针灸结合推拿在脑卒中康复中的应用与观察

Application and Observation of Acupuncture Combined with Tuina in the Rehabilitation of Stroke

目的:观察针灸结合推拿对脑卒中患者运动功能、神经功能、日常生活活动能力的影响。方法:将90例患者随机分为观察组、对照组各45例。对照组给予常规及推拿治疗,观察组给予常规、推拿及针灸治疗,2组均治疗3个月,治疗前后及治疗后3个月评估临床神经功能缺损评分(CNDS)、Fugl-Meyer运动功能评分、日常生活能力评分。结果:CNDS评分、Fugl-Meyer评分和日常生活能力评分2组治疗前后组内比较,差异有统计学意义(P<0.05);治疗后、复查时组间比较差异有统计学意义(P<0.05)。结论:在常规治疗的基础上以针灸联合推拿治疗脑卒中患者,可提高患者运动功能及日常生活能力。

Objective： To observe the effects of acupuncture combined with Tuina on motor function, neurological function and ability of daily living （ADL） of stroke patients. Methods： All 90 patients were randomly divided into the observation group and the control group, each group 45 cases. The control group was given regular treatment and Tuina therapy, the observation group was given regular treatment and Tuina combined with acupuncture. Both groups were treated for three months, after treatment and three months＇ treatment, CNDS, Fugle-Meyer Scale （FMS） and ADL scale were evaluated. Results： There were statistical differences within two groups after treatment in CNDS, FMS and ADL scale（P〈0.05）. There were statistical differences after treatment and reexamination between two groups （P〈0.05）. Conclusion： On the basis of regular treatment, it can improve patients＇ motor fimction and ADL by acupuncture combined with Tuina therapy.