头针治疗不同时期脑卒中偏瘫的康复测评

目的 :探讨脑卒中偏瘫后早期行头针治疗的临床意义。方法 :脑卒中偏瘫患者 5 7例分为早治组 32例和晚治组 2 5例 ,分别于偏瘫后第 3～ 14天和第 31～ 6 4天进行药物和头针治疗。采用Fugl Meyer运动功能积分评定法评测 2组治疗前后的疗效。结果 :治疗前 2组患者上下肢运动功能Fugl Meyer评分比较差异无显著性(P >0 .0 5 ) ;治疗后 2组评分与治疗前比较均明显升高 (P <0 .0 1) ,早治组与晚治组比较 ,上肢运动功能改善更显著(P <0 .0 5 )。结论 :脑卒中偏瘫后早期配合头针治疗可明显提高康复疗效。

Rehabilitation Evaluation of Head Acupuncture for Different Stages of Hemiplegia

Objective:To investigate the clinical significance of head acupuncture for the early stage of stroke-induced hemiplegia. Methods:Fifty-seven cases of stroke-induced hemiplegia were divided into two groups: early therapy group (n=32) receiving medication and head acupuncture from the 3rd to 14th day after stroke and late therapy group (n=25) from the 31st to 64th day after stroke respectively. The therapeutic effectiveness before and after treatment in the two groups was assessed by using Fugl-Meyer motor function integra evaluation method. Results:There was no significant difference in the Fugl-Meyer score before treatment between the two groups (P> 0.05), but after treatment, the Fugl-Meyer scores in the two groups were increased significantly as compared with those before treatment (P<0.01). Compared with late therapy group, the upper limb function was improved significantly in early therapy group (P<0.01). Conclusion:Medication in combination with head acupuncture in the early stage of stroke-induced hemiplegia could obviously improve the rehabilitation effectiveness.