摘要
目的探讨针灸结合康复治疗对脑外伤瘫痪患者的疗效。方法采用随机对照实验,实验组采用针灸结合常规康复治疗,对照组单纯常规康复治疗,15 d为1个疗程,观察6个疗程。于治疗前与第2、4、6疗程结束进行简式FuglMeyer运动功能评定法(FMA)与改良Barthel指数(MBI)评分。采用SPSS 19.0进行重复测量数据方差分析与多元方差分析,比较两组结果。结果两组FMA和MBI比较,数据球形性检验分别为Mauchly W=0.888 9,P=0.072、Mauchly W=0.906,P=0.134,数据符合球形性。实验组的FMA评分高于对照组(F=23.35,P<0.01);重复测量数据方差分析发现,不同时间点之间FMA比较(F=83.17,P<0.01);时间与治疗方案之间有交互作用(F=2.65,P<0.05),说明时间因素的作用随着分组不同而不同;实验组的MBI评分高于对照组(F=27.52,P<0.01)。不同时间点之间MBI比较(F=116.84,P<0.01);时间与治疗方案之间有交互作用(F=4.02,P<0.01),说明时间因素的作用随着分组不同而不同。结论针灸结合康复治疗脑外伤瘫痪患者的疗效优于单纯康复治疗。
Objective To evaluate the therapeutic effect of acupuncture for paralyse caused by cerebral trauma. Methods Random control trial was adopted. Acupuncture combined rehabilitation and rehabilitation were applied to experiment group and control group, respectively. Six courses were treated and each course took 15 days. Fugl-Meyer Assessment（FMA） and Modified Barthel Index（MBI） were tested at the beginning of treatment and at the end of 2 courses, 4 courses and 6 courses. SPSS 19. 0 was applied to analysis and repeat measurement variance a-nalysis and multivariate variance analysis were adopted. Results The spherical test for FMA and MBI showed Mauchly W=0. 888 9,P=0. 072 and Mauchly W=0. 906,P=0. 134, respectively. The FMA score of experiment group was higher than control with the F=23. 35,P＆lt;0. 01, and significant difference was found between different time, with the F=83. 17,P＆lt;0. 01. The interaction effect was found between time and treatment measures, with the F=2. 65,P＆lt;0. 05. The MBI score of experiment group was higher than control, with the F=7. 52,P＆lt;0. 01, and significant difference was found between different time, with the F=116. 84,P＆lt;0. 01. The interaction effect was found between time and treatment measures, with the F=4. 02,P＆lt;0. 05. Conclusion The curative effect of acupuncture combined rehabilitation is higher than rehabilitation only for paralysis caused by cerebral trauma.
出处
《安徽医科大学学报》
CAS
北大核心
2014年第2期254-257,共4页
Acta Universitatis Medicinalis Anhui
基金
国家自然科学基金青年基金(编号:2009KJ25)
关键词
脑外伤
瘫痪
针灸
cerebral trauma
paralyse
acupuncture
