电针治疗对脑梗死偏瘫急性期运动功能的影响

目的:观察电针对脑梗死偏瘫急性期运动功能的影响。方法:将100例患者随机分成电针治疗观察组50例和体针治疗对照组50例,两组按传统体针取穴治疗,电针组加用电针治疗。结果:电针组与体针组之间,对运动功能Brunnstrom分级指数的影响,上肢和下肢均有显著差异(P<0.05)。结论:电针治疗对脑梗死的运动功能疗效优于传统体针。

颅针透刺配合电针治疗壳核出血肢体运动功能障碍疗效观察

目的:观察颅针疗法配合电针治疗壳核出血后肢体运动功能障碍的临床疗效。方法:将151例壳核出血患者按照随机数字表法分为两组,治疗组76例予颅针透刺疗法配合电针治疗,对照组75例采用养血清脑颗粒口服治疗,两组均治疗60天。对两组患者治疗后30天、60天肢体运动功能及日常生活活动能力进行比较分析。结果:两组治疗后肢体运动功能及日常生活活动能力评分较治疗前明显提高,治疗60天评分均高于30天;且治疗组评分均优于对照组,差异具有统计学意义(P<0.05)。结论:头穴透刺配合电针治疗壳核脑出血急性期,对患者肢体运动功能恢复及日常生活活动能力恢复疗效显著。

脑苷肌肽、脑神经生长素联合Vojta诱导疗法治疗小儿脑瘫的疗效研究

目的观察药物联合功能训练疗法治疗小儿脑瘫的疗效。方法将我院收治的67例脑瘫患儿随机分为两组。对照组采用单纯性药物治疗,试验组采用药物联合功能训练治疗。比较两组患儿在临床疗效、智力及发育的差异。结果两组患儿在临床疗效方面试验组有效率为94.3%明显高于对照组78.1%,比较有统计学差异(P<0.05);治疗后试验组患儿在肌力、智力及发育方面MDI、PDI明显升高,比较具有统计学差异(P<0.05)。同时也明显高于同期对照组,比较也具有统计学差异(P<0.05)。结论小儿脑瘫患者采取药物联合功能训练疗法,有助于提高其临床有效率,改善智力及运动功能的发育,进而减少患儿智力及发育障碍,值得临床选择。

皮层下脑卒中患者两种康复治疗的功能磁共振研究

目的：通过功能磁共振探讨两种康复治疗皮层下脑卒中患者的疗效及潜在机制。方法：患者随机分为强制性运动疗法（constraint-induced movement therapy,CI MT）与神经发育疗法（neurodevelopmental treat ment,NDT）两个治疗组。在康复治疗前、后行血氧水平依赖功能磁共振成像（blood oxy-genationlevel dependent functional magnetic resonance imaging,BOLD-f MRI）,并进行临床评分。结果：在康复治疗前、后,健手运动的激活模式近于正常人。患手运动时,运动区广泛激活;治疗后双侧大脑半球激活的体素数显著减少,并向正常激活模式集中。治疗前、后的临床评分显示CI MT组康复效果优于NDT组。结论：康复治疗能促进脑功能重组;CI MT对皮层下脑卒中后3~9个月患者的康复效果优于NDT。

神经运动疗法的现状、进展与问题

摘要：肢体瘫痪是神经系统病变常见的症状与功能障碍。诸如神经系统痰病、交通事故、工矿及建筑意外都是造成肢体活动功能障碍的因素，而形成偏瘫、两侧瘫、截瘫及单瘫等。这严重影响到了患者的身心健康与生活质量，也给社会带来了莫大负担。因此，在损伤急性期后各阶段，如何减少和恢复这些运动功能成为了当下康复医学研究的重点。

关节松动术配合推拿治疗腰椎间盘突出症疗效分析

目的：比较传统推拿疗法与西方现代康复治疗技术对60例腰椎间盘突出症进行对照观察。方法：关节松动术配合推拿疗法、功能运动。结果：治疗前两组症状、体征、病程无差异（P〉O．05）。治愈显效率；治疗组为83％，对照组为47％。两组疗效对比差异显著（P〈O．05）。平均治疗次数；治疗组为13．152．10次，对照组为21．252．20次，治疗组少于对照组（P〈O．05）。结论：治疗组在疗效巩固、减少复发，均优于对照组。

Governor vessel-unblocking and mind-regulating acupuncture therapy for sensory and motor dysfunction after spinal cord injury

Objective： To observe the difference in clinical efficacy between governor vessel-unblocking and mind- regulating acupuncture therapy combined with conventional rehabilitation therapy and simply conventional rehabilitation therapy for sensory and motor dysfunction of patients with spinal cord injury. Methods： Forty patients with spinal cord injury （SCI） were randomly assigned into rehabilitation combined with acupuncture group （group A） and rehabilitation group （group B）, with 20 patients in each group. In group A, governor vessel-unblocking and mind-regulating acupuncture therapy combined with conventional rehabilitation therapy was adopted, and Baihui（百会 GV 20）, Fengffu （风府GV 16）, Dazhui （大椎GV 14）, Zhiyang （至阳GV 9）, Mingmen （命门 GV 4） and Yfioyangguan （腰阳关 GV 3） were adopted as the main acupoints. Conventional rehabilitation therapy was also applied, including the rehabilitation training of joint, motion, respiration, urinary bladder and intestinal tract. In group B, conventional rehabilitation therapy was adopted as same as the group A. Treatment in the two groups was conducted for once a day, 6 times a week, and 12 weeks in total. ASIA motor score （MS）, ASIA sensory score （SS） and activity of daily living （ADL） score of patients in the two groups were observed before and after the treatment. Results： Before treatment, the differences in MS, SS and ADL score of patients in the two groups were not statistically significant （all P 〉 0.05）, and the results were comparable. After treatment, MS, SS and ADL score of patients in the two groups were all higher than that before the treatment （all P 〈 0.05）, and MS, SS and ADL score of the patients in group A were all higher than that in group B （all P 〈 0.05）. Conclusion： The curative effect of governor vessel-unblocking and mind-regulating acupuncture therapy combined with conventional rehabilitation therapy was superior to that of simply conventional rehabilitation therapy in the treatment of sensory and motor dysfunction of the patients with SCI.

Acupuncture Combined with Music Therapy for Treatment of 30 Cases of Cerebral Palsy

To observe clinical therapeutic effects of acupuncture combined with music therapy for treatment of cerebral palsy. Methods： Sixty children with cerebral palsy were randomly divided into an acupuncture group （Group Acup.） and an acupuncture plus music group （Group Acup.＋ M）. Simple acupuncture was applied in Group Acup., and acupuncture at 5 groups of points plus music were applied in Group Acup. ＋M., The treatment was given once every two days with 3 treatments weekly, and 36 treatments constituted a therapeutic course. Therapeutic effects including movement improvement were observed for comparison after 3 courses of treatments. Results： The comprehensive functions were elevated in both groups, and the total effective rate in Group Acup. ＋ M was obviously better than that in Group Acup （P〈0.05）. Movement functions were also improved in both groups, but the differences in improvement of creeping and kneeling, standing, and walking were significant between the two groups （P〈0.01）, showing the effect in Group Acup. ＋ M was better than that in Group Acup.. Conclusion： The therapy of acupuncture plus music gained better therapeutic effect on cerebral palsy than simple acupuncture, which provided new thoughts for treating the disease by comprehensive therapies.