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综合康复治疗结合子午流注低频治疗仪对脑卒中偏瘫患者肢体功能的影响

发布时间:2018-11-20 14:11
【摘要】:[目的]观察综合康复治疗结合子午流注低频治疗仪对脑卒中偏瘫患者肢体功能的影响。[方法]选取2012年5月—2015年5月在中国康复研究中心北京博爱医院住院治疗的脑卒中患者60例,将符合纳入标准的患者按照随机数字表法分为治疗组和对照组(各30例),两组均给予肢体综合康复治疗[运动疗法(PT)、作业疗法(OT)、针灸治疗],治疗组在综合康复治疗同时结合使用子午流注低频治疗仪,根据患者就诊时间段选取相应的开穴进行治疗,共治疗2个月。采用美国国立卫生院卒中评分量表(NIHSS)、简化Fugl-Meyer运动功能评分法、改良的Ashworth、Berg平衡量表进行疗效评价。[结果]NIHSS神经功能评分、改良的Ashworth评分、Berg平衡功能:治疗1个月后治疗组与对照组无显著性差异,治疗2个月后两组比较差异有统计学意义(P0.05)。Fugl-Meyer运动功能评分在治疗1个月和治疗2个月后治疗组与对照组比较差异无统计学意义(P0.05)。[结论]脑卒中偏瘫患者肢体综合康复治疗的同时结合子午流注低频治疗仪可有效地改善脑卒中偏瘫患者的神经功能缺损程度、平衡功能,增加肌张力。
[Abstract]:Objective: to observe the effect of comprehensive rehabilitation therapy combined with low frequency meridian flow therapy on limb function of stroke hemiplegic patients. [methods] from May 2012 to May 2015, 60 stroke patients who were hospitalized in Beijing Boai Hospital, China Rehabilitation Research Center, were randomly divided into treatment group (n = 30) and control group (n = 30). Both groups were given comprehensive rehabilitation of limbs [exercise therapy, (PT), operation therapy, (OT), acupuncture treatment]. The treatment group was treated with the combination of comprehensive rehabilitation therapy and low frequency meridian flow therapy instrument. The patients were treated with open points for 2 months. The stroke score scale (NIHSS),) of the National Institutes of Health (NIH) was used to simplify the Fugl-Meyer motor function score and the modified Ashworth,Berg balance scale was used to evaluate the curative effect. [results] NIHSS neurological function score, modified Ashworth score and Berg balance function: there was no significant difference between the treatment group and the control group after one month of treatment. After 2 months of treatment, there was significant difference between the two groups (P0.05). There was no significant difference in Fugl-Meyer motor function score between the treatment group and the control group after 1 month treatment and 2 months treatment (P0.05). [conclusion] the comprehensive rehabilitation treatment of hemiplegia patients with stroke combined with the low frequency meridian flow therapy instrument can effectively improve the degree of neurological deficit, balance function and increase muscle tension in patients with hemiplegia after stroke.
【作者单位】: 中国康复研究中心北京博爱医院中西医结合康复科;首都医科大学康复医学院;
【基金】:中国康复研究中心基金项目(2012-25)
【分类号】:R743.32

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