针药并用结合现代康复在脑卒中偏瘫功能恢复中的应用

A study of functinal recovery in pantuents with stroke hemiplegia

目的：探讨针对脑卒中不同分期运用不同针刺治疗原则结合中药分型辨证论治，综合康复治疗在脑卒中偏瘫功能恢复中的作用。方法：设综合康复组、康复组、针药组，三组分别经过30天的治疗以后，对各组治疗前后的肢体运动功能FMA评分及ADL的Barthel指数评分，并在三组间进行相互比较。结果：康复组和针药组无明显差异（P〉0．05），综合治疗组明显优于康复组（P〈0．05）及针药组（P〈0．01）。结论：进行脑卒中偏瘫功能康复需要运用现代康复技术同传统的针灸、中药结合。

Objective：To investidate the functional recovery in patients with stroke hemiplegia by use combined the current rehakilitationnal techingne with teaditional Chinese medicine including the acupuncture and Chinese herbs. Methods.. All 85 cases pant ients were diveded into the three groups according to their therepeutical means. Group 1; combined therapy recovery, 29 cases, Group 2.. recovery 28 cases, Group 3： acupuncture and Chinese herbs, 28 cases. Before and treatnent, these groupa patients were comparsi on with the function of extremial kinesis, FMA score criteria and Barthel index for ADL. Results：No signifcant differece were found BetweenGroup 2 and Group 3 （p^0.05）. The therapeutical effectiveness in Group 1 pantienta was superior to the Group 2 （p^0.05） and Group 3 （p^0.01）. Conclusion：To the patients with stroke hemiplegia, introduce the means that combined the current rehabilitational technique with the teaditional Chinese medicine may improve the motor function of the extremities.