针刺、推拿联合运动疗法治疗脑梗死急性期临床研究
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R743.3;R255.2;R246

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上海市进一步加快中医药事业发展三年行动计划(ZY3-LCPT-1-1008);上海市卫生计生系统重要薄弱学科建设计划(2015ZB0407);上海市虹口区“国医强优”三年行动计划建设项目(HGY-ZWB-2018-01)


Clinical Study on Acupuncture and Tuina Combined with Exercise Therapy for Cerebral Infarction at Acute Stage
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    摘要:

    目的:观察针刺、推拿联合运动疗法对脑梗死急性期患者神经功能缺损、运动功能、日常生活活动能力及病残程度的影响。方法:选取60 例脑梗死急性期患者,通过中央随机分组法分为试验组和对照组各30 例。对照组给予现代康复方案治疗,试验组在对照组基础上加用针刺、推拿联合运动疗法治疗,2 组均治疗2 周。观察2 组治疗前、治疗2 周及治疗后随访3 个月时美国国立卫生研究院卒中量表(NIHSS)、简化Fugl-Meyer 运动功能评定量表(FMA)、Barthel 指数(BI) 评分及病残程度的变化。结果:治疗2 周,2 组NIHSS 评分均较治疗前降低(P<0.05),FMA 评分均较治疗前升高(P<0.05);试验组NIHSS评分低于对照组(P<0.05),FMA 评分高于对照组(P<0.05)。治疗后随访3 个月,试验组FMA 评分高于对照组(P<0.05)。治疗2 周,2 组BI 评分及病残程度均较治疗前改善(P<0.05);组间比较,差异均无统计学意义(P>0.05)。治疗后随访3 个月,试验组BI 评分及病残程度均优于对照组(P<0.05)。结论:针刺、推拿联合运动疗法可以改善脑梗死急性期患者的神经功能缺损程度和运动功能,对改善其日常生活活动能力及病残程度远期疗效较好。

    Abstract:

    Abstract: Objective: To observe the effect of acupuncture and tuina combined with exercise therapy on neurologic impairment, motor function, activity of daily living and disability degree in patients with cerebral infarction at acute stage. Methods:A total of 60 cases of patients with cerebral infarction at acute stage were divided into the experiment group and the control group according to the center random method, 30 cases in each group. The control group was treated with modern rehabilitation scheme,and the experiment group was additionally treated with acupuncture and tuina combined with exercise therapy. Both groups were treated for two weeks. Before treatment,after treatment for two weeks and after threemonth follow-up , the changes in scores of National Institutes of Health Stroke Scale(NIHSS) , Fugl-Meyer Assessment (FMA) and Barthel Index(BI) as well as disability degree in the two groups were observed. Results:After treatment for two weeks,the NIHSS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the FMA scores were increased(P<0.05);the NIHSS score in the experiment group was lower than that in the control group(P< 0.05) , and the FMA score was higher(P < 0.05). After three-month follow-up after treatment , the FMA score in the experiment group was higher than that in the control group(P<0.05). After treatment for two weeks, the BI scores and disability degree in the two groups were improved when compared with those before treatment(P<0.05); there was no significant difference being found in the comparison between the two groups(P>0.05). After three- month follow- up after treatment,the BI scores and disability degree in the experiment group were better than those in the control group(P>0.05). Conclusion:The application of acupuncture and tuina combined with exercise therapy for patients with cerebral infarction at acute stage can improve their neurologic impairment and motor function, and has a good long- term curative effect on improving the activities of daily living and the disability degree.

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马玉玺,张同锴,齐瑞.针刺、推拿联合运动疗法治疗脑梗死急性期临床研究[J].新中医,2020,52(20):127-130

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  • 在线发布日期: 2020-10-19
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