针灸结合Rood疗法治疗脑卒中后上肢功能障碍的疗效观察

【目的】观察针灸结合Rood疗法治疗脑卒中后上肢功能障碍的疗效。【方法】将90例脑卒中后上肢功能障碍患者随机分为综合组、针灸组及Rood组各30例,分别给予针灸+Rood疗法、针灸疗法、Rood疗法治疗,3组均以7 d为1个疗程,共治疗6个疗程。观察3组的疗效及治疗前后肌张力、运动功能和日常生活活动能力的变化情况。【结果】(1)经6个疗程治疗后,综合组、针灸组、Rood组的总有效率分别为93.33%、76.67%、63.33%。综合组的疗效显著优于针灸组和Rood组,经Mann-Whitney检验,差异均有统计学意义(P0.05)。(2)治疗后,针灸组及综合组患者的肌张力均较治疗前显著改善,差异有统计学意义(P0.01),而Rood组患者的痉挛程度较治疗前无显著作用显著变化(P0.05)。(3)治疗后,3组患者简化的Fugl-Meyer运动功能评价量表(FMA)及改良的Bartherl指数(MBI)评分均有显著提高,与治疗前比较差异均有统计学意义(P0.001);综合组在改善FMA及MBI评分方面作用显著优于针灸组及Rood组,组间比较(经ANOVO检验),差异均有统计学意义(P0.05)。【结论】针灸结合Rood疗法治疗脑卒中后上肢功能障碍疗效显著,其疗效优于单纯针灸疗法和Rood疗法。

Clinical Study of Acupuncture Combined with Rood Therapy for Post-stroke Upper Limb Functional Disorder

Objective To study the clinical efficacy of acupuncture combined with Rood therapy for post-stroke upper limb functional disorder. Methods Ninety patients which met the inclusion criteria were randomly divided into integrated group (acupuncture +Rood therapy), acupuncture group, and Rood therapy group, 30 in each group. The therapeutic effect of the three groups was evaluated after treatment for 6 courses, one course covering 7 days. Results (1) After treatment for 6 courses, the total effective rate of the integrated group, acupuncture group, and Rood therapy group was 93.33%, 76.67%, 63.33%, respectively. The results of Mann-Whitney test showed that the integrated group had better effect than acupuncture group and Rood therapy group, the difference being significant(P<0.05).(2) After treatment, muscle tension of the integrated group and acupuncture group was much improved as compared with that before treatment(P<0.01), but Rood therapy group showed no obvious changes in muscle tension before and after treatment(P>0.05). (3) After treatment, FMA scores and MBI scores were markedly increased in the three groups(P<0.001 compared with those before treatment). The integrated group had better effect on improving FMA scores and MBI scores than acupuncture group and Rood therapy group , and the resul ts of ANOVO test showed that t he differences were signficiant(P<0.05). Conclusion Acupuncture combined with Rood therapy has certain clinical efficacy for post-stroke upper limb functional disorder, and the effect is better than acupuncture or Rood therapy alone.