麦粒灸结合Bobath技术对脑卒中早期踝关节运动功能的影响

Moxibustion and Bobath Therapy:ankle joints function rehabilitation during the early stage after stroke

目的:探讨麦粒灸结合Bobath技术对脑卒中早期下肢踝关节运动功能的影响。方法:选取62例本病患者随机分为治疗组32例和对照组30例,两组基础治疗药物相同。治疗组采用麦粒灸结合Bobath疗法的康复训练,对照组则只进行Bobath康复训练,各治疗4周。分别于治疗前后对下肢运动功能、踝关节运动功能进行Fugl-m eyer评定。结果:治疗组总有效率为87.50%,对照组为73.33%(P<0.05);早期介入麦粒灸结合对照疗法对脑卒中患者在仰卧位、坐位和站位下踝关节的背屈、跖屈运动评分均明显优于单纯对照疗法(P<0.05)。结论:早期介入麦粒灸结合Bobath技术对脑卒中偏瘫下肢踝关节运动功能有积极的改善作用。

Objective： To investigate the effect of moxibustion and Bobath therapy on the early rehabilitation after stroke and search a new treatment which combines western with traditional Chinese medicine and provide basis for instituting a normative scheme of rehabilitation therapy which fits to China. Methods ：This was a randomly controlled test which study in clinics. 62 patients were assigned to moxibustion with Bobath group or Bobath group randomly. The drug treatment in two groups was almost the same. The patients in moxibustion with Bobath group carried out moxibustion and physical therapy while Bobath group was only on Bobath therapy. By the end of therapy, the score of Fugl - meyer Motor Assessment were compared. Results： Patients in moxibustion with Bobath group got much better scores in Fugl - meyer Motor Assessment than in the Bobath group. The difference was statistic. Conclusions ：The therapy of moxibustion with Bobath on the early rehabilitation after stroke is simple and esay , safe and effective.