Brunnstrom分级取穴治疗脑卒中后偏瘫的临床观察

目的:观察Brunnstrom分级取穴对脑卒中肢体偏瘫运动功能和ADL的影响。方法:将95例脑卒中患者随机分为观察组48例和对照组47例,观察组按Brunnstrom分级取穴,对照组采用传统方法取穴,两组均进行常规神经内科处理,并Bobath技术为主的康复训练;并对两组采用简式Fugl-Meye运动功能评测(FMA)和Barthel指数在治疗前、治疗后1个月、3个月进行量化评定;结果:治疗1、3个月后两组FMA评分、Barthel指数与治疗前比较均有提高,治疗1个月后观察组FMA评分和Barthel指数评分优于对照组(P<0.05),治疗3个月后观察组FMA评分和Barthel指数评分明显优于对照组(P<0.01),结论:按照Brunnstrom分级取穴可以明显改善偏瘫肢体的运动功能,提高ADL能力。

Clinical Research of Brunnstrom Grade Acupuncture Plus Acupoint Selection on Hemiplegic Catients

Objective：Research on the effect of Brunnstrom grade acupuncture plus acupoint selection in motor function and ADL on hemiplegic patients.Methods：95 hemiplegic patients was randomized into rehabilitation group （n=48） and control group （n=47）.The control group received traditional acupuncture,while rehabilitation group used Brunnstrom grade acupuncture plus acupoint.Both of two groups took regular rehabilitation treatment,and assessed by Fugl-Meyer （FMS） and Barthel index pre and post-treatments after 1month and 3 month.Results：The motor functions were better than pro-treatments in both groups,and FMS scores as well as Barthel index of rehabilitation group is statistical higher（P 0.05） after 1month,still had very statistical difference after 3 month（P 0.01）.Conclusion：Brunnstrom grade acupuncture plus acupoint selection do well in promoting rehabilitation on motor function and ADL ability.