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应用Fugl-Meyer评价针刺治疗脑卒中偏瘫的临床疗效 被引量:28

Evaluation of the effects of acpuncture for the treatment of hemipleyis in patients with stroke by Fugl-Meyer
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摘要 目的探讨利用针刺疗法如何最大限度恢复脑血管病后遗的肢体运动功能。方法60例脑血管意外偏瘫患者,按病历分为治疗组30例,对照组30例。两组基础治疗相同,治疗组在此基础上采用针刺疗法,软瘫期针刺患者肢体,痉挛期采用上肢阳经、下肢阴经的抗痉挛针法。利用Fugl-Meyer运动功能评价方法行评估。结果治疗组治疗前评分(38±26)分,治疗后(61±25)分;对照组治疗前(49±20)分,治疗后(58±22)分,两组比较,差异有显者性意义,t=2.106,P<0.05。结论①针刺疗法结合药物治疗对偏瘫患者功能恢复疗效显著。②利用现代功能评价方法进行评价更真实、确切、有效。 Aim To investigate the effect of acpuncture therapy in recovering the maximum limb motor function after cerebrovascular diseases.Methods Sixty patients with hemipleyis induced by cerebrovascular accident were equally divided into two groups according to the seriel number of medical record: treatment group (20 males and 10 females with an average age of 56.9 years) and control group (15 males and 15 females with an average age of 64.9 years). Two groups received the same basic treatment, and then only the treatment group received the acpuncture therapy for the limb of patients during the period of flaccid paralysis and the acpuncture therapy against spasm during the period of spasm. The results was assessed by Fugl Meyer.Results The scores of Fugl Meyer in the treatment group were 38± 26 and 61± 25 respectivey before and after treatment, with a significant difference (t=3.588, P< 0.01). The scores of Fugl- Meyer in the control group were 49± 20 and 58± 22 respectively before and after treatment, without an significant difference (t=1.617, P >0.05). After treatment there was a significant difference between the treatment and control groups (t=2.106, P< 0.05). Conclusion ① Acpuncture combined with drugs is very effective on the functional recovery of the patients with hemipleis. ② The method of moderm functional evaluation is more exact and effective.
出处 《中国临床康复》 CSCD 2003年第19期2711-2712,共2页 Chinese Journal of Clinical Rehabilitation
关键词 FUGL-MEYER 针刺治疗 脑卒中 偏瘫 疗效 肢体运动功能 cerebrovascular disorders/complications hemiplegia/rehabilitation hemiplegia/zhou JinLiaofa,recovery of funefion
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