针刺疗法对脑卒中患者的运动功能、平衡功能及日常生活活动能力的影响

Effects of acupuncture on motor function,balance function and activities of daily living of patients with stroke

目的:观察针刺疗法对不同阶段脑卒中患者的运动功能、平衡功能及日常生活活动能力所产生的影响,探讨针刺疗法在脑卒中患者康复过程中的作用。方法:我科住院的脑卒中患者64例,采用随机数字表法分为针刺康复组与常规康复组。常规康复组接受为期4周的常规康复训练,针刺康复组在接运动康复训练的同时,还接受4周的针刺治疗。分别采用Fugl-Meyer运动功能评分法(FMA)、Berg平衡量表(BBS)、Barthel指数(BI)评价患者的运动功能、平衡功能和日常生活活动能力。结果:①经过4周康复干预,针刺康复组FMA较常规康复组显著提高(P<0.05),但BBS和BI与常规康复组相比差异无显著性(P>0.05)。②经过4周康复干预,针刺康复组急性期亚组的FMA和BI较常规康复组急性期亚组显著升高(P<0.05),而BBS在两个急性期亚组之间差异无显著性(P,0.05);③经过4周康复干预,FMA、BBS和BI在两个恢复期亚组之间差异均无显著性(P>0.05)。结论:针刺疗法能够提高脑卒中患者的运动功能,而在脑卒中急性期进行针刺治疗,可显著提高患者的运动功能和日常生活活动能力。

Objects：To observe the effects of acupuncture on motor function, balance function and activities of daily living of patients with stroke in different stages, and explore the roles of acupuncture.Method：A tatol of 64 patients with stroke participated this study. They were randomly grouped into acupuncture rehabilitation group and conventional rehabilitation group. Patients in conventional rehabilitation group received conventional rehabilitation program for 4 weeks. While patients in acupuncture rehabilitation group received conventional rehabilitation program, also received 4 weeks of acupuncture. All patients were assessed by Fugl-Meyer assessment scale（FMA）,Berg balance scale（BBS） and Barthel index（BI）. Result： 1. After 4 weeks of rehabilitation intervention, FMA of patients in acupuncture rehabilitation group increased significantly as compared with that in conventional rehabilitation group（P〈0.05）. However, BBS and BI were not significant higher than that in conventional rehabilitation group（P〉0.05）; 2. After 4 weeks of rehabilitation intervention, FMA and BI of acute stroke patients in acupuncture rehabilitation group increased obviously as compared with that in conventional rehabilitation group（P〈0.05）. However, BBS was not significant higher than that in conventional rehabilitation group（P〉0.05）; 3. No significant difference was observed in FMA, BBS and BI between the two recovery subgroups after 4 weeks of rehabilitation intervention （P〉0.05）. Conclnsion： Acupuncture can improve the motor function in patients with stroke. For acute stroke patients, acupuncture can improve the motor function and ability of activities of daily living significantly. There fore acupuncture should be applied during the acute phase for stroke patients.