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目的:研究早期针灸与康复对缺血性中风病人生存质量和社会融入的影响。方法:选择在本院住院的早期脑血管病人114例随机分为针灸组、康复组,针灸与康复组和对照组。治疗组的病人除接受常规脑血管病药物治疗外,生命体征稳定后,给予针灸治疗或早期康复治疗。对照组只接受脑血管病药物治疗。各组病人于入选时、出院时、出院后6个月分别给予各项量表评估。并对部分患者血中内皮素和NO进行检测,对其机理进行初步探讨。结果:统计资料显示4组出组与入选时相比,除脑卒中神经缺损、HDS-R外,针灸加康复组疗效均明显优于其它3组(P<0.01);4组患者在出院6个月后与出组时得分比较,针灸加康复组在脑卒中神经缺损、FIM、HDS-R方面均明显优于其它3组(P<0.01)。结论:针灸结合康复治疗对于缺血性中风患者生存质量和社会融入度方面不论在短期疗效还是在长期效应上都优于单纯针灸治疗或单纯康复疗法。
Objective: To study the effect of early acupuncture and rehabilitation on the quality of life and social integration of ischemic stroke patients. Methods: 114 patients with early cerebrovascular disease who were hospitalized in our hospital were randomly divided into acupuncture group, rehabilitation group, acupuncture and rehabilitation group, and control group. Patients in the treatment group were given acupuncture or early rehabilitation in addition to routine medical treatment of cerebrovascular disease after the vital signs were stabilized. The control group received only medication for cerebrovascular disease. Patients in each group were enrolled, discharged, 6 months after discharge were given various scales to assess. And some patients blood endothelin and NO were detected, the mechanism of a preliminary study. Results: Compared with the other three groups, the results of acupuncture plus rehabilitation group were significantly better than those of the other three groups (P <0.01) except for the neurological deficit of stroke and HDS-R, A month later, when compared with the other three groups, acupuncture and Kang Fu rehabilitation group were significantly better than the other three groups in neurological deficits, FIM and HDS-R (P <0.01). Conclusion: Acupuncture combined with rehabilitation therapy is superior to simple acupuncture or simple rehabilitation therapy in both short-term and long-term effects on quality of life and social inclusion in patients with ischemic stroke.