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目的:探索规范针刺结合功能训练治疗对社区脑卒中患者神经功能的影响。方法:将长宁区三个社区176例脑卒中患者根据区域随机分为康复组和对照组,根据病程分为软瘫期(Brulmstrom Ⅰ、Ⅱ)、痉挛期(BrunnstromⅢ、Ⅳ)、恢复期(BrunnstromⅤ、Ⅵ)、后遗症期;康复组在常规内科治疗的基础上给予规范的针灸结合功能训练治疗,对照组仅给予一般的常规内科治疗,分别在治疗后2个月月未和5个月月末采用临床神经功能缺损程度量表进行神经功能评定。结果:规范针刺结合功能训练社区康复治疗5个月后,两组患者的神经功能评分均降低,康复组与对照组相比具有显著性差异(P<0.01)。结论:规范针刺结合功能训练的社区康复治疗对脑卒中患者的神经功能的恢复有促进作用.
Objective: To explore the effect of regulating acupuncture combined with functional training on neurological function in community stroke patients. Methods: One hundred and sixty-six stroke patients in three communities of Changning district were randomly divided into rehabilitation group and control group according to the region. According to the course of the disease, they were divided into three groups: Brulnstrom Ⅰ, Ⅱ, Brunnstrom Ⅲ, , Ⅵ) and sequelae. The rehabilitation group was given standard acupuncture and moxibustion combined with functional training on the basis of routine medical treatment, while the control group was given only general conventional medical treatment, respectively, two months after treatment and five months after the end of treatment Clinical neurological deficit scale for neurological function assessment. Results: After five months of community-based rehabilitation training with standardized acupuncture combined with functional training, the scores of neurological function decreased in both groups. There was significant difference between rehabilitation group and control group (P <0.01). CONCLUSION: Community-based rehabilitation, which regulates acupuncture combined with functional training, can promote the recovery of neurological function in patients with stroke.