巨刺法结合康复训练治疗软瘫期脑卒中患者的临床研究.pdfVIP

目 录 中文摘要·················································1 英文摘要·················································2 前言········．．···································一······4月IJ舌·····················································4 正文 临床资料··············································5 治疗方法··············································7 研究结果·······························-··············lO 分析与讨论············································16 结乇《≥··················································23 参考文献·····································…·················24 j琴[谢·····················································26 附勇乏·····················································27 文献综述·················································36 作者简历·················································41 ， - { 巨刺法结合康复训练治疗软瘫期脑卒中患者的临床研究 高燕玲向燕玲 中文摘要 目的： 观察巨刺法结合康复训练治疗软瘫期脑卒中患者的临床疗效，为临床治疗软瘫期脑 卒中患者提供参考。 方法： 将40例符合纳入标准的软瘫期脑卒中患者随机分为治疗组和对照组，每组各20例。 在同样康复训练的基础上，治疗组于患者肢体软瘫期针刺相应的健侧穴位，对照组则针 刺患侧肢体穴位。两组患者每日治疗1次，每周6次，整个疗程为3周。在治疗前，治疗3 指数量表评定患者的日常生活活动能力。并记录本研究方案期间所有患者偏瘫上下肢体 的软瘫期持续时间。 结果： 下肢运动评分及总运动评分、改l是Barthel指数积分在治疗后均有提高，与治疗前相比， 差异有统计学意义(P0．05)。 异有统计学意义(P0．05)，治疗组优于对照组。 评分及总运动评分、改良Barthel指数积分与偏瘫上肢软瘫期持续时间呈负相关。偏瘫下 指数积分与偏瘫下肢软瘫期持续时间呈负相关。(r一0．809---一0．507，P(0．01) 结论： (1)巨刺法结合康复训练和患侧针刺结合康复训练均可改善软瘫期脑卒中患者偏 瘫肢体恢复程度、运动功能、日常生活活动能力。但前者优于后者。 (2)与患侧针刺结合康复训练组相比，巨刺法结合康复训练组的脑卒中患者偏瘫 肢体软瘫期持续时间较短。 (3)脑卒中后偏瘫肢体的恢复程度、运动功能、日常生活活动能力的恢复与偏瘫 肢体软瘫期持续时间呈负相关，说明缩短脑卒中后偏瘫肢体软瘫期持续时间有助于偏瘫 肢体恢复程度、运动功能、日常生活活动能力的提高。 关键词：脑卒中软瘫巨刺康复 TheClinicalof Combined StudyOpposingNeedling with inPatientswithStroke Rehabilitation of Training