论文部分内容阅读
目的:通过观察针刺及运动再学习方案不同顺序使用对脑卒中后偏瘫患者运动能力的恢复,探讨针刺与康复结合的时效性。方法:选取75名6个月内脑卒中伴偏瘫患者,随机分为3组,根据针刺康复的不同组合顺序分为先针刺后运动再学习组(A组)、先康复后针刺组(B组)和针刺康复同时进行组(C组),分别在治疗前及治疗4周后采用日常生活能力(Barthel指数量表)、运动功能评定量表(MAS)和临床神经功能缺损程度评分(CSS)评价患者运动能力恢复程度。结果:3组的Barthel指数量表和MAS评价都有改善,其中B、C组在MAS评价中明显优于A组,P<0.05,差异具有显著意义。结论:针刺与运动再学习技术同时进行或先康复后针刺可能对卒中后偏瘫的康复更具疗效。
Objective: To observe the acupuncture and motor re-learning programs in different order of recovery after exercise in patients with hemiplegia after stroke to explore the timeliness of acupuncture and rehabilitation combined. Methods: Seventy-five stroke patients with hemiplegia within 6 months were randomly divided into three groups. According to the different combinations of acupuncture rehabilitation, they were divided into the first group after acupuncture exercise re-learning (A group), the first acupuncture group after rehabilitation (Group B) and acupuncture rehabilitation group (group C). The daily living ability (Barthel index scale), motor function assessment scale (MAS) and clinical neurological deficit Scoring (CSS) was used to assess the degree of motor recovery in patients. Results: The Barthel index scale and MAS evaluation improved in all three groups. The B and C groups were significantly better than the A group in MAS evaluation, P <0.05, the difference was significant. Conclusion: Acupuncture and motor re-learning techniques at the same time or after the first rehabilitation acupuncture may be more effective for the rehabilitation of post-stroke hemiplegia.