摘要
Objective To compare the influences of acupuncture combined with rehabilitative training and simple rehabilitative training on neural functional recovery of stroke patients during recovery phase.Methods Sixty-seven stroke patients during recovery phase were randomly divided into an acupuncture combined with rehabilitative training group（group A） and a simple rehabilitative training group（group B） through random number table method,with 34 cases and 33 cases respectively;33 cases and 31 cases were respectively completed actually other than cases dropped out during the observation.Rehabilitation methods such as motion control and functional exercise training were primarily used for rehabilitative training,once daily for 45 min at a time,and 6 times a week;Baihui（百会 GV 20） and Fengchi（风池 GB 20） on the head and relevant acupoints on limbs were selected for acupuncture,once every other day,and 3 times a week.Both groups were treated for 8 weeks,National Institnte of Health Stroke Scale（NIHSS） was used to assess neurologic impairment,Fugl-Meyer scale was used to assess motor function,Barthel was used to assess activity of daily living,and comprehensive assessment was finally made to patients.Results NIH score,Fugl-Meyer scale scores of upper and lower limbs,Barthel score,and comprehensive assessment of group A after treatment were respectively：12.78±2.99,37.55±2.09 and25.67±3.93,63.76±4.65,11.33±1.98,superior to 16.06±4.57,28.71±4.07 and20.41±2.98,53.8214.35,15.18±1.72 of group B.Indices of both groups were significantly improved compared with those before treatment（P〈0.01,P〈0.05）,but improvement of indices of group A was more obvious that that of group B after treatment subject to comparison（all P〈0.05）.Conclusions Acupuncture combined with rehabilitative training has definite therapeutic effect on recovery of various functions such as neural functional recovery of stroke patients during recovery phase,obviously superior to simple rehabilitative training.
目的:比较针刺结合康复训练和单纯使用康复训练对恢复期脑卒中患者神经功能恢复的影响。方法:将67例脑卒中恢复期患者采用随机数字表法随机分成针刺结合康复组和单纯康复组,分别为34例和33例,除去观察过程脱落病例,实际分别完成33例和31例。康复训练主要运用运动控制和功能性运动训练等康复方法,每天1次,每次45 min,一周6次;针刺取穴以头部的百会、风池,以及肢体部的相关穴位为主,隔天1次,每周3次。两组均治疗8周,采用美国国立卫生院中风评价量表(NIHSS)评估神经功能缺损,Fugl-Meyer量表评估运动功能,Barthel评价日常生活能力,最后对患者做出综合评价。结果:针刺结合康复组NIH评分、Fugl-Meyer量表上肢和下肢评分、Barthel评分、综合评价治疗后分别为:12.78±2.99、37.55±2.09和25.67±3.93、63.76±4.65、11.33±1.98,优于单纯康复组的16.06±4.57、28.71±4.07和20.41±2.98、53.82±4.35、15.18±1.72。两组患者各指标均较治疗前明显改善(P<0.01,P<0.05),治疗后两组之间比较,差异有统计学意义(P<0.05),针刺结合康复组对指标的改善较单纯康复组明显。结论:针刺治疗结合康复训练对恢复期的脑卒中患者神经缺损等各项功能的恢复疗效确切,比单纯使用康复训练有明显的优势。
