针刺与康复训练综合应用对偏瘫患者运动功能及日常生活能力恢复的影响

目的观察针刺和康复训练对脑卒中偏瘫患者的运动功能、日常生活能力的影响。方法120例脑卒中患者随机分为两组：单纯针刺组（60例）和针刺结合康复训练组（60例），连续治疗4周，治疗前后各组分别进行简化Fugl—Meyer运动功能评定（FMA）和日常生活能力（Barthel指数）评定。结果两组患者治疗后的FMA、Barthel指数较治疗前明显提高，差异有统计学意义（P〈0．05）；而针刺结合康复训练组的各项指标改善更优于单纯针刺组，组间比较差异有统计学意义（P〈0．05）。结论针刺结合康复训练对偏瘫患者的肢体运动功能、日常生活能力的改善有积极的促进作用。

Effect of acupuncture and rehabilitation training on the motor function and activity of daily living in patients with hemiplegia

Objective To observe the influences of acupuncture and rehabilitation training on the motor function and activity of daily living in patients with hemiplegia. Methods 120 patients with stroke were randomly divided into two groups： acupuncture group（ n = 60 ） and combining acupuncture with rehabilitation training group （ n = 50 ） , the simple Fugl - Meyer Assessment （FMA） and the Barthel Index were applied to evaluate effection in patients pre and post - treatment after 4 weeks. Results The FMA and Barthel Index in two groups of post - treatment improved significantly than those of pre - treatment （P 〈 0.05 ）, but after treatment combining acupuncture with rehabilitation training group was significantly better compared with acupuncture group （ P 〈 0. 05 ）. Conclusion Acupuncture combined with and rehabilitation training are effective to improve motor function and activity of daily living of patients with hemiplegia.