论文下载：头针运动疗法对卒中偏瘫患者体感诱发电位的影响

头针运动疗法对卒中偏瘫患者体感诱发电位的影响(1)

http://www.100md.com 2012年1月1日李小军胡彩虹柳文丹王玲玲郑斌王潇依

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     摘要：目的：观察头针同步进行运动疗法对脑卒中后偏瘫患者康复的影响，优化脑卒中的中西医结合康复治疗方案。方法：选择150例生命体征稳定，神经病学体征不再进展的急性脑卒中患者，随机分为3组，每组各50例，分别采用头针留针时同步进行运动疗法、先头针后进行运动疗法和先运动疗法后进行头针疗法。治疗4周后，以体感诱发电位( SEP)波幅变化为客观指标以及采用简式Fugl-Meyer评分、Barthel指数、神经功能缺损程度评分作为评定标准进行统计学处理。结果：治疗4周后，3组患者的Fugl-Meyer及Barthel指数评分均提高，3组都能提高患侧SEP的N20波幅，与治疗前自身对比，差异均有非常显著性意义(P<0.001)；且治疗组与对照Ⅰ组、对照Ⅱ组治疗后对比，治疗组的Fugl-Meyer及Barthel指数评分提高以及SEP的N20波幅提升差异均有非常显著性意义(P<0.001)。治疗组的愈显率均高于与对照Ⅰ组、对照Ⅱ组(P<0.05)。结论：头针同步进行运动疗法对脑卒中后偏瘫患者脑功能的恢复更有效，疗效更佳。

    关键词：脑卒中；头针；偏瘫；运动疗法；体感诱发电位

    中图分类号：R245 文献标识码：A 文章编号：1673-7717(2012)01-0161-04

    Influence of Head Acupuncture with Exercise Therapy on SEP Treating Hemiplegic Patient Due to Stroke

    LI Xiaojun1,HU Caihong1,LIU Wendan1,WANG Lingling2,ZHENG Bin1,WANG Xiaoyi1

    (1.Acupuncture and Tuina Department,Taizhou Hospital,Linhai 317000,Zhejiang,China;

    2.EMG Department,Taizhou Hospital,Linhai 317000,Zhejiang,China)

    Abstract:Objective:The influence of head acupuncture with exercise therapy on rehabilitation of hemiplegic patients due to stroke was observed to optimize the rehabilitation treatment of stroke.Methods:150 acute stroke cases with stable vital signs and neurological signs without progress were selected and divided into three groups randomly, each group contained 50 cases. Head acupuncture with synchronous exercise therapy, exercise therapy after head acupuncture and head acupuncture after exercise therapy, these three treatments were used in groups respectively. After treating 4 weeks, SEP changes was the objective index as well as the Simple Fugl-Meyer score，Barthel index and neurological deficit scores.Results:After treating 4 weeks, the Fugl-Meyer score and Barthel index in three groups all had been higher and increased the N20 amplitude of SEP on the affected side, showing significant differences compared before treatment (P<0.001). Compared with control I group and control II group, the increases of Fugl-Meyer score，Barthel index and N20 amplitude of SEP were obviously significant (P<0.001). The treating marked effective rate of treatment group was higher than that of control I group and control II group (P<0 ......

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