针灸结合康复训练治疗中风后偏瘫的临床研究

目的 观察针灸结合康复训练对中风后偏瘫患者康复的疗效，为中风偏瘫患者的康复提供更好的治疗方法。 方法 选取中风偏瘫患者53例,所有病例均来源于蚌埠医学院第一附属医院康复医学科、神经内科、急诊内科的住院患者。患者基本资料经统计学分析，差异无统计学意义(P＞0.05)，具有可比性。按入院先后顺序随机分为治疗组、对照组；治疗组25例，对照组28例。其中治疗组采用针灸结合康复训练的方法，对照组采用单纯康复治疗，2组均每日治疗1次，10次为1个疗程，共计治疗4个疗程。治疗前、治疗后采用运动功能(四肢简化Fugl-Meyer评分，简称FMA评分)及日常生活活动能力ADL量表(Barthel指数)]进行评定。选择统计软件SPSS 19.0对研究数据进行统计与处理。 结果 治疗4个疗程后，治疗组的FMA评分和ADL评分明显优于对照组，差异有统计学意义(P＜0.05)，治疗组与对照组的FMA评分和ADL评分在组内与治疗前比较，差异有统计学意义(P＜0.05)。 结论 针灸、康复训练均对中风偏瘫患者的康复有效，提高了患者的运动功能和日常生活活动能力，而针灸结合康复训练较单纯的康复训练更有效，能更好地帮助患者重返社会。 

The clinical research of acupuncture combined with rehabilitation training on stroke patients with hemiplegia

Objective To investigate the function of acupuncture combined with rehabilitation training on stoke patients with hemiplegia,and provide the best therapy method for stroke patients with hemiplegia. Methods Fifty-three stoke patients with hemplegia were randomly divided in to the treatment group and the control group.All the patients were derived from the department of rehabilitation medicine,neurology,emergency medical inpatients.After statistics analysis,there was no statistically significant diference in patients(P<0.05),and its comparable.The treatment group had 25 cases and the control group had 28 cases.The treatment group was adopted the medicine of acupuncture combined with rehabilitation,the control group was adopted simple rehabilitation.Both groups were treated once a day,ten days are one course,both groups were treated 4 courses.They were assessed simplified Fugl-Meyer and Barthel before and after training.We used statistics software SPSS 19.0 for the research of statistical data.The measurement data were expressed by mean plus or minus standard deviation(x±s),T test and Chi-square test were used for analysis. Results After treatment of 4 courses,FMA scores and ADL scores of treatment group was obviously superior to control group,the difference was statistically significant(P<0.05).The treatment group and control group of FMA scores and ADL scores within the group compared with before treatment the difference was statistically significant(P<0.05). Conclusion Acupuncture and rehabilitation training are effective,and improve the patients' motor function and daily life activities ability.Acupuncture combined with rehabilitation training are more effective than simple rehabilitation training,and help the patients return to society.