| 郭瑞友,刘立安,马晓维,张国平.早期针刺治疗对中风患者生活质量的长期影响[J].,2007,(8):708-710 |
| 早期针刺治疗对中风患者生活质量的长期影响 |
| Long-term Effect of Acupuncture on Quality of Life in Patients with Early Stage of Stroke |
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| DOI： |
| 中文关键词: 中风 针刺 生活质量 日常功能 |
| 英文关键词:stroke acupuncture quality of life daily life function |
| 基金项目:青岛市科技局科研项目〔No.Kd-41(2004)〕 |
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| 中文摘要: |
| 目的研究早期针刺治疗对中风患者生活质量的长期影响。方法选择80例脑中风患者随机分为针刺组和对照组,各40例。两组患者均接受西医常规治疗,针刺组待生命体征稳定48h后进行针刺治疗2周。分别于入选时、针刺结束和病程6个月时评估汉化版SF-36、功能独立量表(functionindependentmeasure,FIM)和美国国立卫生院神经功能缺损评分(NIHSS)。结果针刺结束后评估发现,除FIM的认知功能、SF-36的躯体疼痛和生理功能外,针刺组在其他各项目的得分均优于对照组,差异有显著性(P<0.05)。在病程6个月时,两组在FIM的得分继续提高,针刺组在SF-36的情感职能、社会功能和精神健康方面的得分显著高于对照组(P<0.05),在NIHSS、FIM的运动和认知、SF-36的其他各项目得分,两组间差异均无显著性(P>0.05)。结论早期针刺能够提高中风患者躯体、心理和社会功能;在长期预后上,由针刺带来的益处出现不同程度的下降,但在心理和社会功能等生活满意度方面仍有一定疗效。 |
| 英文摘要: |
| Objective To study the long-term effects of acupuncture on quality of life in patients with early stage of stroke. Methods Eighty patients were randomly assigned to the acupuncture group and the control group, 40 in each. All received conventional Western medical treatment, but for patients in the acupuncture group, acupuncture was applied additionally immediately from 48 h after patients’ life signs were stabilized. Curative effects were evaluated with scores of SF-36, function independent measure (FIM) and NIHSS. Results Effect evaluated immediately after acupuncture operation showed that all the scores in the acupuncture group, except score of recognition function in FIM, and scores of body pain and physical function in SF-36, were improved more significantly than those in the control group (P<0.05). The effectiveness improved continuously in the 6-month period after stroke in both groups, but more superiority was shown in the acupuncture group in aspects of emotional function, social function and mental health by SF-36 (P<0.05). Conclusion Early applying acupuncture could raise the physical, social, and psychological functions of stroke patients. Although the effects might decrease to some extent later, acupuncture still showed markedly effect on patients’ psychological and social functions as well as on their life satisfaction. |
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