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[改良穴位与康复训练对脑梗死患者上肢运动能力及日常生活能力的影响]

[Effects of the improved acupoints and rehabilitation exercise on locomotor ability of the upper limbs and ability of daily life in the patient of cerebral infarction].

作者信息

Wang Xin-yu

机构信息

Section of Acupuncture & Moxibustion, General Hospital of PLA, Beijing 100853, China.

出版信息

Zhongguo Zhen Jiu. 2007 Mar;27(3):179-81.

Abstract

OBJECTIVE

To search for an effective method for improving locomotor ability of upper limbs and ability of daily life in the patient of cerebral infarction.

METHODS

Five hundred and seventy-eight cases of stroke were randomly divided into 4 groups: an improved acupoints and rehabilitation exercise group (group A, n = 148), a rehabilitation exercise group (group B, n = 142), a routine acupoints and rehabilitation exercise group (group C, n = 144), and a medication group (group D, n = 144). The locomotor ability of the upper limbs and ability of daily life were evaluated respectively by Fugl-Meyer (FMA) and Barthel (BMI).

RESULTS

There were significant differences in FMA and BMI scores in all the groups after treatment as compared with those before treatment (P < 0.05); after treatment, the effect in the group A was significantly superior to those in group B and C (P < 0.05), with no significant difference between the group C and the group B.

CONCLUSION

The improved acupoints combined with rehabilitation exercise can improve locomotor ability of the upper limbs and ability of daily life in the patient of cerebral infarction.

摘要

目的

探寻提高脑梗死患者上肢运动能力及日常生活能力的有效方法。

方法

将578例脑卒中患者随机分为4组:改良穴位与康复锻炼组(A组,n = 148)、康复锻炼组(B组,n = 142)、常规穴位与康复锻炼组(C组,n = 144)和药物治疗组(D组,n = 144)。分别采用Fugl - Meyer(FMA)和Barthel(BMI)量表评估上肢运动能力及日常生活能力。

结果

治疗后所有组的FMA和BMI评分与治疗前相比均有显著差异(P < 0.05);治疗后,A组效果显著优于B组和C组(P < 0.05),C组与B组之间无显著差异。

结论

改良穴位结合康复锻炼可提高脑梗死患者上肢运动能力及日常生活能力。

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