康复训练联合针刺对中风后遗症患者神经功能和运动能力的影响

范学科; 郭林

康复训练联合针刺对中风后遗症患者神经功能和运动能力的影响

范学科,
郭林

乐山职业技术学院附属医院，四川乐山 614000

计量
- 文章访问数: 876
- HTML全文浏览量: 5
- PDF下载量: 982
- 被引次数: 0
出版历程
- 收稿日期: 2016-03-20
- 修回日期: 2016-05-27
- 刊出日期: 2016-09-10

Influence of Acupuncture Combined with Rehabilitation Training on Neurological Function and Athletic Ability in Patients with Apoplexy Sequela

FAN Xue-ke,
GUO Lin

摘要

摘要: 目的探讨康复训练联合针刺对中风后遗症患者神经功能和运动能力的影响。方法 134例中风后遗症患者随机分为研究组(67)和对照组(67)，研究组给予康复训练联合针刺，对照组单纯给予针刺治疗，疗程8周。比较2组治疗前后的神经功能、日常生活能力(ADL)和患肢运动能力的变化，比较2组的临床疗效。结果治疗后2组的NIHSS评分明显下降、Barthel指数和Fugl-Meyer评分明显增加，与治疗前比较，P<0.05~0.01，组间比较，P<0.05。研究组总有效率为92.54% (62/67)，对照组为71.64% (48/67)，组间比较，P<0.01。结论针刺结合康复训练能明显改善中风后遗症患者神经功能和运动能力。
- 康复训练 /
- 针刺 /
- 中风后遗症 /
- 日常生活能力
Abstract: OBJECTIVE To explore the influence of acupuncture combined with rehabilitation training on neurological function and athletic ability in patients with apoplexy sequela. METHODS 134 cases of apoplexy sequela were randomly divided into the study group and control group， with 67 cases in each group. Patients in the study group were given acupuncture combined with rehabilitation training， while those in the control group were given pure acupuncture， with the treatment course lasting for 8 weeks. Then changes of the neurological function， activity of daily living(ADL) and athletic ability of the affected extremity were compared between the two groups to evaluate the curative effects. RESULTS NIHSS scores of both groups went down notably， whereas Barthel index and Fugl-Meyer scores went up evidently， with a statistical significance when compared to the situation before treatment(P<0.05~0.01). The changes of the study group was more evident， with a statistical significance when compared to the control group(P<0.05). The total curative rate of the study group was 92.54%(62/67)， which was superior to 71.64% (48/67) of the control group with a statistical significance(P<0.01). CONCULSION Acupuncture combined with rehabilitation training is able to improve both neurological function and athletic ability in patients with apoplexy sequela.
- rehabilitation training /
- acupuncture /
- apoplexy sequela /
- activity of daily living

HTML全文

参考文献(12)

[1]	全国第4届脑血管病学术会议.脑中卒患者临床神经功能缺损程度评分标准[J].中华神经内科学，1996，29(6):381.
[2]	The 4th National Cerebrovascular Disease Conference. Score standard of clinical neural function defect degree among patients with stroke[J]. Chin J Neurol， 1996， 29(6): 381.
[3]	国家中医药管理局脑病急症协作组. 中风病诊断与疗效评定标准（试行）[J]. 北京中医药大学学报，1996，19(1): 55-56.
[4]	Encephalopathy Emergency Group of State Chinese Medicine Administration Bureau. Standard for diagnosis and therapeutic effect evaluation of stroke (trial)[J]. J Beijing Univ Tradit Chin Med， 1996， 19(1): 55-56.
[5]	王拥军.神经病学临床评定量表[M].北京:中国友谊出版公司，2005:283-287， 25-26，293.
[6]	WANG YJ. Clinical Rating Scale for Neurology[M]. Beijing: China friendship publishing company， 2005: 283-287， 25-26，293.
[7]	卢永清，许明凤. 针刺合并吸氧对中风后遗症患者神经功能缺损及血液流变学的影响[J]. 中医药临床杂志，2006，18(6): 551-552.
[8]	LU YQ， XU MF. Influence of acupuncture combined with oxygen inhalation on neurological function and hemorheology in patients with apoplexy sequela[J]. Clin J Tradit Chin Med， 2006， 18(6): 551-552.
[9]	崔光升. 针刺配合康复训练治疗中风后遗症患者的疗效观察[J]. 中西医结合心血管病杂志，2015，3(4):92-93.
[10]	CUI GS. Clinical observation of acupuncture and rehabilitation training on stroke sequela[J]. Cardiovas Dis J Integra Tradit Chin Wes Med， 2015， 3(4): 92-93.
[11]	尹景春，周国平，周桂华，等. 全经针刺配合康复训练治疗中风后肩手综合征疗效观察[J].上海针灸杂志，2014，34(1):7-10.
[12]	YI JC， ZHOU GP， ZHOU GH， et al. Therapeutic observation of acupuncture at the interiorly-exteriorly related meridians plus rehabilitation training for post-stroke shoulder-hand syndrome[J]. Shanghai J Acupunct Moxib， 2014， 34(1): 7-10.