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目的:观察早期针灸配合康复训练治疗脑梗死的临床疗效。方法:将200例患者随机分为2组各100例。在常规药物治疗的基础上,治疗组予早期针灸配合康复训练治疗;对照组行常规康复训练。于治疗前、治疗结束及治疗后4周以BarthelIndex(B)I评定残障水平,以Fugl-Meyer运动量表评定运动功能,以简易精神状态量表(MMSE)评价患者认知功能。结果:2组治疗前MMSE评分、上下肢Fugl-Meyer评分、BI分别与治疗结束时比较,差异均有非常显著性意义(P<0.01);治疗结束、治疗后4周治疗组MMSE评分、上下肢Fugl-Meyer评分、BI高于对照组,差异均有非常显著性意义(P<0.01);治疗结束及治疗后4周,治疗组致残率均低于对照组,差异均有显著性意义(P<0.05)。结论:早期针灸配合康复训练能促进脑梗死患者功能的恢复,减少致残率。
Objective: To observe the clinical efficacy of early acupuncture and rehabilitation training in treating cerebral infarction. Methods: 200 patients were randomly divided into two groups of 100 cases. On the basis of conventional drug treatment, the treatment group was given early acupuncture and rehabilitation training; the control group received routine rehabilitation training. At the end of treatment and 4 weeks after treatment, Barthel Index (B) I was used to assess the level of disability. Motor function was evaluated by Fugl-Meyer physical activity scale. MMSE was used to evaluate the cognitive function. Results: There was significant difference in MMSE score, Fugl-Meyer score and BI between the two groups before and after the treatment (P <0.01). At the end of treatment, MMSE score of the treatment group Lower Extremity Fugl-Meyer score, BI higher than the control group, the difference was significant (P <0.01); at the end of treatment and 4 weeks after treatment, the treatment group disability rate were lower than the control group, the difference was statistically significant (P <0.05). Conclusion: Early acupuncture and rehabilitation training can promote the recovery of patients with cerebral infarction and reduce the morbidity.