反复促通技术联合针灸对脑梗死患者功能恢复及生存质量的影响分析

Effect of repetitive facilitative exercise combined with acupuncture on functional recovery and quality of life in patients with cerebral infarction

目的:观察反复促通技术(RFE)联合针灸治疗对脑梗死患者功能恢复及生存质量的影响。方法:选取符合标准的60例脑梗死患者,随机分为针灸组、RFE组、联合组3组各20例。3组均进行常规康复治疗,针灸组增加针灸治疗,RFE组增加反复促通技术治疗,联合组增加针灸联合反复促通技术治疗,每周5次,共治疗4周。于治疗前后比较3组患者的Barthel日常生活指数(BI)、Fugl-Meyer运动功能评分(FMA)以及脑卒中专用生存质量评分(SS-QOL)。结果:治疗4周后,3组患者的BI、FMA、SS-QOL评分均较治疗前显著提高(均P<0.01),且联合组BI、FMA及SS-QOL评分均高于其余两组(均P<0.05),针灸组和RFE组比较差异无统计学意义。结论:对于脑梗死患者,在常规康复训练基础上运用反复促通技术联合针灸可以显著改善其运动功能及日常生活活动能力,提高患者的生存质量。

Objective:To observe the effect of repetitive facilitative exercise(RFE)combined with acupuncture on functional recovery and quality of life in patients with cerebral infarction.Methods:Totally,60 eligible patients with cerebral infarction were randomly divided into acupuncture group,RFE group and combination group,with 20 cases in each group.All the three groups received routine rehabilitation treatment,acupuncture treatment added in acupuncture group,RFE added in RFE group,and acupuncture combined with RFE added in combined group,five times a week for 4 weeks.Barthel index(BI),Fugl-Meyer Assessment(FMA)and Stroke-Specific Quality of life(SS-QOL)in the three groups were compared before and after treatment.Results:Except for one dropout in RFE group,the rest 59 patients completed the experiment.After 4 weeks of treatment,the scores of BI,FMA and SS-QOL in the three groups were significantly higher than those before treatment(P<0.01),and the scores of BI,FMA and SS-QOL in the combined group were significantly higher than those in the rest two groups(P<0.05).There was no significant difference between acupuncture group and RFE group(P>0.05).Conclusion:For the patients with cerebral infarction,the application of RFE combined with acupuncture on the basis of routine rehabilitation training can significantly improve their motor function and activities of daily living,and improve their quality of life.