针刺结合功能训练对社区脑卒中患者综合功能的影响

Effect of acupuncture combined with rehabilitation therapy to improve comprehensive function among patients with stroke in communities

目的探索规范针刺结合功能训练治疗对社区脑卒中患者综合功能的影响。方法将176例脑卒中患者根据区域随机化分成康复组（88例）和对照组（88例），康复组在常规内科治疗的基础上给予规范的针刺结合功能训练，对照组仅给予一般的常规内科治疗，分别在治疗2个月和5个月末采用功能综合评定量表（FCA）进行综合功能的评定。结果治疗5个月后，两组患者的综合功能评分均提高，康复组与对照组相比差异有统计学意义（P〈0.05）。结论规范针刺结合功能训练的社区康复治疗能明显促进脑卒中患者的综合功能恢复。

Objective To study effect of standardized acupuncture combined with rehabilitation therapy （function training ） on improvement of comprehensive function among patients with stroke in communities, Changning District of Shanghai. Methods One hundred and seventy-six stroke patients were divided into rehabilitation therapy group （88 cases） and control group （88 eases） with block randomization. Patients in rehabilitation therapy group were treated with standardized acupuncture combined with function training in addition to regular medical treatment, and patients in control group regular medical treatment only. All the patients were evaluated with functional comprehensive assessment （FCA） scale by the end of 2- and 5-month of treatment, respectively. Results By the end of 5-month of treatment, scores of FCA in both groups increased significantly （P 〈 0.01 ）, as compared to those before treatment, more in rehabilitation therapy group than that in control group （ P 〈 0. 05 ）. Conclusions Effect of standardized acupuncture combined with rehabilitation therapy can obviously improve their comprehensive function among stroke patients in communities.