互动式头针治疗脑卒中后运动功能障碍的效果  

Effect of Complementary Dynamic Scalp Acupuncture on Motor Function in Stroke

作　　者：汪军 崔晓 倪欢欢 周翠侠 吴佶 孙克兴[2] 吴毅[3] 

机构地区：[1]上海市长宁区天山中医院康复科,上海市200051 [2]上海中医药大学康复医学院,上海市201203 [3]上海复旦大学附属华山医院康复医学科,上海市200040

出　　处：《中国康复理论与实践》2014年第7期671-674,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市长宁区卫生局科研基金项目(No.20114ZY04001);国家中医药管理局"十二五"重点专科建设项目

摘　　要：目的观察互动式头针治疗对脑卒中患者运动功能障碍的效果。方法 36例脑卒中患者被随机分为对照组(n=19)和治疗组(n=17)。对照组采用传统头针结合康复训练,治疗组采用互动式头针结合康复训练。共1个月。采用Fugl-Meyer评定量表(FMA)、Wolf运动功能测试量表(WMFT)、改良Barthel指数(MBI)评定治疗前后运动功能、日常生活活动能力。结果治疗后,两组FMA、WMFT、MBI评分均明显提高(P<0.01)。两组间FMA下肢运动功能评分、MBI评分治疗前后差值比较均有显著性差异(P<0.05);而FMA上肢运动功能评分、WMFT评分治疗前后差值均无显著性差异(P>0.05)。结论互动式头针治疗对脑卒中患者下肢运动功能、日常生活活动能力的改善优于传统头针治疗。Objective To investigate the effect of complementary dynamic scalp acupuncture on motor function in stroke. Methods 36 stroke patients were randomly allocated to control group （n=19） and treatment group （n=17）. The control group received traditional scalp acupuncture and rehabilitation training, while the treatment group received scalp acupuncture and rehabilitation training in the same time, for one month. Their motor function and activities of daily living （ADL） were assessed with the Fugl-Meyer Assessment （FMA）, Wolf Motor Function Test （WMFT） and modified Barthel Index （MBI） before and after treatment, respectively. Results The scores of FMA, WMFT and MBI increased significantly in both groups after treatment （P〈0.01）. The difference of scores of FMA of the lower extremities and MBI was statistically significant between the two groups after treatment （P〈0.05）, while the difference of scores of FMA of the upper extremities and WMFT was not （P〉0.05）. Conclusion Complementary dynamic scalp acupuncture is more effective on lower limbs motor function and activities of daily living in stroke patients.

关 键 词：脑卒中 针刺 头针 运动功能 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]