针刺疗法在脑卒中早期康复中的应用研究

关键词：生存质量 运动功能 针刺疗法 早期康复 脑卒中

Keywords:quality of life,motor function,acupuncture,early rehabilitation,stroke

摘要：

      目的:探讨针刺对中风患者的运动功能、ADL、QOL的影响,以及早期针刺介入是否可行。方法:57例急性脑卒中患者,随机分为针刺康复组(29例)和单纯康复组(28例)。针刺康复组在Bobath疗法基础上加针刺治疗。比较两组功能改善的情况,观察两组继发并发症的发生率,以对比两组的QOL。结果:治疗后,针刺康复组的运动功能评分高于单纯康复组(P<0.05),ADL能力改善也略优于单纯康复组。两组间痉挛级别分布和肌痉挛发生率差异无显著性。针刺康复组的痛肩发生率低于单纯康复组(P<0.05),但两组间肩手综合征和足下垂或足内翻的发生率差异无显著性意义。结论:针刺与早期康复的叠加疗效优于单纯康复治疗。

Abstract:

      Objective:To observe the effect of acupuncture on motor function,ADL and QOL in hemiplegics after stroke,and to investigate the possibility of using the acupuncture in the early rehabilitation for stroke patients. Method:57 patients suffered from acute stroke,were randomly divided into two groups:acupuncture and rehabilitation group(29 cases),rehabilitation group(28 cases). The patients in rehabilitation group carried out physical therapy, the patients in the acupuncture and rehabilitation group added the acupuncture treatment. The score of CNS,FMA,MBI and incidence of complication were compared.Result:The patients in the acupuncture and rehabilitation group got better score of FMA and MBI than the rehabilitation group,but the difference of MBI was insignificant.Acupuncture combined with the early rehabilitation was more effective on cure the shoulder pain. But there was no significant difference on the incidence of myospasm, shoulder-hand syndrome and the drooped foot between the two groups.Conclusion:Acupuncture combined with the early rehabilitation may improve motor function and raise the ADL scores of patients after stroke.Meanwhile,this therapy may reduce the incidence of complication in various degrees.