针刺结合康复训练治疗中风偏瘫临床研究  

Clinical Study on the Treatment of Apoplectic Hemiplegia by Acupuncture Plus Rehabilitation Training

作　　者：王敏华[1] 梁冰[1] 王敏[1] 陈莉秋[2] 王映松[3] 李震宇[1] 孙涛[1] 

机构地区：[1]蚌埠医学院附属医院,安徽233004 [2]蚌埠铁路中心医院 [3]蚌埠市第二人民医院

出　　处：《上海针灸杂志》2004年第4期7-9,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：蚌埠市科技局资助课题;蚌科字 [2 0 0 2 ] 3 7-No24

摘　　要：目的　观察组针刺结合康复训练治疗中风偏瘫的临床疗效。方法　将中风偏瘫患者分为针康组 (针刺结合康复训练 ) 10 0例 ,针刺组及康训组各 6 0例 ,采用针刺体穴和康复训练 ,并在治疗前后 ,对患者偏瘫肢体的运动功能和日常生活能力进行评定。结果　针康组与针刺组、康训组治疗后运动功能和日常生活能力比较 P<0 .0 1,差异明显 ,而针刺组、康训组比较P>0 .0 5 ,无差异 ;3组自身比较均有显著差异 ,其中针康组治疗前后 P<0 .0 1,差异明显 ,而针刺组、康训组治疗前后 P<0 .0 5 ,也有差异。结论　针刺结合康复训练比单纯针刺和康复训练治疗中风偏瘫疗效好 ,而针刺和康复训练治疗中风偏瘫均有较好疗效 ,两者无差异。Purpose To investigate the clinical effect of acupuncture in combination with rehabilitation training for treatment of apoplectic hemiplegia.Method The patients with apoplectic hemiplegia randomly divided into a composite treatment (acupuncture plus rehabilitation training) group of 100 cases, and acupuncture and rehabilitation training groups, 60 cases each. The patients' motor function of paralytic limb and daily life ability were evaluated before and after treatment.Results After treatment there were significant differences in motor function of paralytic limb and daily life ability between the composite treatment group and the acupuncture group, and the rehabilitation training group ( P <0.01 ) but no significant differences between the acupuncture group and the rehabilitation training group ( P <0.01 ). There was significant difference between pretreatment and posttreatment in all the three groups, with P <0.01 in the composite treatment group and P <0.05 in the acupuncture group and the rehabilitation training group.Conclusion Acupuncture in combination with rehabilitation training has a better effect than simple acupuncture or rehabilitation training on apoplectic hemiplegia, but both acupuncture and rehabilitation training have a good effect and there is no difference between them.

关 键 词：康复训练 中风 偏瘫 临床研究 针灸疗法 运动功能 日常生活能力 

分 类 号：R255.2[医药卫生—中医内科学] R246.6[医药卫生—中医学]