眼针对急性期缺血性脑卒中患者Fugl-Meyer、BI指数及疗效的影响汇总.pdf

摘 要 目的：观察眼针在治疗缺血性脑卒中急性期患者的运动功能 （Fugl-Meyer ）及日常 生活活动能力 （BI 指数）方面的影响，并进行临床疗效评价。 方法：将符合缺血性卒中急性期纳入标准的60 例患者，按照就诊的先后时间随机分 为对照组和治疗组。对照组采用颞三针和体针（体针取穴：肩髃、曲池、外关、合谷、 足三里、三阴交、太冲），治疗组在对照组的基础上加用眼针（眼针取穴：患侧肢上焦 区、下焦区、双侧白睛脉络变化区）。每日1 次，每周6 次，观察3 周。 结果：治疗3 周后，2 组患者的Fugl-Meyer、BI、神经功能缺损情况，均较治疗前 有明显的提高或恢复，且治疗组的各项评分的提高或恢复程度均优于对照组（P0.05）。 治疗组总有效率为93.3%，对照组总有效率为87.5%，比较无统计学意义，但明显进步人 数间比较，治疗组疗效优于对照组，比较有统计学意义。 结论：眼针能对缺血性脑卒中急性期患者的运动功能、日常生活自理能力及总有效 率方面的改善有促进作用。 关键词： 眼针；缺血性脑卒中；急性期； 运动功能； 日常生活活动能力 Observations the effects of using eye acupuncture in treating acute stroke patients. Abstract Objective:To observe the effect of using eye acupuncture in acute stroke patients on motor function,activities of daily living , then to evaluate the clinical effect. Movement function and activities of daily living before and after treatment were evaluated by Fugl － Meyer assess-ment ( FMA) and Barthel index in two groups Methods : 60 cases of Acute ischemic stroke were randomly divided into two groups.The patients of control group were treated with three acupoint of tempora and body acupuncture(body acupuncture acupoint:Jianyu、 Quchi、Waiguan、Hegu、Zusanli、Sanyinjiao、Taichong). The patients of therapeutic group use the eye acupuncture on the base of control group(the eye needle acupint selection:the lower burner area,the upper burner area and the significant changing area of white eyes collaterals). 1 times per day and 6 times per week.The course was three weeks in two groups.Results:After three weeks,the Fugl-Meyer and Barthel index of limb movement were significantly increased in comparison with those before treatment in two groups,the neurologic impairment grades were recovered. Although the effective rate between 2 groups was compared with the invalid rate had no statistical significance, but the comparison between the number of significant progress, the