CAJ | 학술논문

目的探讨针灸结合康复治疗对脑外伤瘫痪患者的疗效。方法采用随机对照实验,实验组采用针灸结合常规康复治疗,对照组单纯常规康复治疗,15 d为1个疗程,观察6个疗程。于治疗前与第2、4、6疗程结束进行简式 Fugl-Meyer运动功能评定法( FMA)与改良Barthel指数( MBI)评分。采用SPSS 19.0进行重复测量数据方差分析与多元方差分析,比较两组结果。结果两组FMA和MBI比较,数据球形性检验分别为Mauchly W=0.8889,P=0.072、Mauchly W=0.906,P=0.134,数据符合球形性。实验组的 FMA评分高于对照组(F=23.35,P<0.01)；重复测量数据方差分析发现,不同时间点之间FMA比较(F=83.17,P<0.01)；时间与治疗方案之间有交互作用(F=2.65,P<0.05),说明时间因素的作用随着分组不同而不同；实验组的MBI评分高于对照组(F=27.52,P<0.01)。不同时间点之间MBI比较(F=116.84,P<0.01)；时间与治疗方案之间有交互作用(F=4.02,P<0.01),说明时间因素的作用随着分组不同而不同。结论针灸结合康复治疗脑外伤瘫痪患者的疗效优于单纯康复治疗。
목적탐토침구결합강복치료대뇌외상탄탄환자적료효。방법채용수궤대조실험,실험조채용침구결합상규강복치료,대조조단순상규강복치료,15 d위1개료정,관찰6개료정。우치료전여제2、4、6료정결속진행간식 Fugl-Meyer운동공능평정법( FMA)여개량Barthel지수( MBI)평분。채용SPSS 19.0진행중복측량수거방차분석여다원방차분석,비교량조결과。결과량조FMA화MBI비교,수거구형성검험분별위Mauchly W=0.8889,P=0.072、Mauchly W=0.906,P=0.134,수거부합구형성。실험조적 FMA평분고우대조조(F=23.35,P<0.01)；중복측량수거방차분석발현,불동시간점지간FMA비교(F=83.17,P<0.01)；시간여치료방안지간유교호작용(F=2.65,P<0.05),설명시간인소적작용수착분조불동이불동；실험조적MBI평분고우대조조(F=27.52,P<0.01)。불동시간점지간MBI비교(F=116.84,P<0.01)；시간여치료방안지간유교호작용(F=4.02,P<0.01),설명시간인소적작용수착분조불동이불동。결론침구결합강복치료뇌외상탄탄환자적료효우우단순강복치료。
Objective To evaluate the therapeutic effect of acupuncture for paralyse caused by cerebral trauma. Methods Random control trial was adopted. Acupuncture combined rehabilitation and rehabilitation were applied to experiment group and control group, respectively. Six courses were treated and each course took 15 days. Fugl-Meyer Assessment(FMA) and Modified Barthel Index(MBI) were tested at the beginning of treatment and at the end of 2 courses, 4 courses and 6 courses. SPSS 19. 0 was applied to analysis and repeat measurement variance a-nalysis and multivariate variance analysis were adopted. Results The spherical test for FMA and MBI showed Mauchly W=0. 888 9,P=0. 072 and Mauchly W=0. 906,P=0. 134, respectively. The FMA score of experiment group was higher than control with the F=23. 35,P<0. 01, and significant difference was found between different time, with the F=83. 17,P<0. 01. The interaction effect was found between time and treatment measures, with the F=2. 65,P<0. 05. The MBI score of experiment group was higher than control, with the F=7. 52,P<0. 01, and significant difference was found between different time, with the F=116. 84,P<0. 01. The interaction effect was found between time and treatment measures, with the F=4. 02,P<0. 05. Conclusion The curative effect of acupuncture combined rehabilitation is higher than rehabilitation only for paralysis caused by cerebral trauma.