摘要
目的以Brunnstrom分期指导针刺治疗,检验其改善脑梗死患者肢体功能障碍的有效性。方法68例脑梗死患者,采用单纯随机抽样法分治疗组38例,对照组30例。两组在采用药物治疗、康复治疗的基础上,治疗组加以Brunnstrom分期指导的针刺治疗,在辨证取穴的基础上BrunnstromⅠ～Ⅱ期用泻法,中至强度刺激;Ⅲ～Ⅳ期用泻法,中度刺激。对照组加用常规针刺治疗。结果采用Brunnstrom评估法和Fugl-Meyer评估法对病例进行评估。经3个疗程治疗,两组运动模式比较:治疗组上下肢改善率为87%;对照组改善率为73%。两组上下肢改善率比较,差异均无显著性义(χ2=1.978,P=0.1595)。两组运动功能改善比较:治疗组改善率为95%;对照组改善率为85%。两组上下肢运动功能改善率比较,差异均有显著性意义(χ2=9.0894,P=0.0026)。结论Brunnstrom分期指导针刺治疗能更好地改善脑梗死肢体运动功能障碍。
Aim To detect the effect of acupuncture t reatment under the instruction of Brunstrom on the limb dysfunction of patients with stroke.Methods Sixty-eight patients with stroke,37males,31females,aged from 47to 72years old were divided in to treatment group(n=38)and control group(n=30)according to random sample.On the basis of drug treatment and rehabilitation treatment,the treatment group was given t he treatment of acupuncture instructe d by Brunnstrom staging.The control group was given routine treatment of acupuncture.Results The cases were as-sessed by the methods of Brunnstrom a nd Fugl-Meyer.After three courses,motor patterns of two groups were com pared:the improvement rate was 87%in the treatment group and 73%in the c ontrol group.There were no signif-icant differences between two group s(χ 2 =1.978,P>0.05).The im-provement of motor function was also compared:the improvement rate was95%in the treatment group and 85%in t he control group.There were significant differences between tw o groups(χ 2 =9.0894,P=0.0026).Conclusion Acupuncture treatment instructed b y standard staging in mproving limb dysfunction of patien ts after stroke is efficient and feasible.
出处
《中国临床康复》
CSCD
2003年第10期1544-1545,共2页
Chinese Journal of Clinical Rehabilitation
关键词
标准分期
脑梗死
肢体功能障碍
有效性
针灸疗法
brain infarction /Zhen Jiu Liao Fa
e xtremities
movement disorders
rehabilitation
