针刺配合Bobath疗法治疗脑梗死后功能障碍的研究

发布时间：2017-12-26 20:21

本文关键词：针刺配合Bobath疗法治疗脑梗死后功能障碍的研究　出处：《四川中医》2017年04期 　论文类型：期刊论文

【摘要】：目的:观察针刺配合Bobath疗法治疗脑梗死后功能障碍的疗效。方法:选取我院2012年3月至2015年3月200例脑梗死患者为研究对象,将患者抽签随机分为A、B、C、D组,每组50例。A组给予针刺结合Bobath技术治疗,B组给予针刺治疗,C组给予Bobath技术治疗,均治疗1个月,D组未接受康复治疗;比较四组治疗前、治疗1个月后及3月后疗效,采用Brunnstrom偏瘫运动功能评定患者Brunnstrom分期,采用Fugl-Meyer(FMA)评定运动功能,采用Barthel指数评定日常生活能力,采用独立功能性量表(FIM)评定患者独立能力。结果:四组治疗1、3个月后Brunnstrom分期、运动功能、日常生活能力及独立能力均优于治疗前,有统计学意义(P0.05);B、C组Brunnstrom分期高于D组,运动功能、日常生活能力及独立能力低于D组,有统计学意义(P0.05);A组Brunnstrom分期高于B、C、D组,运动功能、日常生活能力及独立能力低于B、C、D组,有统计学意义(P0.05)。A组有效率94.00%高于B组80.00%、C组78.00%、D组58.00%,有统计学意义(P0.05);B组、C组有效率高于D组,有统计学意义(P0.05)。结论:针刺配合Bobath疗法治疗脑梗死后功能障碍效果显著,可改善患者Brunnstrom分期、运动功能、日常生活能力及独立能力,具有较好的临床应用价值。
[Abstract]:Objective: To observe the curative effect of acupuncture combined with Bobath therapy in the treatment of cerebral infarction after cerebral infarction. Methods: 200 cases of cerebral infarction were selected from March 2012 to March 2015 in our hospital. The patients were randomly divided into groups of A, B, C and D, with 50 cases in each group. A group was given acupuncture combined with Bobath treatment, B group was given acupuncture treatment, C group received Bobath treatment, all patients were treated for 1 months, D group did not receive rehabilitation treatment; compare the efficacy of four groups before treatment, after treatment for 1 months, and after March, the Brunnstrom motor function in hemiplegia patients were assessed by Fugl-Meyer (Brunnstrom stage. FMA) evaluation of motor function, the ADL Barthel index, the independent functional scale (FIM) were evaluated with independent ability. Results: four groups of 1 and 3 months after the Brunnstrom stage, movement function, daily life ability and independent ability were better than before treatment, with statistical significance (P0.05); B C group, Brunnstrom stage than in the D group, the movement function, daily life ability and independent ability is lower than that of group D, with statistical significance (P0.05) A; group Brunnstrom, C, D stage was higher than that of B group, the movement function, daily life ability and independent ability is lower than B, C, D group, was statistically significant (P0.05). The effective rate of group A was 94% higher than that in group B, group C, group 78% and group D 58%, with statistical significance (P0.05), and in group B and C, the effective rate was higher than that in D group, with statistical significance (P0.05). Conclusion: acupuncture combined with Bobath therapy has significant effect in the treatment of dysfunction after cerebral infarction, which can improve Brunnstrom staging, motor function, daily living ability and independence ability, and has good clinical application value.
【作者单位】：商丘医学高等专科学校;商丘市中心医院;
【基金】：2015商丘市科技发展项目(项目编号:153052)
【分类号】：R246.6
【正文快照】： 脑梗死主要指局部脑组织缺血缺氧后变性坏死,造成神经功能障碍[1]。中医将脑梗死称为中风或卒中,其发病率较高,约70%以上脑血管病患者可发生中风[2]。该病致残率、病死率也非常高,严重影响患者生活质量,甚至威胁生命安全[3]。脑梗死偏瘫后约有80%的患者出现患肢痉挛,运动功能

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