摘要
目的:评价关键点针刺法配合常规肢体功能康复训练对脑梗死后处于痉挛期偏瘫患者的临床疗效。方法:将86例患者随机分为针刺康复组(44例)与康复组(42例)。针刺康复组采用关键点针刺法选取头面、胸腹、肩背、手、足、踝等部位的穴位,如攒竹、膻中、肩髃、养老等,并配合常规肢体康复训练治疗,每日1次;康复组单纯采用常规肢体康复训练,两组均治疗10次为一疗程,共治疗2个疗程。分别于治疗前后采用Fugl-Meyer评分法、功能独立性评定量表(FIM)评分评定患者肢体运动功能水平及日常生活活动能力。采用改良的Ashworth量表评定抗痉挛疗效。结果:针刺康复组抗痉挛总有效率为90.9%(40/44),优于康复组的73.8%(32/42,P<0.05)。治疗2个疗程后两组均可改善Fugl-Meyer评分及FIM评分(均P<0.05),针刺康复组优于康复组(均P<0.05),且在第1个疗程治疗后对FIM评分的改善针刺康复组即显示出优势,与康复组比较差异有统计学意(P<0.05)。结论:关键点针刺法配合康复治疗可有效缓解脑卒中痉挛期偏瘫患者的痉挛状态,改善患者肢体功能,提高患者生活活动能力。
Objective To assess the clinical efficacy of acupuncture at key acupoints combined with the routine rehabilitation training of limb function on spasmodic hemiplegia after cerebral infarction. Methods Eighty-six cases were randomized into an acupuncture combined with rehabilitation group （group A, 44 cases） and a rehabilitation group （group B, 42 cases）. In group A, the key acupoints were selected from head, face, chest, abdomen, shoulder, back, hands, feet and ankles such as Cuanzhu （BL 2）, Danzhong （CV 17） , Jianyu （LI 15） and Yanglao （SI 16） were stimulated with acupuncture. In combination, the routine limb rehabilitation training was applied, once every day. In group B, the routine limb rehabilitation training was applied alone. In both groups, 10 treatments made one session and 2 sessions were required totally. Before and after treatment, Fugl-Meyer scale and functional independent measurement （FIM） scale were adopted to assess the limb motor level and the activity of daily life in the patients respectively. The modified Ashworth scale was used to assess the effect of anti-spasm. Results The total effective rate of anti-spasm was 90.9% （40/44） in the group A, which was superior to 73.8% （32/42） in the group B （P〈0.05）. After 2 sessions of treatment, Fugl-Meyer score and FIM score were all improved in both groups （all P〈0.05） and the results in the group A were better than those in the group B （all P〈0.05）. Additionally, the improvement of FIM score after the 1st session of treatment in the group A was better as compared with the group B, indicating the significant difference （P〈0.05）. Conclusion Acupuncture at key acupoints combined with rehabilitation therapy effectively relieves the spasmodic condition of the patients with poststroke spasmodic hemiplegia, improves the limb function and the life activity of the patients.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第5期399-402,共4页
Chinese Acupuncture & Moxibustion
关键词
脑梗死
痉挛性偏瘫
针刺疗法
康复
cerebral infarction
spasmodic hemiplegia
acupuncture therapy
rehabilitation
