摘要
目的:采用Fugl-Meyer量表评价靳三针结合康复训练对脑梗死偏瘫患者肢体运动功能的影响,探讨靳三针结合康复训练对脑梗死偏瘫的临床价值。方法:将来源于7家医院的254例脑梗死后偏瘫患者随机分配为靳三针组83例、康复组84例、靳三针结合康复组(结合组)87例。在常规治疗的基础上,靳三针组采用靳三针疗法,取穴以颞三针为主,根据痉挛瘫和弛缓瘫不同结合辨证配以曲池、外关、合谷及伏兔、足三里、三阴交等穴,留针30 min;康复组根据痉挛瘫和弛缓瘫不同给予适宜的康复训练;结合组采用靳三针结合康复训练。3组疗程均为28 d,分别在治疗前和治疗14、28 d后用四肢简式Fugl-Meyer运动量表(FMA)、临床神经功能缺损程度评分(NDS)评价患者肢体运动功能的变化。结果:经过28 d治疗后,靳三针组和结合组患者的显效率优于康复组(P<0.05)。治疗14 d和28 d后,3组患者NDS评分显著降低(均P<0.05),结合组NDS评分较康复组下降明显(均P<0.05)。经28 d治疗后,结合组FMA评分高于其它两组(均P<0.05)。结论:靳三针结合康复训练能够明显改善脑梗死偏瘫患者肢体的运动功能,二者具有良好的协同作用。
Objective To assess the therapeutic effect of Jin＇s ＂Sanzhen＂ therapy combined with rehabilitation training on limb-motor function of stroke patients by using FugI-Meyer scale. Methods A total of 254 hemiplegic stroke outpatients and inpatients from 7 hospitals were randomly divided into Jin＇s ＂Sanzhen＂ （JSZ） group （n = 83）, rehabilitation group （n = 84） and combination group（n = 87）. Acupuncture was applied to acupoints of Jin＇s ＂Sanzhen＂ including Quchi （LI 11 ）, Waiguan （SJ 5） and Hegu （LI 4） ; Futu （ST 32）, Zusanli （ST 36） and Sanyinjiao （SP 6） ; etc. The acupuncture needles were retained for 30 min after ＂Deqi＂. Rehabilitation training included passive joint movement, standing-sitting training, tapping-pressing stimulation, walking training, etc. The treatment was conducted once daily, 5 sessions a week and for 4 weeks. Fugl-Meyer scale composed of 100-point motor domain of the upper-and lower-extremity sections was used to assess the patients＇ motor function. Results On day 28 after the treatment, of the 83, 84 and 87 hemiplegic stroke patients in the JSZ, rehabilitation and combination groups, 48 （57.8%）, 31 （36.9%） and 50 （57.5%） experienced marked improvement in their clinical symptoms and signs, 26 （31.3%）, 44 （52.4%） and 31（35.6%） had an improvement, and 9 （10.8%）, 9 （10.7%） and 6 （6.9%） failed in the treatment, with the total effective rates being 89.2%, 89.3% and 93. 1%, respectively. The neurological deficit score （NDS） of the combination group was significantly lower than that of the rehabilitation group （P〈0.05）. The FugI-Meyer assessment score （FMAS） for extremity motor function of the combination group was apparently higher than those of the JSZ and rehabilitation groups （P〈0.05）. No significant differences were found between the JSZ and rehabilitation groups in both NDS and FMAS（P〈0.05）. Conclusion Jin＇s ＂Sanzhen＂ therapy combined with rehabilitation training can s
出处
《针刺研究》
CAS
CSCD
北大核心
2011年第3期209-214,共6页
Acupuncture Research
基金
浙江省"重中之重"学科(针灸推拿学)建设[浙教高科(2008)255号]
"十一五"国家科技支撑计划项目(No.2006BAI12B02-3)
关键词
脑梗死偏瘫
靳三针疗法
康复训练
靳三针结合康复训练
Apoplectic hemiplegia
Jin＇s ＂Sanzhen＂ therapy
Rehabilitation training
Combined treatment
