中西医结合三级康复对脑卒中患者日常生活活动能力的影响

目的探讨中西医结合三级康复对脑卒中患者日常生活活动能力（ADL）的影响。方法60例脑卒中患者随机分为观察组和对照组，每组30例。对照组患者给予神经内科常规治疗及三级康复治疗，观察组在此基础上予以醒脑开窍针刺及头针、体针治疗。入选时、入选后1个月、3个月及6个月采用改良Barthel指数对患者进行评定。结果两组患者入选时ADL无显著性差异；入选后各阶段与入选时组内比较， 两组ADL均有明显提高(P<0.01)；入选后各阶段组间比较，观察组ADL评分均高于对照组(P<0.05)， ADL改善值亦优于对照组(P<0.05)。结论中西医结合三级康复对脑卒中患者的日常生活活动能力有促进作用。

Effect of Integrated Chinese-western Three-stage Rehabilitation on Activities of Daily Living in Stroke Patients

ObjectiveTo observe the effect of Integrated Chinese-western three-stage rehabilitation on activities of daily living (ADL) in stroke patients. Methods60 stroke patients were randomly divided into the trial group and control group with 30 cases in each group. Patients of control group were treated with routine neurological interventions and three-stage rehabilitation, while those of trial group were administered resuscitating acupuncture therapy, scalp and body acupuncture in addition. All the patients were assessed with modified Barthel index (MBI) at the beginning, 1 month, 3 months, 6 months respectively after stroke. ResultsThere was no significant difference in ADL between the trial and control groups at the beginning, and both improved at the following period (P<0.01). At each of the following period, either the ADL scores (P<0.05) or the increase of the ADL scores (P<0.05) of the trial group were significant higher than those of the control group. ConclusionIntegrated Chinese-western three-stage rehabilitation could improve the ADL further for the stroke patients.