穴位敷贴在脑出血患者肢体偏瘫中的应用

The effect of acupoint application in treatment of hemiplegic patients after cerebral hemorrhage

目的探讨穴位敷贴在脑出血患者肢体偏瘫中的应用效果。方法 40例脑出血伴偏瘫患者随机分为观察组和对照组,各20例。对照组接受早期康复训练,观察组在对照组基础上配合穴位敷贴治疗。采用Brunnstrom分级测定法评估患者肌力功能恢复情况,采用Fugl-Meyer运动评分(FMA)评价运动功能情况,采用Barthel指数(MBI)评价患者生活能力。结果治疗后观察组肌力恢复显著优于对照组(P<0.05);干预后,2组FMA和MBI评分均较治疗前显著提高(P<0.05或P<0.01),且观察组下肢FMA评分和MBI评分改善显著优于对照组(P<0.01)。结论脑出血肢体偏瘫患者康复训练的基础上联合穴位敷贴进行治疗,可改善患者的肢体情况,提高生活质量。

Objective To investigate the effect of acupoint application in treatment of hemi- plegic patients after cerebral hemorrhage. Methods A total of 40 hemiplegic patients after cerebral hemorrhage were randomly divided into the observation group and the control group, with 20 cases in each group. Both two groups received the early stage rehabilitation exercise and the observation group was given acupoint application. The condition of muscle strength recovery was evaluated by using Brunnstrom stage. The motor function and activity of daily life was assessed by Fugl-Meyer assessment scale （FMA） and modified Barthel index （MBI） before and after the treatment. Results The patients in the observation group received a better muscle strength recovery compared with those in the control group after treatment （P 〈0.05 ）. The score of FMA and MBI were increased in both two groups after treatment（ P 〈0.05 or P 〈0. 01 ）, and was better improved in the observation group than that of controls （P 〈0. 01 ）. Conclusion Acupoint application in combination with early stage rehabilitation exercise can improve the hemiplegic limbs recovery and quality of life in patient after cerebral hemorrhage.