电针神经干对急性脑梗死患者肢体运动功能障碍的治疗作用

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1、电针神经干对急性脑梗死患者肢体运动功能障碍的治疗作用摘要目的：探讨电针神经干和阳明经对急性脑梗死患者运动功能障碍的治疗作用。方法：选取急性脑梗死患者70例，随机分为2组，治疗组35例对瘫痪肢体进行电针神经干治疗，对照组35例常规针刺阳明经治疗。两组均接受基础治疗，分别在治疗前，一疗程后和两个疗程后进行康复评定。观察指标采用神经功能缺损量表(CNS)，改良Fu91．Meyer运动功能评定量表(FMA)，改良巴氏指数(MBI)。临床对比观察电针神经干、电针阳明经法对急性脑梗死患者神经功能缺损程度、运动功能及日常生

2、活能力的改善情况。结果：两组患者上述观察指标治疗后与治疗前相比较有显著性差异(产．0．234，．0．496，O．08，P>0．01)，均有统计学意义。治疗后电针神经干组患者神经功能缺损程度、Fugl—Meyer运动功能评分和日常生活能力评分明显优于电针阳明经组(户2．88，．4．42，．9．75，P

3、死；电针；神经功能缺损；FMA；BI指数Electro。acupuncturenervetrunkimprovesthelimbmotordysfunctionafteracutecerebralinfarctionAbstractobjective：Tostudytheeffectofelectro—acupunctureonnervetrunkandmeridianonthemotordysfunctionofpatientsafteracutecerebralinfarction．Methods：Ato

4、talof70patientswithacutecerebralinfarctionwererandomlydividedintotreatmentgroupconsistingof35casesofparalysistreatedwithlimbselectro-acupuncturenervetrunkandroutineacupuncturemeridiantreatmentgroupconsistingof35cases．Allthepatientsintwogroupsreceivedthebasi

5、ctreatment．TherehabilitationassessmentWascarriedbeforeandafteronecourseoftreatmentandaftertwocoursesrespectively．Observationindexesconsistedofneuralfunctiondefectscale(CNS)，modifiedFugl—Meyermotorfunctionassessmentscale(FMA)andmodifiedBarthelIndex(MBI)．Acli

6、nicalobservationonelectro-acupunctureneuraltrunk，improvementofacupuncturemeridianmethodonmotorfunctioninacutecerebralinfarctionofpatientswithneurologicaldeficits，andabilityofdailyliving．Results：Theobservationindexesexistedsignificantdifferencesbetweenthepat

7、ientsintwogroupsaftertreatment(户一0．234，一0．496，0．08，尸<0．01)．Afterthetreatmentwithelectro·acupunctureneuraltnmk，theCNS，FMAandMBIscoresimprovedsignificantlythanthosetreatedwithacupuncturemeridiangroup(f：2．88，-4．42，一9．75，尸<0．01)．Conclusion：Electro—acupuncturene

8、uraltrunkcouldeffectivelyreducethedegreeofneurologicaldefect，improvethemotordysfunctionandactivitiesofdailyliving，SOastoimprovethequalityoflifeofthepatientswithacutecerebralinfarction,Postgraduatestude