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目的:探讨针刺百会穴结合功能训练对脑梗死患者ADL能力的影响。方法:96例恢复期脑梗死患者随机分为A、B组各48例,均按脑梗死常规处理,并结合康复程序进行功能训练;A组同时加以针刺治疗,以百会穴为主。于治疗前、治疗30、90d时采用神经功能缺损评定量表和改良Barthel指数评定患者神经功能缺损程度和ADL。结果:2组患者神经功能缺损评分在治疗后30及90d时分别与前一次评分比较均明显降低(均P<0.01);改良Barthel指数评分均明显提高;2组间比较,A组均优于B组(P<0.05)。结论:脑梗死患者在药物及功能训练的基础上结合针刺百会穴可显著提高临床疗效,降低神经功能缺损程度,促进ADL自理能力的提高。
Objective: To investigate the effect of combining acupuncture at Baihui acupoints on ADL ability in patients with cerebral infarction. Methods: Ninety-six patients with convalescent cerebral infarction were randomly divided into group A and group B (n = 48), all of whom were routinely treated with cerebral infarction. The patients were given functional training combined with rehabilitation procedures. Acupuncture was also given to group A at the same time. Before treatment, 30 and 90 days after treatment, neurological impairment scale and modified Barthel index were used to assess the degree of neurological deficit and ADL. Results: The scores of neurological deficit in the two groups were significantly lower than those of the previous one (all P <0.01) at 30 and 90 days after treatment, while the modified Barthel index was significantly improved. In the two groups, A group was better than Group B (P <0.05). Conclusion: The combination of acupuncture and Baihui acupuncture can significantly improve the clinical curative effect, reduce the degree of neurological deficit and promote the improvement of ADL self-care ability on the basis of drug and functional training.