针刺结合康复训练综合治疗早期中风偏瘫临床观察

目的观察针刺结合康复训练综合治疗早期中风偏瘫患者的疗效。方法中风偏瘫患者144例,随机分为药物组、康复组、针刺结合康复组,给予相应的治疗3个疗程,后采用Barthel指数评分和Brunnstrom功能评价疗效。结果 Barthel指数评分显示:针刺结合康复训练对患者ADL提高较其他两组显著,疗程越长效果越好(P<0.01);肢体Brunnstrom运动功能疗效显示:针刺结合康复训练治疗第2、3疗程后上、下肢运动能力明显优于其他两组(P<0.01),而手功能从第1疗程即开始恢复,且针刺结合康复训练效果最好。结论针刺结合康复训练综合治疗中风偏瘫患者疗效优于单纯康复和药物治疗,且手功能恢复最早,有助于改善患者生活质量。

Clinical observation of acupuncture combined with rehabilitation training on early hemiplegia patients after stroke

Objective To Observe the efficacy of acupuncture combined with rehabilitation training complex for the treatment of stroke patients in the early.Methods The 144 hemiplegia patients after stroke were randomly divided into drug group,the rehabilitation group,acupuncture combined with rehabilitation group,each given the appropriate treatment for 3 courses,and then to evaluate the efficacy by using Barthel index score and Brunnstrom functions.Results ADL of patients in acupuncture combined with rehabilitation training was improve significantly compared to the other two groups by Barthel index score,the longer course of treatment the better efficacy(P < 0.01);The Brunnstrom motor function efficacy of limb shows,the upper and lower limbs athletic ability was better than the other two groups after the 2nd,3rd courses of acupuncture combined with rehabilitation therapy(P < 0.01);and the hand function began to recover from the 1st course of treatment,acupuncture combined with rehabilitation training works best.Conclusion The efficacy of acupuncture combined with rehabilitation on the treatment of hemiplegia patients after stroke was better than simple rehabilitation and drug treatment,the hand function recovery was earliest,it's helpful to improve the quality of life.