摘要
目的:探讨不同针灸介入时机对急性脑梗死偏瘫预后的影响,筛选针灸治疗最佳介入时机。方法:1999-01/2004-06邢台市人民医院康复科收治发病72h内的脑卒中患者195例,按随机数字表法分为3组:始发态介入组(n=65),2周介入组(n=65),4周介入组(n=65),在药物治疗和康复护理的同时分别于始发态(发病72h内)、2,4周介入针灸治疗(上肢曲池、肩隅等,下肢环跳、阳陵泉等),连续治疗4周。应用简化Fugl-Meyer运动功能评分法、改良Barthel指数于治疗前,治疗后4,8周分别进行运动功能、日常生活活动能力测评,评分越高效果越好。结果:按实际处理分析,182例患者(始发态介入组62例,2周介入组60例,4周介入组60例)进入结果分析。①Fugl-Meyer运动功能评分:至治疗8周时,始发态和2周介入组均较4周介入组显著提高(81.07±13.40,77.54±13.17,69.01±15.68,q=12.28,8.76,P<0.01),且始发态介入组还明显高于2周介入组(q=3.60,P<0.05),但3组均较治疗前显著提高(40.17±15.43,39.75±16.04,40.22±14.75,F=40.97,P<0.01)。②改良Barthel指数得分:至治疗8周时,始发态和2周介入组均较4周介入组显著提高(81.30±17.34,79.47±12.54,70.17±14.56,q=12.48,10.72,P<0.01),但前2组比较无差异(q=2.11,P>0.05),3组与治疗前比评分均显著提高(34.
AIM:To study the effect of acupuncture therapy on prognosis of hemiplegia in patients with cerebral infarction at different treatment time and select the best opportunity to treat the patients with acupuncture. METHODS:All 195 patients treated in the Department of Rehabilitation Medicine,the People's Hospital of Xingtai from January 1999 to June 2004 were divided randomly into 3 groups:initial stage group(n=65),week 2 group(n=65) and week 4 group(n=65).With the same drug treatment and rehabilitation nursing,they were treated by acupuncture therapy(Quchi,Jian'ou, etc.in upper limb;Huantiao, Yanglingquan,etc.in lower limb) at initial stage(within 72 hours) at the 2nd week and the 4th week for 4 consecutive weeks.The motor function and activity of daily life of patients were detected by using Fugl Meyer Assessment and improved Barthel Index before and 4 and 8 weeks after treatment,respectively.The higher the scores were,the better the curative effect was. RESULTS:A total of 182 patients(62 cases were in initial stage group,60 cases in week 2 group,60 cases in week 4 group) were involved in the result analysis.① Scores on Fugl Meyer Assessment increased significantly at week 8 in initial stage and week 2 groups as compared with week 4 group(81.07± 13.40,77.54± 13.17,69.01± 15.68,q=12.28,8.76,P< 0.01),which was obviously higher in initial stage group than week 2 group(q=3 .60,P< 0.05);the scores in three groups increased significantly as compared with those before treatment(40.17± 15.43,39.75± 16.04,40.22± 14.75,F =40.97,P< 0.01).② Scores on improved Barthel Index increased significantly at week 8 in initial stage and week 2 groups as compared with week 4 group(81.30± 17.34,79.47± 12.54,70.17± 14.56,q=12.48,10.72,P< 0.01),but there was no significant difference between the former two groups(q=2.11,P >0.05);the scores in three groups increased significantly as compared with those before treatment(34.82± 9.31,33.79± 10.35,34.15± 9.87,F=47.69,P< 0.01).③ No blood coagulatlon disturbance, liver or renal functional impairment due to therapy occurred in the three groups. CONCLUSION:Acupuncture therapy can improve the motor function and activity of daily life in patients with stroke.The earlier the therapy is,the better the effect is.Early therapy with acupuncture is safe and effective.
出处
《中国临床康复》
CSCD
北大核心
2005年第17期128-129,共2页
Chinese Journal of Clinical Rehabilitation
