急性脑卒中早期康复和针刺治疗的研究

目的 观察早期康复和针刺治疗对急性脑卒中的影响。方法 125例急性脑卒中患者随机分为4组：早期康复加针刺治疗组（早康针刺组）、早期康复治疗组（单纯早康组）、单纯针刺治疗组（单纯早针组）和单纯基础药的治疗组（对照组）。应用Bobath疗法和针刺穴位疗法治疗。观察神经功能缺损评分、简式Fugl-Meyer评分（FMA）、Barthel指数（MBI）、临床疗效和治疗效果。结果 康复效率：早康针刺组明显优于其他3组。单纯早康组明显优于单纯早针组和对照组。单纯早针组明显优于对照组。临床疗效：早康针刺组和单纯早康组明显优于单纯早针组和对照组，单纯早针组明显优于对照组。结论 早期康复和针刺的联合治疗是急性脑卒中早期康复治疗较为理想的方法。

Clinical study on earlyrehabilitation and acupuncture of acute stroke

Objective To evaluate the effect of early rehabilitation and acupuncture on acute stroke. Methods125 cases stroke patients were divided into 4 groups: the early rehabilitation and acupuncture group, 34 cases(Group A); the early rehabilitation group, 39 cases(Group B); the early acupuncture group, 21 cases(Group C); and the control group, 31 cases. Bobath therapy and acupuncture were used. The CNS Damage Scale, Fugl Meyer Assessment(FMA), Modified Barthel Index(MBI), Clinical Therapeutic Effectiveness and Rehabilitation Efficiency were observed in all patients at the beginning, middle and end of the course. Results Rehabilitation Efficiency was the highest in Group A among all groups, and higher in Group B than in Group C and the control group, and higher in Group C than in the control group. The Clinical Therapeutic Effectiveness was better in Group A,B and C than in the control group, and better in Group C than in the control group. Conclusion It is a main and effective therapy to improve the patient's condition that early rehabilitation is combined with early acupuncture on acute stroke patients.