针刺结合康复训练治疗中风恢复期足下垂的疗效观察.docVIP

精品论文 参考文献 针刺结合康复训练治疗中风恢复期足下垂的疗效观察 1.耒阳市人民医院 湖南衡阳 421800；2.耒阳市中医院 湖南衡阳 421800；3.耒阳市人民医院 湖南衡阳 421800 【摘 要】目的：研究针刺结合康复训练治疗中风恢复期足下垂的疗效。方法：试验对象：近2年85例中风恢复期足下垂门诊就诊和住院病人。按随机分配法将 85例患者分为康复组和康复+针刺组两个组别。康复组单纯进行康复训练；康复+针刺组行针刺结合康复训练治疗。观察指标：①足下垂治疗效果；②治疗前和治疗后患者FAC步行能力评分、Ashworth肌张力评分的差异。结果：①康复+针刺组相比于康复组足下垂治疗效果更高，P＜0.05；②治疗前两组FAC步行能力评分、Ashworth肌张力评分相似，P＞0.05；治疗后康复+针刺组相比于康复组FAC步行能力评分、Ashworth肌张力评分改善更显著，P＜0.05。结论：针刺结合康复训练治疗中风恢复期足下垂的疗效确切，可有效改善肌张力和步行能力，值得推广。 【关键词】针刺；康复训练；中风恢复期；足下垂；疗效 [Abstract] Objective：To study the curative effect of acupuncture combined with rehabilitation training in the treatment of foot drop in recovery period of stroke. Methods：85 cases of stroke patients with foot drop out of the hospital during the past 2 years. According to the random allocation method，85 cases were divided into two groups：rehabilitation group and rehabilitation group. Rehabilitation group was treated with simple rehabilitation training，rehabilitation and acupuncture group were treated with acupuncture combined with rehabilitation training.Outcome measures：(1）foot drop treatment effect；(2）before and after treatment in patients with FAC walking ability score，Ashworth score difference of muscle tone. Results：(1）rehabilitation plus acupuncture group than been foot drop treatment effect is higher，P lt; 0.05；(2）the treatment of two groups of FAC before walking ability score，Ashworth scores similar to muscle tension，P gt; 0.05；Rehabilitation after treatment plus acupuncture group than been FAC walking ability score，Ashworth score improve muscle tone is more significant，P lt; 0.05）. Conclusion：acupuncture combined with rehabilitation therapy for stroke recovery foot drop curative effect，can effectively improve muscle tone and walking ability，is worth promoting. 【 key words 】 acupuncture；Rehabilitation training；Stroke recovery period；Foot drop. The curative effect 中风为常见神经系统疾病，对人类健康和生命安全造成威胁，发病率、致残率和致死率高，近年来发病率有逐年升高趋势，而发病后可遗留后遗症，足下垂为常见后遗症之一，影响下肢运动功能恢复，行走步态受影响，对日常生活不利。传统足下垂多用肉毒素注射、