摘要
目的:探讨针刺结合现代康复技术对于中风偏瘫痉挛状态康复的作用。方法:将80例中风偏瘫痉挛状态的患者随机分为治疗组和对照组;治疗组采用"分期整体针刺疗法"中痉挛期的针刺方法配合现代康复治疗技术,对照组采用现代康复治疗技术,分别于治疗前,治疗后2月末采用改良Ashworth肌痉挛评定量表,简化Fugl-Meyer(FMA)运动功能评分法,Barthel指数分别评定肌痉挛,运动功能水平,日常生活能力。结果:治疗后两组偏瘫肢体痉挛及肢体运动功能,日常生活能力均明显改善(P<0.05);治疗后治疗组改善程度明显优于对照组(P<0.05);治疗后治疗组进入分离运动期(BrunnstromⅣ期)时间短于对照组(P<0.05)。结论:与单纯使用现代康复技术相比,现代康复技术结合针刺治疗对于中风偏瘫痉挛状态的康复具有更明显的促进作用。
Objective：To investigate the rehabilitative effect of the acupuncture therapy combined with the contemporary rehabilitation techniques on hemiplegia and spasticity caused by cerebral apoplexy.Methods：Eighty patients with hemiplegia and spasticity caused by cerebral apoplexy were randomized into the combined-treatment group and the control group.The patients in the combined-treatment group were treated by the acupuncture technique of the staged and whole-body acupuncture therapy combined with contemporary rehabilitation techniques for their spasticity treatment.But the patients in the control group were only treated by the contemporary rehabilitation techniques.The patients in the two groups were assessed before the treatment and 2 months after treatment by the following measurements： the modified Ashworth spasticity measuring scale,the simplified Fugl-Meyer assessment（FMA）,and the Barthel exponential grading scale for spasticity.The patients were also evaluated on their physical moving ability and their daily living ability.Results：After the treatment the patients in the two groups were significantly improved in their spasticity and their lowered physical moving ability and daily living ability caused by hemiplegia（P 0.05）.However,when the two groups were compared,the improvement degree was significantly greater in the combined-treatment group than in the control group（P 0.05）,and the time for the combined-treatment group to enter the Brunnstrom IV stage was significantly shorter than that for the control group（P0.05）.Conclusion：The acupuncture therapy combined with the contemporary rehabilitation techniques has a significantly-better effect on hemiplegia and spasticity caused by cerebral apoplexy than the contemporary rehabilitation techniques used only.
出处
《成都中医药大学学报》
2010年第1期27-29,共3页
Journal of Chengdu University of Traditional Chinese Medicine
基金
四川省中医药管理局科研基金课题(编号:200604)
关键词
中风
偏瘫
痉挛
针刺
康复技术
Apoplexy
Hemiplegia
Spasticity
Acupuncture therapy
Rehabilitation technique
