早期针刺与康复治疗对脑梗死后运动功能的影响

Influence of early acupuncture and rehabilitation therapy on motor function after cerebral infarction

目的 探讨早期不同时间针刺与康复治疗对脑梗死后运动功能障碍的有效方法.方法 97例脑梗死后运动功能障碍患者根据病程（发病后48 h和生命体征稳定后48 h）分为观察组和对照组.两组在常规治疗的前提下分别于发病后48 h和生命体征稳定后48 h采用相同的针刺与康复治疗方法.三个疗程后统计治疗结果,每疗程7～10 d.结果 观察组Fugl-Meyer运动功能评分和FMA运动功能障碍评定都优于对照组（P〈0.01,P〈0.05）.结论 对于脑梗死后运动功能障碍的治疗,发病后48 h针刺与康复治疗优于生命体征稳定后的48 h再治疗.

Objective To explore the effective method at different times of the early treatment of acupuncture and rehabilitation therapy on motor dysfunction after cerebral infarction. Methods According the course of disease ,97 patients with motor dysfunction after cerebral infarction were divided into two groups：the observation group （48h after onset） and the control group（48h after stable vital signs）. The two groups were given to the same acupuncture and rehabilitation treatment at 48h after onset and stable vital signs using 48h after respectively in the premise of conventional treatment. The treatment outcomes after three courses were compared,and each course was 7 ～ 10d. Results The Fugl-Meyer motor function score and FMA motor dysfunction assessed in the observation group were better than that in the control group （P 〈0.01, P 〈 0.05 ）. Conclusion The acupuncture and rehabilitation treatment for motor dysfunction after cerebral infarction at 48 h after onset was better than that at 48h after stable vital signs.