针推结合康复训练对脑卒中患者运动功能及活动能力的影响

Effects of Acupuncture,Massage and Rehabilitation Training on Motor Function and Activities of the Post-stroke Patients

目的探讨针推结合康复训练对脑卒中患者运动功能及活动能力的影响。方法选取2010年9月至2012年9月在信阳市中心医院康复中心进行治疗的脑卒中患者80例,采用简单随机抽样法将患者分为治疗组与对照组,治疗组采用康复训练结合针灸推拿方法进行治疗,对照组采用单纯常规康复训练法,经过3个月治疗后,采用配对t检验进行统计分析,比较两组患者运动功能、日常生活及生命质量打分的差异。结果治疗组患者Fugl-Meyer运动功能量表(FMA)积分、Barthel指数评定量表(MBI)、生命质量打分均显著高于治疗前,差异有统计学意义(P<0.05),治疗后治疗组各项指标均显著高于对照组,差异有统计学意义(P<0.05),说明针灸推拿联合康复训练治疗可以有效改善患者运动功能障碍、日常生活能力、提高患者生命质量。结论针灸推拿联合康复训练治疗对脑卒中引起的运动功能障碍及行动不便具有很好的疗效,值得临床推广。

Objective To investigate the acupuncture and massage combined with rehabilitation training on motor function and activity ira patients with stroke. Methods A total of 80 stoke patients were selected in Henan Xinyang Central Hospital from Sep. 2010 to Sep. 2012, and were randomly divided into a treatment group and a control group with simple random sampling：the patients in the treatment group were treated with rehabilitation training combined with acupuncture and massage, and the patients in the control group were treated with purely conventional rehabilitation training method, After 3 months of treatment, the motor func- tion scoring, daily living and quality of life of the two groups were compared and statistically analyzed with paired t test. Results The Fugl-Meyer Activity （FMA） integral, MBI, quality of life score of the treatment group were higher than before the treatment （ P 〈 O. 05 ）, and each index of the treatment group was statisti- cally significantly higher than the control group （ P 〈 0.05 ）, which indicated that acupuncture, massage and joint rehabilitation treatment can be effective in improving motor dysfunction, daily living ability and quality of life of the patients. Conclusion Acupuncture,massage and joint rehabilitation has a good effect as treat- ment of stroke caused motor dysfunction and action inconvenience, thus is worthy of promotion in clinical.