上海针灸杂志2016，Vol.35Issue(3)：262-265,4.DOI:10.13460/j.issn.1005-0957.2016.03.0262
针刺治疗脑卒中亚急性期步行障碍的临床研究
Clinical Study on Acupuncture for Ambulation Disturbance in Subacute Stage of Cerebral Stroke
摘要
Abstract
Objective To observe the effect of acupuncture on walk ability and motor function of lower limbs in subacute stage of cerebral stroke.Method A hundred patients in subacute stage of cerebral infarction or hemorrhage and scored 4-24 according to the National Institute of Health Stroke Scale (NIHSS) were randomized into a treatment group and a control group, 50 cases in each group. The control group was intervened by rehabilitation training, while the treatment group was additionally intervened by acupuncture. The neural deficit degree (NIHSS score), motor function of lower limbs [Fugl-Meyer Assessment (FMA)], activities of daily life [Barthel Index(BI)], and ambulation ability [Functional Ambulation Category (FAC)] were evaluated before and after intervention.Result After 1 treatment course, the NIHSS score was significantly changed in the treatment group compared to that before intervention (P<0.05). The NIHSS scores after 2 treatment courses were significantly different from that before intervention and that after 1 treatment course in both groups (P<0.05). In both groups, the FMA score, BI, and FAC score after 1 treatment course and 2 treatment courses were significantly different from that before intervention (P<0.05). The FMA and FAC scores after 2 treatment courses were significantly different from that after 1 treatment course in both groups (P<0.05). After 2 treatment courses, there were significant differences in comparing the NIHSS score, FMA, BI, and FAC scores between the two groups (P<0.05). Conclusion Acupuncture can improve the ambulation ability, neural deficit, motor function of lower limbs, and activities of daily life of hemiplegia patients in subacute stage of cerebral stroke.关键词
针刺疗法/中风/步行障碍/头针/中风后遗症/康复训练Key words
Acupuncture therapy/Stroke/Ambulation disturbance/Scalp acupuncture/Stroke complications/Rehabilitation分类
医药卫生引用本文复制引用
曾友华,包烨华,朱敏,陈顺喜,方剑乔..针刺治疗脑卒中亚急性期步行障碍的临床研究[J].上海针灸杂志,2016,35(3):262-265,4.基金项目
浙江省中医药防治重大疾病攻关计划项目(2011ZGG003) （2011ZGG003）
