CAJ | 학술논문

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.针刺取肩髑、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Banhel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.
목적:탐토침자결합강복훈련대결혈성뇌졸중편탄환자조기Barthel지수적영향.방법:장50례결혈성뇌졸중환자안수궤수자표법수궤분위대조조24례、치료조26례.량조환자균접수내과상규치료,대조조환자채용강복훈련치료,치료조환자채용침자결합강복훈련치료.침자취견촉、곡지、합곡、양릉천、음릉천、족삼리、삼음교,행열보침법,류침20 min,공치료3성기.재치료전급치료후3성기진행뇌졸중환자림상신경공능결손정도평분화Barthel지수평정량표평고.결과:치료조현저진보14례、진보12례;대조조현저진보6례、진보11례、무진보7례,치료조적료효우우대조조(P＜0.05).량조치료전비교신경공능결손정도화Barthel지수평분균무현저성차이(P＞0.05),치료후량조신경공능결손정도급Banhel지수평분균유현저성차이(P＜0.05).조내치료전후비교,치료조신경공능결손정도평분명현감소(P＜0.05),Barthel지수평분명현증가(P＜0.05).결론:침자결합강복훈련대뇌졸중환자조기신경공능결손정도급Barthel지수적개선작용명현우우단순강복치료.
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.