针刺配合康复训练对脑卒中后运动功能恢复的影响

目的 观察"醒脑开窍"针刺法配合康复训练对脑卒中后运动功能及日常生活能力(ADL)改善的影响.方法 90例脑卒中后偏瘫患者随机分为治疗组、对照组Ⅰ、对照组Ⅱ,每组各30例,对照组I采用"醒脑开窍"针刺法,对照组Ⅱ采用康复训练疗法,治疗组为两种方法联合使用,比较三组临床治疗效果.结果 治疗组总有效率90.0%,对照组Ⅰ总有效率66.7%,对照组Ⅱ总有效率63.3%,治疗组与对照组Ⅰ、Ⅱ比较差异有统计学意义(P<0.01);治疗组运动功能及日常生活能力的改善情况与对照组Ⅰ、Ⅱ比较,差异有统计学意义(P<0.01).结论 "醒脑开窍"针刺法配合康复训练对脑卒中后偏瘫的运动功能改善及日常能力的改善疗效显著.

Effect of promote resuscitation acupuncture combined wtth rehabilitation training on motor function after stroke

Objective To eompare the difference between promote resuscitation acupuncture combined with rehabilitation training and single application in treatment of patients with stroke. The effect of improving the activities of daily living (ADL) of motor function also be assessed. Methods 90 stroke patients were randomly divided into treatment group(n =30),control group Ⅰ(n =30),and control group Ⅱ(n =30). Promote resuscitation acupuncture was applied in the control group Ⅰ,rehabilitation training was applied in the control group Ⅱ,and combination of the two methods in the treatment group. Fugl-Meyer Assessment(FMA) and Bartbel index were used for evaluation of the results. Results The total rate of effectiveness is 90.0% for the treatment group,66.7 % for the eontrol group Ⅰ, and 63.3% for the control group Ⅱ. There were significant differences between the treatment group and the control group Ⅰ and between the treatment group and the control group Ⅱ( P<0.01 ). There were also significant differences in im-provement of ADL and motor function between the treatment group,control group Ⅰ and control group Ⅱ(P<0.01 ). However, no significant differences were found between the control group Ⅰ and control group Ⅱ( P>0.05 ). Conclu-sion Promote resuscitation acupuncture combined with rehabilitation training is signifieantly effective in improvement of motor function and ADL of stroke patients.