Effect of acupuncture and rehabilitation training on barthel index in early-stage of stroke cases

摘要

目的

探讨针刺结合康复训练对缺血性脑卒中偏瘫患者早期Barthel指数的影响。

方法

将50 例缺血性脑卒中患者按随机数字表法随机分为对照组24 例、 治疗组26 例. 两组患者均接受内科常规治疗, 对照组患者采用康复训练治疗, 治疗组患者采用针刺结合康复训练治疗。 针刺取肩髃、 曲池、 合谷、 阳陵泉、 阴陵泉、 足三里、 三阴交,行热补针法, 留针20 min, 共治疗3 星期。 在治疗前及治疗后3 星期进行脑卒中患者临床神经功能缺损程度评分和Barthel指数评定量表评估。

结果

治疗组显著进步14 例、 进步12 例; 对照组显著进步6 例、 进步11 例、 无进步7 例, 治疗组的疗效优于对照组 (P<0.05)。 两组治疗前比较神经功能缺损程度和Barthel指数评分均无显著性差异(P>0.05), 治疗后两组神经功能缺损程度及Barthel指数评分均有显著性差异 (P<0.05)。 组内治疗前后比较, 治疗组神经功能缺损程度评分明显减少(P<0.05), Barthel指数评分明显增加 (P<0.05)。

结论

针刺结合康复训练对脑卒中患者早期神经功能缺损程度及Barthel指数的改善作用明显优于单纯康复治疗。

Abstract

Objective

To study the effect of combined acupuncture and rehabilitation training on early-stage Barthel index of ischemic stroke cases.

Method Fifty ischemic stroke cases were randomized into a treatment group of 24 cases and control group of 26 cases. In addition to routine internal treatment methods, rehabilitation training was applied to cases in the control group, and combined acupuncture and rehabilitation training were applied to cases in the treatment group. Warming and reinforcing manipulations were applied to Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Yanglingquan (GB 34), Yinlingquan (SP 9), Zusanli (ST 36), and Sanyinjiao (SP 6), 20 min of needle retaining for each point in one treatment. Then the scores of clinical neurological impairment and Barthel index of stroke cases were evaluated before the treatment and 3 weeks after respectively

Results

The significant progress and progress cases in the treatment group were 14 and 12 respectively, whereas that in the control group were 6 and 11 respectively, coupled with 7 cases of no progress. The therapeutic effect in the treatment is substantially better than the control group (P<0.05). There was no significant difference (P>0.05) in neurological impairment and scores of Barthel index of the two groups before the treatment, whereas significant difference (P<0.05) after the treatment. The scores of neurological impairment in the treatment group were significantly reduced after the treatment (P<0.05), and the scores of Barthel index were significantly increased (P<0.05).

Conclusion

Combined acupuncture and rehabilitation training can produce significantly better effect on early neurological impairment and Barthel index of stroke cases than rehabilitation training alone.