腦中風患者針灸推拿結合復健之臨床療效評估

ClINICAl EVAlUATION IN STROKE PATIENTS FOR ACUPUNCTURE AND CHINESE MANIPUlATION COMBINE WITH REHABIlITATION THERAPY

目的：觀察針灸推拿結合復健治療對腦中風患者日常生活能力及肢體運動功能之影響。方法：以回溯性採樣進行資料分析，共71例腦中風偏癱患者，其中治療組39例（針灸推拿結合復健治療）和對照組32例（復健治療），在治療前後應用Barthel指數進行日常生活能力評定，及Brunnstrom 分期進行肢體運動功能評定。結果：(1)治療組在Barthel 指數方面於治療前後的差值，相較於對照組在統計上有明顯的差異。(2)針對日常生活能力依賴性較嚴重的病患（Barthel指數≦40），治療組在Barthel指數或是Brunnstrom分期的上肢近端（proximal upperextremity，PUE）、上肢遠端（distal upper extremity，DUE）和下肢（lower extremity，LE）部份之評定，於治療後，相較於對照組在統計上都有明顯的差異。結論：腦中風患者同時進行針灸推拿結合復健治療，較能有效促進其日常生活能力及肢體運動功能的提升。Objective：To observe acupuncture and Chinese manipulation combined with rehabilitation therapeutic effects of movement function and daily living in the patient with stroke. Methods： Seventy-one patient with apoplectic hemiplegia, by a retrospective study, to two groups, treatment group of 39 cases (acupuncture plus rehabilitation) and control group of 32 cases (rehabilitation). We used the Barthel index for activity of daily living and Brunnstrom stages for evaluating limb movement function before and after treatment. Results：(1) There is a statistically significant difference between the Barthel index before and after treatment in the treatment group. (2) Focus on the more dependent patient (poor activity daily living, Barthel index ≦40), there is a statistically significant difference in the therapeutic effect evaluated by the Barthel index or Brunnstrom stage for proximal upper extremity (PUE), distal upper extremity (DUE) and lower extremity (LE) between the treatment and control groups of patients. Conclusion：Acupuncture and Chinese manipulation combined with rehabilitation therapy is better for patients with stroke in rehabilitation of movement function and daily living.