针灸联合康复治疗对老年中风偏瘫患者日常生活能力评分与运动功能评分的影响  

Analysis of Effects of Acupuncture Combined with Rehabilitation on Activities of Daily Living and Motor Function Score of Elderly Stroke Patients with Hemiplegia

作　　者：刘桑 焦富英[1] Liu Sang;Jiao Fuying(Department of Neurology, Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110034, China)

机构地区：[1]辽宁省中医药研究院(辽宁中医药大学附属二院)神经内科,沈阳110034

出　　处：《世界中医药》2018年第4期974-977,共4页World Chinese Medicine

基　　金：辽宁省医学高峰建设工程专项经费项目(2016068)

摘　　要：目的:研究针灸联合康复治疗对老年中风偏瘫患者的日常生活能力评分和运动功能评分的影响。方法:选取2013年2月至2015年9月辽宁中医药大学附属二院收治的老年中风偏瘫患者164例作为研究对象,按随机数字表法分为对照组和观察组,每组82例。比较观察2组患者临床疗效、Barthel指数、FMA评分、下肢Brunnatrom评级和FCA综合功能评定行走功能评分。结果:对照组患者治愈率为53.7%,总有效率为80.5%,明显低于观察组(治愈率为80.5%,总有效率为91.5%)(P<0.05),2组BI评分、FMA评分、Brunnatrom评级和FCA综合功能评定行走能力评分治疗前比较差异均无统计学意义(P>0.05),2组治疗前后比较差异均有统计学意义(P<0.05),治疗后观察组BI评分、FMA评分、Brunnatrom评级和FCA综合功能评定行走能力评分均明显高于对照组(P<0.05)。结论:老年偏瘫中风患者治疗中针灸联合康复治疗疗效确切,未发现明显不良反应,优于单独使用脑血管内科常规治疗方法。Objective： To study the effects of acupuncture combined with rehabilitation on daily living and motor function scores of elderly stroke patients with hemiplegia. Methods： A total of 164 cases of elderly stroke patients with hemiplegia admitted in our hospital from February 2013 to September 2015 were selected as the research object,and divided into control group（ n = 82） and the study group（ n = 82） according to random number table. The clinical efficacy,Barthel Index,FMA scores,ratings and lower limb Brunnatrom FCA comprehensive functional assessment score,walking function of two groups were compared. Results： The cure rate of patients in the control group was 53. 7%,and total effective rate was 80. 5%,which was significantly lower than 80. 5% and 91. 5% in the study group. The differences were statistically significant（ P 〈 0. 05）. The BI score,FMA score,Brunnatrom ratings and FCA comprehensive functional evaluation of walking ability score before treatment of two groups were not significantly different（ P 〉 0. 05）. And the difference of two groups after treatment were statistically significant when compared before treatment（ P〈 0. 05）. After treatment,BI score,FMA score,Brunnatrom ratings and FCA comprehensive functional evaluation of walking ability scores of study group were significantly higher（ P 〈 0. 05）. Conclusion： Acupuncture combined with rehabilitation in the treatment of elderly stroke patients with hemiplegia has definite efficacy,and no significant adverse reactions are found,which is better than cerebrovascular routine medical treatment alone.

关 键 词：中风 偏瘫 针灸 康复治疗 日常生活能力 运动功能 老年 脑血管 疗效 

分 类 号：R245[医药卫生—针灸推拿学]