针灸与康复治疗脑梗死后偏瘫对比分析

目的:探讨针灸及康复治疗对脑梗死后偏瘫患者肢体功能恢复的影响。方法:选取初发脑梗死住院患者150例,最终统计有效122例,其中针灸治疗组62例,康复治疗组60例,在治疗前、发病后2周、4周、8周、6个月分别进行Fugl-Meyer运动功能评分、Barthel指数评分。结果:治疗前两组各项评分相似,4周内针灸治疗组较康复治疗组评分高,8周、6个月时康复治疗组评分较针灸治疗组高,其中6个月时康复治疗组Barthel指数评分显著高于针灸治疗组,有统计学意义(P<0.05)。结论:针灸及康复治疗脑梗死后偏瘫各有优势,前者在发病4周内效果较好,后者在发病4周后效果较好。

Purpose ：To study acupuncture and rehabilitation therapy for cerebral infarction in patients with hemiplegia after the influence of limb function recovery. Methods： Select incipient cerebral infarction patients in 150 cases, 122 cases of effective final statistics, including acupuncture treatment group, 62 cases of rehabilitation treatment group sixty cases in the treatment of before and after the two weeks, 4 weeks, eight weeks, 6 months respectively Fugl - Meyer movement function score, Barthel index score. Results： The two groups before treat- ment the score similar, 4 weeks in acupuncture treatment group a rehabilitation therapy group score high, eight weeks, 6 months rehabilitation therapy group score a acupuncture treatment group is high, among them 6 months rehabilitation therapy group Barthel index score significantly higher than acupuncture treatment group, there is statistical significance （P〈0.05）. Conclusion： Acupuncture and rehabilitation in the treat- ment of cerebral infarction hemiplegia each have advantages, the former in the 4 weeks effect is better, the latter in the 4 weeks after the ef- fect is good.