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| 用Fugl-Meyer量表评价靳三针结合康复训练对脑梗死偏瘫的疗效 | |
| 引用本文： | 韩德雄,庄礼兴,张莺.用Fugl-Meyer量表评价靳三针结合康复训练对脑梗死偏瘫的疗效[J].针刺研究,2011,36(3). |
| 作者姓名： | 韩德雄 庄礼兴 张莺 |
| 作者单位： | 1. 浙江中医药大学附属第三医院,杭州,310005 2. 广州中医药大学附属第一医院,广州,510405 3. 湖南宁乡人民医院普内科,宁乡,410600 |
| 基金项目： | 浙江省"重中之重"学科(针灸推拿学)建设，"十一五"国家科技支撑计划项目 |
| 摘 要： | 目的:采用Fugl-Meyer量表评价靳三针结合康复训练对脑梗死偏瘫患者肢体运动功能的影响,探讨靳三针结合康复训练对脑梗死偏瘫的临床价值。方法:将来源于7家医院的254例脑梗死后偏瘫患者随机分配为靳三针组83例、康复组84例、靳三针结合康复组(结合组)87例。在常规治疗的基础上,靳三针组采用靳三针疗法,取穴以颞三针为主,根据痉挛瘫和弛缓瘫不同结合辨证配以曲池、外关、合谷及伏兔、足三里、三阴交等穴,留针30 min;康复组根据痉挛瘫和弛缓瘫不同给予适宜的康复训练;结合组采用靳三针结合康复训练。3组疗程均为28 d,分别在治疗前和治疗14、28 d后用四肢简式Fugl-Meyer运动量表(FMA)、临床神经功能缺损程度评分(NDS)评价患者肢体运动功能的变化。结果:经过28 d治疗后,靳三针组和结合组患者的显效率优于康复组(P<0.05)。治疗14 d和28 d后,3组患者NDS评分显著降低(均P<0.05),结合组NDS评分较康复组下降明显(均P<0.05)。经28 d治疗后,结合组FMA评分高于其它两组(均P<0.05)。结论:靳三针结合康复训练能够明显改善脑梗死偏瘫患者肢体的运动功能,二者具有良好的协同作用。 |
| 关 键 词： | 脑梗死偏瘫 靳三针疗法 康复训练 靳三针结合康复训练 |
Evaluation on Efficacy of, Jin's "Sanzhen" Therapy Combined with Rehabilitation Training for Hemiplegia of Stroke Patients by Fugl-Mever Scale |
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| HAN De-xiong,ZHUANG Li-xing,ZHANG Ying.Evaluation on Efficacy of, Jin's "Sanzhen" Therapy Combined with Rehabilitation Training for Hemiplegia of Stroke Patients by Fugl-Mever Scale[J].Acupuncture Research,2011,36(3). | |
| Authors: | HAN De-xiong ZHUANG Li-xing ZHANG Ying |
| Institution: | HAN De-xiong,ZHUANG Li-xing1,ZHANG Ying2(The Third Hospital Affiliated to Zhejiang University of Chinese Medicine,Hangzhou 310005,China,1The First Hospital Affiliated to Guangzhou University of Chinese Medicine,Guangzhou 510405,2Ningxiang County People's Hospital,Ningxiang 410600) |
| Abstract: | Objective To assess the therapeutic effect of Jin's Sanzhen therapy combined with rehabilitation training on limb-motor function of stroke patients by using Fugl-Meyer scale.Methods A total of 254 hemiplegic stroke outpatients and inpatients from 7 hospitals were randomly divided into Jin's Sanzhen(JSZ) group(n=83),rehabilitation group(n=84) and combination group(n=87).Acupuncture was applied to acupoints of Jin's Sanzhen including Quchi(LI 11),Waiguan(SJ 5) and Hegu(LI 4);Futu(ST 32),Zusanli(ST 36) and San... |
| Keywords: | Apoplectic hemiplegia Jin's Sanzhen therapy Rehabilitation training Combined treatment |
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