文章摘要
朱勤贤,周湘明.头针结合康复训练治疗脑卒中后平衡及步行障碍的疗效分析[J].中国康复,2019,34(11):563-566
头针结合康复训练治疗脑卒中后平衡及步行障碍的疗效分析
Effectivenes of scalp acupuncture combined with rehabilitation training for balance and walking disorders of stroke patients
  
DOI:
中文关键词: 脑卒中  头针  平衡功能  步行功能
英文关键词: stroke  scalp acupuncture  balance function  walking function
基金项目:苏州市2017年度产业技术创新专项(民生科技-医疗卫生应用基础研究)(SYSD2017169)
作者单位
朱勤贤 苏州大学附属第二医院中医康复科江苏 苏州 215000 
周湘明 苏州大学附属第二医院中医康复科江苏 苏州 215000 
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中文摘要:
      目的:探讨分析头针结合康复训练对于脑卒中患者平衡和步行障碍的疗效。方法:将125例脑卒中患者随机分为观察组63例和对照组62例,对照组患者给予常规内科药物治疗和常规康复治疗,观察组在对照组基础上给予头针治疗,2组患者训练前后评估Fugl-Meyer评定量表运动功能部分(FMA)、Barthel指数(BI)、Berg平衡量表(BBS)、Holden功能步行分级(FAC)、站立走计时测试(TUG)。结果:治疗1个月后,2组FMA、BI、BBS、FAC评分均较治疗前明显增加(均P<0.01),并且观察组更高于对照组(P<0.01);2组TUG较治疗前明显减少(P<0.01),且观察组较对照组的时间更少(P<0.01)。结论:头针结合康复训练可以明显改善脑卒中患者的肢体运动功能、日常生活能力、平衡功能和步行能力。
英文摘要:
      Objective: To analyze the effect of scalp acupuncture combined with rehabilitation training for the balance and walking disorders of stroke patients. Methods: A total of 125 stroke patients were enrolled and two groups were set up: treatment group (n=63), and control group (n=62). The control group received routine medical treatment and conventional rehabilitation treatment. The observation group was given scalp acupuncture on the basis of the control group. The two groups were evaluated by the Fugl-Meyer Assessment, Barthel Index (BI), Berg Balance Scale (BBS), Holden Functional Walk Rating (FAC) and The timed up and go test (TUG) before and after training. Results: After treatment of one month, FMA, BI, BBS, FAC and TUG scores in the treatment group and the control group were significantly increased as compared with those before treatment (all P<0.01), and the scores in the treatment group were increased more significantly than in the control group (P<0.01); TUG scores in the treatment group and the control group are significantly reduced as compared with those before trewtment (P<0.01), and the time in the treatment group was shorter than that in the control group (P<0.01). Conclusion: The combination of scalp acupuncture and rehabilitation training can significantly improve the limb motor function, daily living ability, balance function and walking ability of stroke patients.
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