摘要
目的:探讨针刺手三阴经穴结合功能训练对脑卒中软瘫期手功能的影响。方法:按随机数字表法,86例符合标准的患者随机分为治疗组和对照组,每组各43例。所有患者均在功能训练的基础上,治疗组予针刺手三阴经穴,对照组予针刺手阳明经穴,疗程30d,治疗前后分别用Fugl-Meyer运动功能评定量表(FMA)和改良Barthel指数评定量表(MBI)进行评定。结果:治疗组Fugl-Meyer运动功能愈显率72.09%,有效率93.02%,对照组愈显率39.53%,有效率74.42%,治疗组愈显率和有效率分别优于对照组(P<0.01,P<0.05);治疗后两组MBI评分较治疗前均有明显提高(P<0.01),治疗后组间比较差异无显著性(P>0.05)。结论:针刺手三阴经穴能改善软瘫期患者手的运动功能,疗效优于手阳明大肠经,能提高患者日常生活自理能力,疗效和手阳明大肠经相当。
Objective： To explore the effects of acupuncture on acupoints of three hand yin meridians combined with function training on flaccid paralytic hands of post stroke patients. Method： Eighty-six cases were randomly divided into two groups： 43 cases of group A treated with acupuncture of acupoints of three hand yin meridians, 43 cases of group B treated with acupuncture of acupoints of meridian of hand yangming, both with a course of 30 days. Function training was administered in both groups. All patients were assessed before and after therapy by Fugl-Meyer motor function assessment（FMA） and modified Barthel index （MBI）. Result： After treatment, in group A the curative rate of motor function was 72.09% and the general effective rate was 93.02%,while in group B the curative rate was 39.53% and the general effective rate was 74.42%. Both curative rate and general effective rate of group A were higher than that of group B （P〈 0.01）. the scores of MBI increased in both groups （P 〈 0.01） , but there was no difference between two groups （P〉0.05）. Conclusion：Acupuncture on acupoints of three hand yin meridians combined with function training could improve motor function and ability of activities of daily living of flaccid paralytic hands of post stroke patients. The effects of acupuncture on acupoints of three hand yin meridians were corresponded with that of hand yangming meridian.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2012年第5期448-451,共4页
Chinese Journal of Rehabilitation Medicine
基金
上海市长宁区卫生局科研基金资助项目(2004104001)
关键词
针刺
手三阴经
功能训练
脑卒中
日常生活活动
acupuncture
three hand yin meridians
function training
stroke
activity of daily living
