社区康复训练联合针刺治疗脑卒中后肢体功能障碍的疗效观察  

Observation on the efficacy of community rehabilitation training combined with acupuncture in the treatment of post-stroke limb dysfunction

作　　者：孙艳 SUN Yan(Community Health Service Center of Wenchang Street Office,Jinan 250399,China)

机构地区：[1]济南市长清区文昌街道办事处社区卫生服务中心,250399

出　　处：《中国实用医药》2022年第18期180-183,共4页China Practical Medicine

摘　　要：目的 探究社区康复训练联合针刺治疗脑卒中后肢体功能障碍的疗效。方法 选取96例脑卒中后肢体功能障碍患者作为研究对象,以随机数字表法分为对照组和观察组,每组48例。对照组患者实施社区康复训练,观察组患者实施社区康复训练+针刺治疗。比较两组患者治疗前后肢体功能指标[肢体运动功能量表(Fugl-Meyer)、改良Ashworth量表(MAS)、粗大运动功能评定量表(GMFM-88)评分]、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力评分。结果 治疗前,两组患者的Fugl-Meyer、MAS、GMFM-88评分比较差异均无统计学意义(P>0.05);治疗后,观察组患者的Fugl-Meyer评分(71.15±8.29)分、GMFM-88评分(78.34±9.76)分均高于对照组的(66.76±7.10)、(69.79±10.47)分, MAS评分(0.17±0.04)分低于对照组的(0.26±0.07)分,差异具有统计学意义(P<0.05)。治疗前,两组患者的NIHSS评分比较差异无统计学意义(P>0.05);治疗后,观察组患者的NIHSS评分(8.45±1.79)分低于对照组的(9.87±2.22)分,差异具有统计学意义(P<0.05)。治疗前,两组患者的日常生活能力评分比较差异无统计学意义(P>0.05);治疗后,观察组患者的日常生活能力评分(70.70±10.35)分高于对照组的(65.78±9.96)分,差异具有统计学意义(P<0.05)。结论 脑卒中后肢体功能障碍患者应用社区康复训练联合针刺治疗,可改善患者肢体功能、脑神经缺损及日常生活能力,效果显著。Objective To investigate the efficacy of community rehabilitation training combined with acupuncture in the treatment of post-stroke limb dysfunction. Methods A total of 96 patients with poststroke limb dysfunction were selected as the research subjects and divided into control group and observation group by random numerical table, with 48 cases in each group. Patients in the control group received community rehabilitation training, while patients in the observation group received community rehabilitation training and acupuncture. Both groups were compared in terms of limb function indexes [Fugl-Meyer assessment scale(Fugl-Meyer) score, modified Ashworth scale(MAS) score, gross motor function measure-88(GMFM-88) score], National Institutes of Health stroke scale(NIHSS) score and activities of daily living score before and after treatment. Results Before treatment, there was no statistically significant difference in Fugl-Meyer,MAS and GMFM-88 scores between the two groups(P>0.05). After treatment, the Fugl-Meyer score(71.15±8.29) points and GMFM-88 score(78.34±9.76) points of the observation group were higher than(66.76±7.10)and(69.79±10.47) points of the control group, and the MAS score(0.17±0.04) points was lower than(0.26±0.07) points of the control group. All the differences were statistically significant(P<0.05). Before treatment, there was no statistically significant difference in NIHSS scores between the two groups(P>0.05). After treatment, the NIHSS score(8.45±1.79) points of the observation group was lower than(9.87±2.22) points of the control group,and the difference was statistically significant(P<0.05). Before treatment, there was no statistically significant difference in the activities of daily living score between the two groups(P>0.05). After treatment, the activities of daily living score(70.70±10.35) points of the observation group was higher than(65.78±9.96) points of the control group, and the difference was statistically significant(P<0.05). Conclusion Community rehabilitation trai

关 键 词：脑卒中后肢体功能障碍 社区康复训练 针刺 

分 类 号：R743.3[医药卫生—神经病学与精神病学]