冯玲，范虹.常规康复干预联合针刺治疗脑卒中后单侧空间忽略的疗效观察[J].中华物理医学与康复杂志,2016,38(8):580-583
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| 常规康复干预联合针刺治疗脑卒中后单侧空间忽略的疗效观察 |
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| DOI： |
| 中文关键词: 针刺 脑卒中 单侧空间忽略 康复 |
| 英文关键词: Acupuncture Stroke Unilateral spatial neglect Rehabilitation |
| 基金项目:浙江省医药卫生科技计划项目（2013KYA206）；浙江省中医药科技计划（2013ZA124）；浙江省中医药（中西医结合）重点学科资助项目（20129-XK9-A33） |
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| 中文摘要: |
| 目的观察常规康复干预联合针刺对脑卒中后单侧空间忽略患者运动功能及日常生活活动能力的影响。 方法采用随机数字表法将100例脑卒中后单侧空间忽略患者分为常规组及针刺组，每组50例。2组患者均给予常规康复治疗，针刺组在常规康复治疗基础上辅以头针及体针治疗，其中头针为统一选穴，体针则根据患肢运动功能分级选择相应穴位，持续治疗4周。于治疗前、治疗4周后采用数字消去试验、线段删除试验评定患者单侧空间忽略改善情况；采用Fugl9-Meyer运动功能评分（FMA）评定患侧肢体运动功能情况；采用改良Bathel指数（MBI）评定患者日常生活活动能力，采用目测类比评分法（VAS）评定患侧肩痛缓解程度。 结果治疗前2组患者一般情况及各项疗效指标组间差异均无统计学意义（P>0.05）；治疗4周后发现针刺组数字消去试验评分［(0.59±0.71)分］、线段删除试验评分［(0.64±0.74)分］、FMA评分［(38.55±22.19)分］及MBI评分［(47.98±20.66)分］均显著优于常规组（P<0.05），肩痛发生率（34.04%）则明显低于常规组（P<0.05）。 结论常规康复训练联合针刺能显著改善脑卒中患者单侧空间忽略症状，提高其偏瘫肢体运动功能及日常生活活动能力，有效减少脑卒中后肩痛发生，该联合疗法值得临床推广、应用。 |
| 英文摘要: |
| Objective To explore the effect of acupuncture combined with rehabilitation training on unilateral spatial neglect (USN). MethodsOne hundred stroke patients with USN were randomly divided into a treatment group (n=50) and a control group (n=50). Both groups were treated with routine rehabilitation training for 4 weeks, while the treatment group was additionally treated with acupuncture. Before and after the treatment, the degree of USN was evaluated in both groups along with the Fugl9-Meyer assessment, the modified Barthel index and the incidence of shoulder pain. ResultsNo significant differences were found between the 2 groups in any of the measurements before the treatment. After the treatment the incidence of shoulder pain in the treatment group was significantly lower than that in the control group. All the other measurements were significantly higher in the treatment group than in the control group. ConclusionAcupuncture combined with rehabilitation training can significantly improve the symptoms of unilateral spatial neglect, improve motor function in a hemiplegic limb and improve performance in the activities of daily living. |
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