部分前循环脑梗死急性期针刺和康复的介入对老年患者运动、认知及日常生活能力的影响

发布时间：2018-05-10 20:35

本文选题：脑梗死 + 康复　；参考：《中国老年学杂志》2016年04期

【摘要】：目的为探讨部分前循环脑梗死急性期针刺加康复的介入对偏瘫的老年患者认知、运动及日常生活能力的影响。方法选择180例部分前循环脑梗死急性期患者按照随机数字表法分成针刺组、康复组、针刺加康复组。针刺选百会、三阴交、太溪、血海、丰隆、足三里及配穴治疗,康复运动疗法(PT)、作业疗法(OT)等,疗程均为3个月。三组分别于入选时、第3、6个月应用Mo CA量表、NIHSS量表、Barthel index(BI)量表评定。结果针刺组、康复组、针刺+康复组三组比较,入选时三组之间无显著性差异(P0.05);在第3月、6月针刺组与康复组比较:Mo CA量表两组有显著性差异(P0.05);NIHSS量表两组有显著性差异(P0.05);BI量表评定,二者无显著性差异(P0.05)。在第3、6个月针刺+康复组与其他二组比较BI量表有显著性差异(P0.05)。结论针刺促进部分前循环脑梗死患者早期认知功能的恢复,康复促进患者运动功能恢复,针刺与康复手法合用更有利于患者日常生活能力康复。
[Abstract]:Objective to investigate the effect of acupuncture plus rehabilitation intervention on cognition, motor and daily living ability of elderly patients with hemiplegia in acute stage of partial anterior circulation cerebral infarction. Methods 180 patients with acute cerebral infarction of partial anterior circulation were randomly divided into acupuncture group, rehabilitation group, acupuncture plus rehabilitation group. Acupuncture, Sanyinjiao, Taixi, Xuehai, Fenglong, Zusanli and combined acupoint therapy, rehabilitation exercise therapy, occupational therapy, etc., for 3 months. The three groups were assessed with the MoCA / NIHSS and Barthel Index BI at the 3rd and 6th month. Results Acupuncture group, rehabilitation group and acupuncture rehabilitation group were compared. There was no significant difference between the three groups at the time of selection (P 0.05), but there was no significant difference between the two groups (P 0.05) and the NIHSS scale (P 0.05) in the 3rd month and the 6th month after acupuncture compared with the rehabilitation group (P 0.05), and there was no significant difference between the two groups (P 0.05). At the 3rd and 6th month, there was significant difference in BI scale between the rehabilitation group and the other two groups (P 0.05). Conclusion Acupuncture can promote the recovery of early cognitive function in patients with partial anterior circulation cerebral infarction and rehabilitation can promote the recovery of motor function. The combination of acupuncture and rehabilitation is more beneficial to the rehabilitation of patients' activities of daily living.
【作者单位】：唐山市工人医院神经内科;
【基金】：河北省卫生厅2010年度河北省医学适用技术跟踪项目计划课题(GL2010-42)
【分类号】：R743.3

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