| 张超.Brunnstrom分级取穴结合康复训练对脑卒中后上肢运动功能障碍的临床疗效观察[J].浙江中西医结合杂志,2017,27(3): |
| Brunnstrom分级取穴结合康复训练对脑卒中后上肢运动功能障碍的临床疗效观察 |
| The Clinical Effect Of The combination of Acupuncture with Different Brunnstrom Periods and Rehabilitation Training On Upper Limb Function Of Stroke Patients |
| 投稿时间：2016-08-05 修订日期：2016-10-16 |
| DOI： |
| 中文关键词: Brunnstrom分级取穴 康复训练 脑卒中 |
| 英文关键词:Acupuncture with Different Brunnstrom Periods Rehabilitaation Training Stroke Patients |
| 基金项目:浙江省中医药管理局科研基金项目(2013ZB060) |
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| 中文摘要: |
| 目的：探讨针刺采用Brunnstrom分级取穴结合康复训练疗法对脑卒中后上肢运动功能障碍的影响程度。方法：将120例入组患者随机分为两组,实验组与对照组,两组均进行常规临床对症治疗和康复功能训练,实验组在此基础上采取Brunnstrom分级取穴针刺治疗,而对照组则只进行常规针刺治疗。持续治疗2疗程,分别于入组后,1疗程后,2疗程后进行Fugl-Meyer上肢运动功能评定、美国国立卫生研究院卒中量表(NIHSS)评定。结果：(1)Fugl-Meyer上肢运动功能评定得分提高值的组间比较：1疗程后和治疗结束后组间对比均存在非常显著性差异(p＜0.01)；(2)NIHSS得分值的组间比较：1疗程后和治疗结束后组间比较均存在显著性差异(p＜0.05)。结论：Brunnstrom分级取穴结合康复训练疗法对脑卒中后上肢运动功能障碍比普通针刺康复疗法具有更好的治疗效果,能够显著降低脑卒中后上肢的运动功能障碍,促进躯体整体功能的康复。 |
| 英文摘要: |
| Abstract：Objective：To discuss the clinical effect of the combination of acupuncture with different Brunnstrom periods and rehabilitation training on upper limb function of ptroke patients.Methods:120 stoke patients were divided into 2 groups,the experimental group and the control group randomly.The 2 groups both received regular clinical therapy and functional rehabilitation trainings. On this basis, the experimental group was treated by acupuncture with different Brunnstrom periods,while the control group only received regular acupuncture treatment. The treatment last successive 2 periods. Assessed their upper limb function after the beginning of the treatment,1 period of the treatment and 2periods of the treatment by Fugl-Meyer upper limb function assessment and NIHSS. Results:(1)the increase of Fugl-Meyer between 2 groups: there was very significant difference (p<0.01) after treating for 1 period and 2 periods; (2)NIHSS scores between 2 groups: there was significant difference (p<0.05) after treating for 1 period and 2 periods. Conclusion:Compared with regular acupuncture treatment, the combination of acupuncture with different Brunnstrom periods and rehabilitation training has more advantage in improving the upper limb function of stroke patients and promoting the recovery of their whole body function. |
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