针刺结合易化技术对卒中患者肢体功能恢复的临床研究

Clinical research of acupuncture combined with facilitation techniques on recovery of limb function in stroke patients

目的观察针刺结合易化技术对卒中患者肢体运动功能、日常生活活动能力等方面的影响。方法将107例急性卒中偏瘫患者随机分为2组。对照组52例在急性期采用常规处理的同时加用常规针刺治疗。治疗组55例在对照组治疗基础上结合易化技术疗法。2组疗程均为6周。治疗前及治疗6周后分别以简式Fugl-Meyer(FMA)评测患者的肢体运动功能;Barthel指数(BI)评测日常生活活动能力(ADL)。结果2组治疗后FMA、BI评分与本组治疗前比较差异均有统计学意义(P<0.01),2组治疗后FMA、BI评分均改善;2组治疗后FMA、BI评分比较差异均有统计学意义(P<0.05),治疗组FMA、BI评分改善优于对照组。结论针刺结合易化技术疗法是一种积极有效的治疗方法,它能促进急性卒中偏瘫患者早期运动功能和日常生活活动能力的恢复,提高生活质量,其疗效优于单一采用针刺治疗的疗效。

Objective To observe the effect of acupuncture combined with facilitation techniques on recovery of limb function and daily life activities in stroke patients.Methods 107 cases of acute stroke hemiplegia were randomly divided into two groups.52 cases in the acute phase in the control group received conventional treatment and acupuncture treatment.55 patients in the treatment group were treated by acupuncture combined with facilitation techniques.The therapeutic course was six weeks in two groups.Before treatment and 6 weeks after treatment physical movement function was evaluated by Jane type Fugl-Meyer（FMA）.The daily life activities ability was evaluated by Barthel index（BI）.Results There were significant differences between before and after treatment on FMA and BI score in two groups（P0.01）.BI and FMA scores after treatment are improved in two groups.The improvement of FMA and BI score in treatment group was superior to that in control group after treatment（P0.05）.Conclusion Acupuncture combined with facilitation techniques is a positive and effective treatment methods,it can promote the recovery of early motor function and daily life activities in acute stroke patients with hemiplegia,improve the quality of life,its curative effect is better than a single using acupuncture therapy.