摘要
目的观察头针结合体针对脑梗死肢体活动障碍患者神经功能重建的影响。方法将100例脑梗死患者随机分为2组。2组均采用神经内科常规药物治疗,病情稳定后48 h予针刺治疗。对照组50例予体针治疗,治疗组50例在对照组治疗基础上加头针治疗,2组均10 d为1个疗程,持续3个疗程。统计临床疗效,采用简式Fugl-Meyer评分及Barthel指数评分法分别评定2组治疗前后运动功能和日常生活能力变化。结果治疗组总有效率94%,对照组总有效率80%,2组总有效率比较差异有统计学意义(P<0.05),治疗组疗效优于对照组。2组治疗后上、下肢Fugl-Meyer评分及Barthel指数与本组治疗前比较均明显提高(P<0.05),且治疗组治疗后改善优于对照组(P<0.05)。结论头针结合体针对脑梗死肢体活动障碍患者的神经功能恢复具有很好的促进作用,可显著改善患肢的运动功能,提高患者的生活能力。
Objective To observe the effect of combination of scalp acupuncture and body acupuncture on reconstruction of neurological function in limb movement disorder of patients with cerebral infarction.Methods 100 cases of cerebral infarction were randomly divided into two groups.2 groups received neurological conventional drug therapy and modern rehabilitation medicine therapies for limb function training.Body acupuncture treatment was received after 48 h of a stable condition in control group.Treatment group received combination of scalp acupuncture and body acupuncture.The course was ten days in two groups.After three courses,the clinical effect was summarized.Movement function and daily living activity before and after treatment were evaluated by Fugl-Meyer assessment（FMA） and Barthel index in two groups.Results The total effective rate in treatment group（94%） was higher than that in control group（80%,P0.05）.FMA score and Barthel index of limb movement after treatment were significantly increased in comparison with those before treatment in two groups（P0.05）,and improvement in treatment group was better than that in control group（P0.05）.Conclusion The combination of scalp acupuncture and body acupuncture has a good facilitation on reconstruction of neurological function in limb movement disorder of patients with cerebral infarction,and can improve limb motor function,the patient＇s life ability,is worthy of clinical application.
出处
《河北中医》
2011年第9期1351-1353,共3页
Hebei Journal of Traditional Chinese Medicine
关键词
脑梗死
头针刺激区
针刺疗法
cerebral infarction
Stimulated region of scalp acupuncture
Acupuncture
