针刺结合运动再学习方案对卒中后偏瘫康复的时效性研究  

Timeliness of Acupuncture Combined with Motor Relearning Program for Hemiplegic Rehabilitation after Stroke

作　　者：赵政[1] 傅立新[2] 郭瑀 色佳鸿 杨国峰[1] 黎冰 林雪 孙悦玲 梁家旭 

机构地区：[1]沈阳市中医院,辽宁沈阳110003 [2]天津中医药大学第一附属医院,天津300193

出　　处：《针灸临床杂志》2017年第10期5-8,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项;编号:JDZX2012141

摘　　要：目的:通过观察针刺及运动再学习方案不同顺序使用对脑卒中后偏瘫患者运动能力的恢复,探讨针刺与康复结合的时效性。方法:选取75名6个月内脑卒中伴偏瘫患者,随机分为3组,根据针刺康复的不同组合顺序分为先针刺后运动再学习组(A组)、先康复后针刺组(B组)和针刺康复同时进行组(C组),分别在治疗前及治疗4周后采用日常生活能力(Barthel指数量表)、运动功能评定量表(MAS)和临床神经功能缺损程度评分(CSS)评价患者运动能力恢复程度。结果:3组的Barthel指数量表和MAS评价都有改善,其中B、C组在MAS评价中明显优于A组,P<0.05,差异具有显著意义。结论:针刺与运动再学习技术同时进行或先康复后针刺可能对卒中后偏瘫的康复更具疗效。Objective： To observe the different application order of acupuncture and motor relearning program（ MRP） for the recovery of motor ability in patients with hemiplegia after stroke,and to discuss the timeliness of the combination of acupuncture and rehabilitation. Methods： 75 hemiplegia patients within six months were randomly divided into three groups according to different application order,i. e. acupuncture followed by motor relearning（ group A）,motor relearning followed by acupuncture（ group B）,and acupuncture and motor relearning concurrently（ group C）. The recovery of motor ability was evaluated according to daily life ability（ Barthel index scale）,Motor Function Assessment Scale（ MAS）,and Clinic Stroke Scale（ CSS） before and after four-week treatment. Results： There were improvements in terms of Barthel index scale and MAS in the three groups; in which group B and group C were superior to group A on MAS evaluation,with significant difference（ P〈0. 05）. Conclusion： The therapies of simultaneous acupuncture and MRP or MRP before acupuncture may be more effective for hemiplegia rehabilitation after stroke.

关 键 词：针灸疗法 运动再学习方案 时效关系 卒中 偏瘫 康复治疗 日常生活能力 运动功能评定量表 

分 类 号：R246.6[医药卫生—针灸推拿学]