穴位按摩法配合康复训练对脑卒中单侧忽略患者的效果分析

Effects of point massage on rehabilitation of patients with unilateral spatial neglect after stroke

目的:探讨穴位按摩法配合康复训练对脑卒中单侧忽略患者康复的疗效。方法:对2015年10月—2016年9月在2所医院住院的脑卒中后偏瘫患者进行神经心理学评测,确定158例右大脑半球卒中后单侧空间忽略患者,随机分为两组:试验组79例和对照组79例;对照组给予传统的康复训练和康复指导,试验组除常规传统的康复训练和康复指导外由护士给予穴位按摩,并分别在治疗前及康复后8周对患者进行脑卒中单侧忽略评定及给予日常生活自理能力评定、Fugl-Meyer运动功能评定和简易精神状态检查,并比较。结果:康复8周后试验组单侧忽略的改善程度优于对照组(P<0.05);两组患者治疗后经Barthel指数、FMA和MMSE评定,试验组恢复程度优于对照组,差异有显著性意义(P<0.05)。结论:采用穴位按摩法配合康复训练可以有效地改善脑卒中患者单侧忽略程度,通过单侧忽略的改善可以更好地提高患者康复训练水平。

Objective： To explore the effect of point massage on rehabilitation of patients with unilateral spatial neglect（USN） after stroke.Method： Stroke patients with hemiplegia were selected by rehabilitation ward in the affiliated hospital of Jinzhou medical university from Oct 2015 to Sep 2016. 158 patients were randomly divided into experimental group（79 cases） and control group（79 cases）, the control group was given routine rehabilitation training and guidance, the experimental group was given to the point massage on the side of hemiplegia in addition to conventional rehabilitation training and guidance. Evaluating and comparing the degree of unilateral spatial neglect,the activities of daily living and the motor function recovery performed before the treatment and after rehabilitation 8 weeks.Result： After 8 weeks rehabilitation, the improvement of unilateral spatial neglect in experimental group was higher than that in control group（P0.05）. The motor function recovery was significantly more excellent than that in control group by Barthel, FMA and MMSE evaluation method（P0.05）.Conclusion： Point massage combine routine rehabilitation can effectively improve the unilateral neglect in stroke patients.