。[结论]脑卒中偏瘫患者肢体综合康复治疗的同时结合子午流注低频治疗仪可有效地改善脑卒中偏瘫患者的神经功能缺损程度、平衡功能,增加肌张力。[Objective] To observe the effects of comprehensive rehabilitation therapies combined with Ziwu Liuzhu low frequency therapeutic apparatus of limb function in stroke patients with hemiplegia. [Methods] Selecting May 2012-May 2015 hospitalized 60 cases of stroke patients, the standard patients were randomly divided into the treatment group and control group（30 cases）, and two groups were given comprehensive rehabilitation of the limbs（PT, OT, acupuncture treatment）. The treatment group was combined with using Ziwu Liuzhu low frequency therapeutic apparatus, which according to the time to select the corresponding acupuncture points. All the patients were treated for 2 months. NIHSS, Fugl-Meyer, Ashworth and Berg were used to evaluate the therapeutic effects. [Results] NIHSS, Ashworth and Berg scores： after 1 month of treatments, there was no statistical significance between two groups（ P〈0.05）. After 2 months of treatments, there were statistical differences between two groups（P〈0.05）. The Fugl-Meyer scores： there were no statistical significances between two groups after one month and two months treatments（P〉0.05）. [Conclusion] Comprehensive rehabilitation treatments combined with Ziwu Liuzhu low frequency therapeutic apparatus can effectively improve the degree of nerve function, the balance function and the muscular tension.

关 键 词：子午流注 低频治疗仪 脑卒中 偏瘫 

分 类 号：R743.32[医药卫生—神经病学与精神病学]