易化技术配合针刺治疗脑卒中偏瘫的临床研究

目的：探讨易化技术配合针刺对脑卒中偏瘫患者运动功能、日常生活活动能力的影响。方法：将200例脑卒中偏瘫患者随机分为易化技术配合针刺组（A组）、易化技术组（B组）、针刺组（C组）和对照组（D组），每组各50例，采用Brunnstrom偏瘫分期、功能独立性评定（FIM）评定患者治疗前后的运动功能和日常生活活动能力。结果：A、B、C各组治疗后患肢恢复至Brunnstrom Ⅳ级以上的患者数和FIM评分均明显高于D组（P＜0．05）；B组治疗后Brunnstrom Ⅳ级以上和FIM评分与C组无差异（P＞0．05）；A组治疗后Brunnstrom Ⅳ级以上和FIM评分均明显高于B组和C组（P＜0．05）。结论：易化技术配合针刺可以促进脑卒中偏瘫患者的运动功能和日常生活活动能力的恢复。

Effect of facilitation techniques combined with acupuncture in patients with hemiplegia after stroke

ObjectiveTo study the effect of facilitation techniques combined with acupuncture on movement function and activity of daily living(ADL) of the stroke patients.Methods200 patients with stroke were divided randomly into 4 groups,group A for facilitation techniques with acupuncture,group B for facilitation techniques only,group C for acupuncture therapy only,and group D for control.The recovery grades of the Brunnstrom and Functional Independent Measure(FIM) were applied to assess movement function and ADL before and after treatment.ResultsThe number of patients whose limbs recoveried up to Brunnstrom 4 in group A?B?C after treatment was higher than that in group D as while as the scores of FIM( P <0 05).The FIM scores and the number of patients whose whose limbs recoveried grades(>4 grades) of the Brunnstrom in group B and C were no difference( P >0 05),The FIM scores and the number of patients whose recovery grades(>4 grades) of the Brunnstrom in group A were significant higher than that in group B and C ( P <0 05).ConclusionsFacilitation techniques combined with acupuncture can improve the movement function and ADL of the stroke patients.