CAJ | 학술논문

目的：探讨针灸推拿对中风偏瘫患者肢体运动功能及生活能力的影响。方法将中风患者随机分为针刺推拿组(50例)与针刺组(46例)。分别在病情稳定后48小时以及治疗后28d各评分1次。两组均进行针刺治疗，针刺推拿组加以推拿治疗，采用Fugl-Meyer评定方法对运动功能评分；采用Barthel指数对日常生活活动能力(ADL)进行评分。观察其肢体运动功能、ADL 能力的变化情况，观察时间为28 d。结果针刺推拿组的Fugl-Meyer、ADL 评分都显著高于针刺组(P <0.01)；针刺推拿组的肩痛减轻较明显，针刺推拿组基本痊愈例数显著多于针刺组；针刺推拿组疗效与病程构成比明显优于针刺组。针刺推拿组患者的总临床疗效优于针刺组。结论针灸推拿治疗能显著改善中风患者的肢体运动功能和日常生活活动能力，降低肩痛程度，缩短治疗周期。
목적：탐토침구추나대중풍편탄환자지체운동공능급생활능력적영향。방법장중풍환자수궤분위침자추나조(50례)여침자조(46례)。분별재병정은정후48소시이급치료후28d각평분1차。량조균진행침자치료，침자추나조가이추나치료，채용Fugl-Meyer평정방법대운동공능평분；채용Barthel지수대일상생활활동능력(ADL)진행평분。관찰기지체운동공능、ADL 능력적변화정황，관찰시간위28 d。결과침자추나조적Fugl-Meyer、ADL 평분도현저고우침자조(P <0.01)；침자추나조적견통감경교명현，침자추나조기본전유례수현저다우침자조；침자추나조료효여병정구성비명현우우침자조。침자추나조환자적총림상료효우우침자조。결론침구추나치료능현저개선중풍환자적지체운동공능화일상생활활동능력，강저견통정도，축단치료주기。
Objective To investigate the influence of acupuncture and massage on hemiplegic motor function and viability in stroke patients. Method 96 patients with stroke were randomly assigned into acupuncture and massage group(50) and acupuncture group(46) in this study. Al participants were cured by acupuncture treatment. The acupuncture and massage group also had massage therapy. Al patients had the Fugl-Meyer and ADL scores at 48 hours and 28 days after stroke. Results scores of Fugl -Meyer and ADL grading of acupuncture and massage group are more higher than the acupuncture group(P<0.01). The shoulder pains of acupuncture and massage group were obviously aleviated, the cases of basicaly recovered patients of acupuncture and massage group were significantly more than the acupuncture group. The efficacy and duration of disease constitute in acupuncture and massage group were highly better than the acupuncture group. The total clinical efficacies of acupuncture and massage patients were superior to the acupuncture group. Conclusion Acupuncture and massage remarkably improve the hemiplegic motor function and viability in acute stroke patients.It can reduce shoulder pain level and shorten the treatment period.