电针拮抗肌腧穴配合Bobath疗法治疗脑梗死后功能障碍的疗效观察  

Efficacy of electroacupuncture plus Bobath on dysfunction after cerebral infarction

作　　者：冯传博[1] 李玉奎[1] 赵爱侠[1] 王男 刘帅伟 

机构地区：[1]商丘医学高等专科学校,河南商丘476100 [2]商丘市中心医院,河南商丘476000 [3]虞城县中医院,河南商丘476300

出　　处：《中医临床研究》2018年第16期11-14,共4页Clinical Journal Of Chinese Medicine

基　　金：商丘医学高等专科学校校级课题项目;课题编号:2014XKT-011

摘　　要：目的:研究并探讨电针拮抗肌群配合Bobath疗法治疗脑梗死后功能障碍的临床疗效。方法:选取该阶段内我院收治的脑梗死后功能障碍患者共150例作为此次研究的对象,采取数字随机表法将患者分为三组,分别为治疗组、Bobath治疗组、对照组,每组均有50例患者。对照组未接受康复治疗,仅接受常规神经内科治疗;在常规神经内科治疗的基础上,治疗组接受电针拮抗肌群联合Bobath技术治疗,Bobath治疗组接受Bobath技术治疗。三组患者均接受为期1个月的治疗,观察三组治疗前后运动功能评分变化。结果:治疗1个月后,三组患者的Fugl-Meyer运动功能评分、Barthel指数、FIM评分进行比较,差异均具有统计学意义(P<0.05),治疗组的Fugl-Meyer运动功能评分、Barthel指数、FIM评分较其他组明显更高(P<0.05)。结论:在脑梗死后遗症患者中采用电针拮抗肌相应腧穴联合Bobath技术进行治疗,具有显著的康复效果,可有效促使患者的肢体运动功能和日常生活活动能力得到改善。Objective:To study and discuss the clinical efficacy of electroacupuncture antagonistic muscles plus Bobath therapy on functional disorders after cerebral infarction.Methods:150 patients were divided into the treatment group,Bobath treatment group,and control group.There were 50 patients in each group.The control group received no rehabilitation treatment and received only routine neurological therapy.The treatment group received electroacupuncture and Bobath therapy plus conventional neurological therapy,and the Bobath treatment group received Bobath therapy.Results:After 1 month,the differences of the Fugl-Meyer score,Barthel index,and FIM score among three groups were statistically significant(P<0.05).The Fugl-Meyer score,Barthel index and FIM scores in the treatment group were significantly higher than the other groups(P<0.05).Conclusion:Electroacupuncture antagonistic acupoints with Bobath therapy on sequelae of cerebral infarction has significant effects,which can effectively promote the patient’s limb motor function and activity of daily living.

关 键 词：脑梗死 针刺 拮抗肌腧穴 BOBATH疗法 

分 类 号：R255.2[医药卫生—中医内科学]