摘要
目的探讨康复训练结合针刺对脑卒中患者神经功能缺损及日常生活活动(ADL)能力的作用。方法 120例脑卒中患者随机分为康复组、针刺组和结合组,每组40例。所有的患者给予常规药物治疗,康复组采用康复训练,针刺组加用针刺治疗,结合组给予康复组和针刺组的治疗。3组患者均于治疗前及治疗后4周采用神经功能缺损程度量表(NDS)和Barthel指数(BI)评定患者神经功能缺损程度和ADL能力。结果治疗后结合组的NDS和BI评分是(4.90±3.52)、(74.20±10.50),与康复组(10.50±3.20)、(47.50±15.80)和针刺组(8.30±3.65)、(62.70±12.60)比较,差异有统计数意义(p<0.05)。结论康复训练结合针刺早期干预,促进患者神经功能康复,提高ADL能力。
Objective To discusss the effects of early intervention of rehabilitation training and acupuncture on stroke patients with neurological impairment and activities of daily living（ADL）. Methods 120 stroke patients were randomly divided into the rehabilitation group ,acupuncture group and integration group with 40 cases in each. All the patients received routine drug therapy, but the rehabilitation group used rehabilitation training while acupunc- ture group added acupuncture treatment and the integration group based on the treatment of the rehabilitation group and acupuncture group. To assess neurologic impairment degree and ADL of the patients in three groups before treatment and 4 weeks after treatment with neurological deficit score （NDS） and Barthel Index （BI） respectively. Results After treatment,the NDS and BI scores of the integration group were （4.90 ＋ 3.52）, （ 74.20 ~ 10.50）, compared with the rehabilitation group（ 10.50 ~ 3.20）, （47.50 ~ 15.80） and acupuncture group（8.30 ＋ 3.65 ）, （62.70 ~ 12.60） ,and the difference was of statistical significance （p 〈 0.05）. Conclusion Early intervention of rehabilitation training combined with acupuncture can promote patients＇ neurological rehabilitation and improve their activities of daily living.
出处
《工企医刊》
2014年第1期541-543,共3页
The Medical Journal of Industrial Enterprise
关键词
脑卒中
针刺疗法
康复训练
神经功能缺损
日常生活活动
stroke
acupuncture treatment
rehabilitation training
neurological impairment
activities of daily living
