加拿大作业表现量表在脑卒中康复中的应用和调查分析

目的：观察不同治疗方法对脑卒中急性期运动功能的影响。方法：脑卒中急性期患者90例随机分为3组各30例，3组均给予常规药物治疗。针刺组同时加用针刺治疗，康针组同时加用针刺和康复训练。治疗前后用Fugl-Meyer法（FMA）评定其偏瘫肢体功能。结果：治疗1个月后，3组FMA评分均较治疗前明显提高（均P〈0．01），且康针组〉针刺组〉药物组（均P〈0．01）。治疗后，3组临床疗效比较，康针组总有效率〉针刺组〉药物组（P〈0．05，0．01）。结论：药物、针刺和康复训练3种治疗方式联合运用治疗脑卒中急性期运动功能疗效最佳。

Application of Canadian occupational performance measure in the rehabilitation therapy of stroke patients

Objective：To observe the effect of different treatments on motor function of patients with acute cerebral stroke. Methods：Ninety patients with acute cerebral stroke were randomly divided into three groups：acupuncturedrug group, rehabilitation-acupuncture-drug group, and drug-only group （n = 30 each group）. The hemiplegic limb function was assessed by using Fugl Meyer assessment（FMA） before and after treatment. Results：After treatment for one month,Fugl-Meyer scores in three groups were significantly increased as compared with those pretreatment （all P〈0.01）, and those in rehabilitation acupuncture drug group）acupuncture-drug group）drug-only group （all P〈0.01）. After treatment, the total effective rate in rehabilitation acupuncture drug group）acupuncture drug group）drug-only group （P〈0.05,0. 01 ）. Conclusion： The combined use of drug, aeupuncture and rehabilitation is optimal in improving motor function of patients with acute cerebral stroke.