点穴治疗卒中偏瘫急性期患者的临床疗效观察

Effect of acupoint pressure on the patients with acute-stage stroke hemiplegia

目的评价点穴治疗对卒中偏瘫急性期患者运动功能、神经功能缺损程度及日常生活活动能力的影响。方法 60例卒中偏瘫患者随机分为点穴组和对照组,2组均采用针灸科病房常规治疗,点穴组配合点穴,共治疗2周。在治疗前、后分别采用卒中患者运动功能评定量表(MAS)、神经功能缺损程度评分、Barthel指数(BI)评定患者的运动能力、神经功能及日常生活活动能力。结果点穴组与对照组治疗前、后MAS得分、神经功能缺损程度得分和BI得分比较,均有统计学差异(P<0.01);点穴组治疗前、后的MAS得分差值、神经功能缺损程度得分差值均明显优于对照组,有统计学差异(P<0.01);而点穴组BI得分差值略高于对照组,2组比较有显著性差异(P<0.05)。结论早期点穴治疗能很好地改善卒中偏瘫患者的运动功能,减轻神经功能缺损程度,促进日常生活活动能力的恢复。

Objective To evaluate the effect of acupoint pressure on the motor function, the degree of neurologic impairment, and activities of daily living （ADL） in the patients with stroke hemiplegia during the acute stage. Methods Sixty patients with stroke hemiplegia were randomly divided into two groups： treatment group treated with routine ward nursing and acupoint pressure; control group treated with routine ward nursing only. Two groups were all observerd for two weeks. Before and after the treatment, Motor Assessment Scale（ MAS）, Neurologic Impairment Scale （ NIS）, Barthel index （BI） were applied to assess the motor function, the recovery of neurological functions and ADL. Results There were significant differences in the scores of MAS, NIS and BI in two groups before and after the treatment. Compared with the control group, the scores of MAS and NIS in treatment group were significantly higher （ P〈0. 01 ） while the score of BI in treatment group was significantly lower than that in control group（ P〈0. 05）. Conclusions Acupoint pressure in patients with acute-stage stroke can improve the motor function, alleviating the degree of neurologic impairment, and improving ADL.