针刺结合功能训练对社区脑卒中患者神经功能的影响

目的：探索规范针刺结合功能训练治疗对社区脑卒中患者神经功能的影响。方法：将长宁区三个社区176例脑卒中患者根据区域随机分为康复组和对照组，根据病程分为软瘫期（BrunnstromⅠ、Ⅱ）、痉挛期（BrunnstromⅢ、Ⅳ）、恢复期（BrunnstromⅤ、Ⅵ）、后遗症期；康复组在常规内科治疗的基础上给予规范的针灸结合功能训练治疗，对照组仅给予一般的常规内科治疗，分别在治疗后2个月月末和5个月月末采用临床神经功能缺损程度量表进行神经功能评定。结果：规范针刺结合功能训练社区康复治疗5个月后，两组患者的神经功能评分均降低，康复组与对照组相比具有显著性差异（P＜0.01）。结论：规范针刺结合功能训练的社区康复治疗对脑卒中患者的神经功能的恢复有促进作用。

Effect of acupuncture combined with rehabilitation therapy to improve neurological function in patients lived in community with stroke

Objective:To study effect of acupuncture combined with rehabilitation therapy on neurological function in stroke patients lived in community. Method:One hundred and seventy-six stroke patients lived in community were divided into rehabilitation therapy group and control group randomly.The patients in two groups were all treated with clinical treatment and with and without rehabilitation therapy. The rehabilitation group were also treated with acupuncture, while the patients in control group didn't. All patients were evaluated with Clinical Neurological Function Defects (CNFD) at the admission and 2 and 5 months after treatment. Result: After 5 months, The scores of CNFD of rehabilitation therapy group were lower than those of the control group (P<0.01). Conclusion: Effect of acupuncture combined with rehabilitation therapy can obviously improve neurological function in stroke patients lived in community.