改良穴位配合康复训练对脑梗死患者上肢活动能力及日常生活能力的影响

Effects of the improved acupoints and rehabilitation exercise on locomotor ability of the upper limbs and ability of daily life in the patient of cerebral infarction

目的:探寻改善脑卒中病人上肢运动能力和日常生活能力的有效方法。方法:将578例脑卒中患者随机分入改良穴位配合康复训练组(A组)148例、康复训练组(B组)142例、常规穴位配合康复训练组(C组)144例和药物组(D组)144例4个研究组。用Fugl-Meyer(FMA)评分系统评估患者上肢运动能力,用Barthel指数(BMI)评定患者日常生活能力并研究其治疗前后变化。结果:各组治疗后FMA、BMI评分与治疗前相比,差异均有显著性意义(均P<0.05);各组之间治疗后比较,A组明显优于B、C组(P<0.05),B、C组之间相比,差异无显著性意义。结论:改良穴位配合康复训练极大改善脑卒中患者上肢的机能恢复,是目前治疗脑卒中的高效率治疗途径之一。

Objective To search for an effective method for improving locomotor ability of upper limbs and ability of daily llfe in the patient of cerebral infarction. Methods Five hundred and seventy-eight cases of stroke were randomly divided into 4 groups： an improved acupoints and rehabilitation exercise group （group A, n = 148）, a rehabilitation exercise group （group B, n = 142）, a routine acupoints and rehabilitation exercise group （group C, n = 144）, and a medication group （group D, n = 144）. The locomotor ability of the upper limbs and ability of daily life were evaluated respectively by Fugl-Meyer （FMA） and Barthel （BMI）. Results There were significant differences in FMA and BMI scores in all the groups after treatment as compared with those before treatment （P〈0.05） ; after treatment, the effect in the group A was significantly superior to those in group B and C （P〈0. 05）, with no significant difference between the group C and the group B. Conclusion The improved acupoints combined with rehabilitation exercise can improve locomotor ability of the upper limbs and ability of daily life in the patient of cerebral infarction.