针刺法结合康复训练应用于脑卒中后偏瘫BrunnstromⅠ-Ⅱ期的临床观察

Therapeutic Effect of Acupuncture Combined with Rehabilitation Training on Post-stroke Hemiparesis at BrunnstromⅠ-Ⅱ Stage

目的:观察针刺结合康复训练应用于脑卒中后偏瘫BrunnstromⅠ-Ⅱ期的临床疗效。方法:将60例脑卒中患者随机分为观察组30例(采用针刺结合康复训练)和对照组30例(采用针灸结合传统推拿),于治疗前、治疗后7 d及治疗后14 d分别进行简式Fugl-Meye运动功能评测(FMA)、日常生活活动能力评分(Barthel指数)和神经功能缺损评分(NIHSS)。结果:①治疗前两组各项评分比较差异无统计学意义(P>0.05);②两组治疗前后各项评分比较差异有统计学意义(P<0.01);③治疗7 d后观察组FMA评分、ADL评分高于对照组(P<0.05),治疗14 d后观察组FMA评分、ADL评分明显高于对照组(P<0.01)。结论:针刺结合康复训练可以明显改善脑卒中后偏瘫BrunnstromI-II期患者肢体的运动功能,促进神经功能恢复。

Objective ： To observe the curative effect of acupuncture combined with rehabilitation training on post-stroke hemiparesis at Brunnstrom Ⅰ-Ⅱstage. Methods： 60 patients with stroke were randomly divided into observation group （30 cases by acupuncture and rehabilitation training） and treatment group （30 cases by acupuncture combined with traditional massage）. The simple type Fugl Meye movement function （FMA） , daily living ability score （ Barthel index） and neural function defect （ NIH- SS） were evaluated before the treatment, 7D after the treatment, and 14d after the treatment. Results： Before the treatment, the difference in the scores of two groups was not significant （ P 〉0.05 ） ; （2） The scores in two groups before and after the treatment had significant difference （ P 〈 0.01 ） ; （3） FMA score and ADL score in the observation group 7 d after the treatment were higher tban that of control group （P 〈0.05 ）, FMA score and ADL score in the observation group 14d after the treatment were significantly higher than those of control group （P 〈 0. 01 ）. Conclusion： Acupuncture combined with rehabilitation training can significantly improve the limb motion function of post-stroke henfiplegic patients at Bnmnstrom Ⅰ-Ⅱ stage, and promote the recovery of neurological function.