减重步行训练结合针刺疗法治疗60例脑梗死患者的康复疗效观察(1)
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摘要：目的：探讨减重步行训练结合针刺治疗对脑梗死患者的康复疗效。方法：将60例首次发病脑梗死患者随机分成治疗组和对照组。治疗组采用减重步行训练、针刺疗法和常规康复治疗方法，对照组仅采用针刺疗法和常规康复治疗方法。入选患者分别于治疗前、治疗后接受功能性步行量表(FAC)、Fugl—Meyer运动功能量表(FMA)、Barthel指数(BI)评分，评定患者步行能力、下肢运动功能及ADL水平指标评价疗效，并于出院后随访1个月，采用MOS健康状况调查问卷，评定患者生活质量。两组患者一般资料及治疗前各项评定结果差异无显著性意义。 结果：治疗4周后两组各项指标评分较治疗前均有明显改善(P<0.01)；组间疗效比较，治疗组优于对照组(P<0.01)；生活质量比较，治疗组优于对照组(P<0.05)。结论：治疗组对脑梗死患者的康复疗效优于对照组，效果肯定。
关键词：减重步行训练 针刺疗法 脑梗死患者 步行能力 ADL水平
Reduction walk training union acupuncture treatment treatment60 example brain stem dead patients recovery curative effect observation
Zhang Zhaoxia Chen Fuqiang Wang Xiaohan et al.
Abstract：Objective:To assess the clinical curative effect of body—weight supported treadmill training (BWSTT) with acupuncture therapy in patients with cerebral infarction of community.Methods:116 subjects with first cerebral infarction were randomly assigned into 2 groups:BWSTT group or controlled group.BWSTT group received BWSTT,acupuncture and Bobath therapy,controlled group only received acupuncture and Bobath therapy.Measurements included Functional walking assessment (FAC) walking ability,Fugl-Meyer motor assessment (FMA) for lower extremity motor function,as well as Barthel index (BI) for activities of daily living.Measurements were recorded before treatment,and after treatment.Before treatment,there was no significant difference between the two groups for general information,and the baseline of measurements.Result:Obvious improvement were found in the index score of the two groups after the treatment(p<0.01);Compared curative effect between two groups,BWSTT group were superior to controlled group(p<0.01).Conclusion:The clinical curative effect of body—weight supported treadmill training (BWSTT) with acupuncture therapy were superior to only acupuncture therapy in cerebral infarction.
Keywords：Body—weight supported treadmill training Acupuncture therapy Patients with cerebral infarction of community Walking ability Activities of daily living(ADL)
【中图分类号】R44 【文献标识码】A 【文章编号】1008-1879(2010)12-0028-02
脑血管病是当前发病率、致残率都比较高的常见病和危重病，是严重威胁人类健康的三大疾病之一，目前临床尚无特异性治疗措施。临床上脑梗死偏瘫患者往往因继发拮抗肌协同功能障碍而导致步行功能丧失，严重影响其日常生活质量，恢复步行能力往往是患者最迫切的需要，利用减重步行训练系统(body—weight supported treadmill training，BWSTT)对脑梗死偏瘫患者进行步行训练是近年来研究的热点 ......
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