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目的:观察分期针刺配合康复治疗技术对急性期脑卒中患者运动功能的影响。方法:将病程<2周的脑卒中偏瘫患者80例随机分为A、B 2组各40例,按急性期常规处理的同时均进行促通技术为主的治疗方法,A组并增加分期针刺疗法。治疗前及治疗2月后以Fugl-Meyer运动功能指数(FMA)和脑卒中病损评估法(SIAS)评定2组患者的运动功能。结果:FMA运动功能评分与治疗前比较,2组均有显著提高(P<0.01),且A组优于B组(P<0.01)。SIAS评分与治疗前比较,A组显著提高(P<0.01),B组则无显著变化。结论:分期针刺配合促通技术可以显著促进偏瘫患者运动功能的恢复,减少病损程度。
Objective: To observe the effect of staged acupuncture combined with rehabilitation therapy on motor function in patients with acute stroke. Methods: Eighty patients with hemiplegia during stroke less than 2 weeks were randomly divided into A and B 2 groups, 40 cases each. All of them were treated with acute-phase conventional therapy while group A was given staged needle Stinging therapy. Before and after treatment for 2 months, the motor function of the two groups was evaluated by Fugl-Meyer Motor Function Index (FMA) and Stroke Loss Assessment (SIAS). Results: The score of motor function of FMA group was significantly higher than that before treatment (P <0.01), and group A was better than group B (P <0.01). SIAS score was significantly higher in group A than that in group A (P <0.01), but no significant change in group B. Conclusion: The staged acupuncture combined with thrombus can significantly promote the recovery of motor function in patients with hemiplegia and reduce the degree of lesion.