脊穴点段针刺疗法对脑卒中患者运动功能恢复的临床研究.pdfVIP

摘 要 摘 要 目的：本研究通过对脊穴点段疗法在脑卒中患者运动功能恢复方面的疗效进行观 察，旨在探索脑卒中恢复期运动功能康复的有效方法，探讨脊穴点段针刺疗法对脑卒中 恢复期患者运动功能恢复的疗效并探讨其作用机理，为脊穴点段针刺疗法的临床推广、 应用提供理论依据。 方法：选取符合标准的临床观察对象，按照随机分组的原则，分为治疗组和对照组。 对照组的患者，给予西医康复及普通针刺治疗；对于治疗组的患者给予脊穴点段针刺治 疗及西医康复方案治疗。根据患者综合状况及功能状态作出初次评定，在治疗两个月后 再给予患者的功能状态进行一次康复评定，评定内容包括简化 Fugl-Meyer 运动功能评 定（FMA）、日常生活能力评定（BarthelIndex 评分）和美国国立卫生院脑卒中评定表 （NIHSS）评定。用统计学软件对结果进行分析处理。 结果：两组治疗前FMA、BI评分、NIHSS无明显差异(P0.05)；治疗后治疗组FMA、 BI评分、NIHSS方面较对照组有明显差异(P0.05)。 结论：脊穴点段针刺疗法可显著改善脑卒中患者的运动功能恢复，操作简单，安全 性高；并证实了“闸门”理论的正确性。 关键词 脑卒中 脊穴点段针刺疗法 运动功能 I Abstract Abstract Objective： This research aims at study the clinical of functional recovery of the stroke patients which treated by JiXueDianDuan Acupuncture. Aims to explore the effective way to recovery of motor function recovery in stroke patients Methods: According to the standard cases and case exclusion criteria, select Clinical observation of objects. Basis on the randomization, Divided into treatment and control groups. The comparison group were treated by Western medicine rehabilitation program which dominated by neuromuscular promote technology. The treatment group were treated by Western medicine rehabilitation program and JiXueDianDuan Acupuncture. We conducted a rehabilitation assessment which include FMA、BarthelIndex 、NIHSS two monthes after treatment. Use statistical software to analyze the examinations results to explore the association between the two groups. Result: Treatment group and comparison group of patients with FMA 、BarthelIndex 、 NIHSS have no significant difference (P0.05) ； Treatment group and comparison group h