《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (07): 653-654.

• 临床研究 • 上一篇    下一篇

针刺配合神经促进技术对脑卒中患者下肢功能及日常生活活动能力的影响

张金星; 崔贵祥; 朱士文; 郑舒畅; 吴士杰   

  1. 山东省残疾人康复中心康复科,山东济南市 250000
  • 收稿日期:2007-02-06 出版日期:2007-07-01 发布日期:2007-07-01

Effect of Acupuncture Combined with Facilitated Technique on Lower Limb Function and Activities of Daily Living of Stroke Patients

ZHANG Jin-xing, CUI Gui-xiang, ZHU Shi-wen, et al   

  1. Department of Rehabilitation, The Rehabilitation Center for Disabled People of Shandong, Jinan 250000, Shandong, China
  • Received:2007-02-06 Published:2007-07-01 Online:2007-07-01

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摘要： 目的探讨针刺配合神经促进技术对脑卒中患者下肢功能及日常生活活动能力(ADL)的影响。方法将120例脑卒中下肢瘫患者分为4组,每组30例:Ⅰ组应用针刺和促进技术治疗,Ⅱ组应用针刺治疗,Ⅲ组应用促进技术治疗,Ⅳ组应用单纯药物治疗。观察治疗前后各组功能性步行分级(FAC),简式Fugl-Meyer评分(FMA),改良Barthel指数(MBI)的变化。结果治疗10周后,各组指标均有明显变化。Ⅰ组明显优于其他3组(P<0.01),Ⅰ、Ⅱ、Ⅲ组明显优于Ⅳ组(P<0.01),Ⅱ、Ⅲ组之间比较无显著性差异(P>0.05)。结论针刺配合神经促进技术能更有效地提高脑卒中患者下肢功能及日常生活活动能力。

关键词: 脑卒中, 针刺, 促进技术, 下肢功能, 日常生活活动能力(ADL)

Abstract: Objective To explore the effect of acupuncture combined with facilitated technique on lower limb function and activities of daily living of stroke patients.Methods 120 stroke patients with lower limb palsy were divided into the group Ⅰ (treated with acupuncture combined with facilitated technique), group Ⅱ (treated with acupuncture), third group Ⅲ (treated with facilitated technique) and the group Ⅳ (treated with medicine). The lower limb function and ADL of four groups were evaluated with Functional Ambulation Classification (FAC), Fugl-Meyer Assessment (FMA), Modified Barthel Index (MBI) before and 10 weeks after treatment.Results The scores of FAC, FMA and MBI of all the groups improved significantly, but it was more significantly in the first group than the in other groups (P<0.01), in group Ⅰ, Ⅱ, Ⅲ than in group Ⅳ (P<0.01). The difference between the group Ⅱ and Ⅲ was insignificantly(P>0.05).Conclusion Acupuncture combined with facilitated technique can improve the lower limb function and activities of daily living of stroke patients more effectively.

Key words: stroke, acupuncture, facilitated technique, the functional of lower limb, activities of daily living(ADL)