体针联合PNF疗法早期干预对改善脑卒中后肢体运动功能障碍的疗效观察

目的探讨体针联合本体感觉神经肌肉促进技术（PNF）疗法早期干预对改善脑卒中后肢体运动功能障碍的疗效。方法对72例急性期脑卒中后有肢体运动功能障碍患者随机分为体针联合PNF疗法组（早期干预组）和Bobath疗法组（对照组），对脑卒中后肢体运动功能障碍患者分别进行治疗。在治疗前和治疗4周后采用Fugl—Meyer运动功能评定法进行评定，日常生活活动能力（ADL）评定采用改良Barthel指数。结果两组患者在治疗前Fugl—Mey-er运动功能及改良Barthel指数日常生活活动能力（ADL）评分均差异无显著性（P〉0．05）两组患者经过4周治疗后Fugl—Meyer运动功能及改良Barthel指数日常生活活动能力（ADL）评分比较均有显著差异（P〈0．05）。结论体针联合PNF疗法组对脑卒中后有肢体运动功能障碍患者进行早期干预更能明显提高患者的运动功能，可更有效地防止并发症及废用综合征的形成。

Study on efficacy of PNF therapy in improving the function of movement in patients with limb dysfunction after stroke

Objective To study the efficacy of acupuncture combined with proprioceptive neuromuscular facilitation （PNF） therapy for early intervention of improving the function of movement in patients with limb dysfunction after stroke. Methods Seventy two patients with limb dysfunction after stroke were randomly divided into two groups. Patients in trial group were treated by acupuncture combined with PNF therapy for early intervention, and the remaining patients treated by Bobath therapy were allocated in control group. The motor function of these patients had been assessed by Fugl - Meyer assessment before treatment and 4 weeks after treatment, and activities of daily living （ADL） were assessed by u- sing modified Barthel index. Results There was no significant difference in motor function and activities of daily living （ADL） between these two groups before treatment （ P 〉 0.05 ） , and there was significant difference between these two groups after treatment （ P 〈 0.05 ）. Conclusion Patients in trial group were treated by acupuncture combined with PNF therapy as an early intervention for treatment of limb dysfunction after stroke, and their motor function of patients had significantly been improved. Hence this combination therapy can more effectively be applied in pre- vention of complications and disuse syndrome in patients with limb dysfunction after stroke.