减重步行训练结合针刺疗法治疗60例脑梗死患者的康复疗效观察

Reduction walk training union acupuncture treatment treatment 60 example brain stem dead patient＇s recovery curative effect observation

目的：探讨减重步行训练结合针刺治疗对脑梗死患者的康复疗效.方法：将60例首次发病脑梗死患者随机分成治疗组和对照组.治疗组采用减重步行训练、针刺疗法和常规康复治疗方法,对照组仅采用针刺疗法和常规康复治疗方法.入选患者分别于治疗前、治疗后接受功能性步行量表（FAC）、Fugl-Meyer运动功能量表（FMA）、Barthel指数（BI）评分,评定患者步行能力、下肢运动功能及ADL水平指标评价疗效,并于出院后随访1个月,采用MOS健康状况调查问卷,评定患者生活质量.两组患者一般资料及治疗前各项评定结果差异无显著性意义. 结果：治疗4周后两组各项指标评分较治疗前均有明显改善（P〈0.01） 组间疗效比较,治疗组优于对照组（P〈0.01） 生活质量比较,治疗组优于对照组（P〈0.05）.结论：治疗组对脑梗死患者的康复疗效优于对照组,效果肯定.

Objective：To assess the clinical curative effect of body--weight supported treadmill training （BWSTT） with aopuncture therapy in patients with cerebral infarction of community. Methods： 116 subjects with first cerebral infarction were randomly assigned into 2 groups：BWSTT group or controlled group. BWSTT group received BWSTT, acupuncture and Bobath therapy, controlled group only received acupuncture and Bobath therapy. Measurements included Functional walking assessment （FAC） walking ability, Fugl--Meyer motor assessment （FMA） for lower extremity motor function,as well as Barthel index （BI） for activities of daily living. Measurements were recorded before treatment,and after treatment. Before treat- ment, there was no significant difference between the two groups for general information, and the baseline of measurements. Result：Obvious improvement were found in the index score of the two groups after the treatment（p〈 0. 01） ;Compared curative effect between two groups, BWSTT group were superior to controlled group（p〈0.01）. Conclusion：The clinical curative effect of body--weight supported treadmill training （BWSTT） with acupuncture therapy were superior to only acupuncture therapy in cerebral infarction.