The aim of this study is to investigate the effect of electro-acupuncture treatment in acute phase of cerebral infarction on the motor functions. In this randomly controlled trial, 86 patients were allocated to two groups, the experimental group given clinical and electro-acupuncture treatments for a period of 4 weeks, and the control group given clinical treatment plus active and/or passive functional exercise. The result showed that the level of impairment and disability in both groups were improvement according to the Chinese Stroke Scale, Brunnstrom-Fugl-Meyer score, and Barthel Index throughout the study and 3 months after. The motor functions and the activities of daily living (ADL) were improved significantly in the electro-acupuncture group as compared with the control group (P<0.05). Also, the results showed greater reduction of neurological deficit in the electro-acupuncture group than in the control group. Conclusion: Early acupuncture treatment for acute stroke patients may improve motor functions, and consequently the activities of daily living.

脊髓损伤患者的步行功能评定

步行功能的改善或恢复是脊髓损伤康复的主要目的之一.步行功能评定是脊髓损伤患者功能能力评定的重要内容.目前临床上常用的许多评定方法如:功能独立性评定(functional independence measure,FIM)、巴氏指数(barthel index,BI)、改良巴氏指数(modified barthel index,MBI)、脊髓损伤独立性评定(spinal cord independence measure,SCIM)均涉及到步行功能评定.

早期康复介入对急性脑卒中重度偏瘫患者运动功能恢复的影响

Objective To observe influence of early rehabilitation intervention on motor function of acute stroke patients with severe hemiplegia.Method We evaluate 58 cases of acute stroke with severe hemiplegia with FMA method and Barthel index,observe influence of early rehabilitation intervention on recovery of motor function.Result Motor function after treatment was promoted apparently compared with control group(P< 0.05).Conclusion Early rehabilitation intervention can promote motor function recovery of acute stroke patients with severe hemiplegia.

依达拉奉治疗高血压脑出血的有效性和安全性研究

目的 评价依达拉奉注射液治疗急性高血压脑实质出血的疗效和安全性.方法 符合纳入标准的高血压脑出血患者共44例,随机分配到依达拉奉组和对照组,在入院时、入院后90 d分别进行临床神经功能缺损程度评分和Barthel日常生活能力评分量表进行评分,在入院30 d时进行2组临床神经功能缺损程度评分,后进行2组资料统计.结果 入院后30 d时2组神经功能缺损程度评分统计学比较差异无显著性.入院后90 d时2组神经功能缺损程度评分、Barthel日常生活能力评分的统计学比较差异均有显著性.治疗组中1例出现一过性肌酐轻度增高.结论 依达拉奉对高血压脑出血的治疗具有良好研究前景,为下一步大样本临床随机对照研究提供了可行性结论.