针刺十宣穴结合康复训练对脑卒中后上肢痉挛状态及手功能的影响  

Effect of Acupuncture at Shixuan(EX-UE11) plus Rehabilitation on Upper-limb Spasticity After Cerebral Stroke

作　　者：陈丽萍[1] 卞海萍 王瑾[1] 曹德峰[1] CHEN Li-ping BIAN Hai-ping WANG Jin CAO De-feng(Wujin People’s Hospital Affiliated to Jiangsu University, Changzhou 213000, China)

机构地区：[1]江苏大学附属武进人民医院,常州213000

出　　处：《上海针灸杂志》2016年第10期1154-1157,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：江苏常州武进区卫生局课题(2013-278)

摘　　要：目的观察针刺十宣穴结合康复训练对脑卒中后上肢痉挛状态及手功能恢复的临床疗效。方法将60例脑卒中后上肢痉挛患者随机分为两组,观察组采用常规针刺加针刺十宣穴结合康复训练治疗,对照组采用常规针刺加康复训练治疗。治疗前后评估患者的改良Ashworth评分(Modified Ashworth Scale,MAS)和改良Barthel指数(Modified Barthel Index,MBI)评分。根据治疗前后评分结果,对两组方法改善脑卒中后上肢痉挛状态的痉挛程度、手功能、日常生活活动能力方面做出疗效评价。结果观察组和对照组治疗后上肢痉挛程度和肌张力都有下降,治疗后组间MAS评分比较差异有统计学意义(P<0.05);观察组日常生活活动能力(MBI评分)较对照组改善明显(P<0.05)。结论常规针刺加针刺十宣穴结合康复训练对治疗脑卒中后上肢痉挛及改善患者的手功能、日常生活活动能力的临床疗效优于常规针刺加康复训练治疗。Objective To observe the clinical efficacy of acupuncture at Shixuan（EX-UE11） plus rehabilitation in improving the upper-limb spasticity and hand function after cerebral stroke.Method Sixty patients with upper-limb spasm due to cerebral stroke were randomized into two groups.The observation group was intervened by conventional acupuncture plus needling Shixuan and rehabilitation training,while the control group was by conventional acupuncture plus rehabilitation training.The Modified Ashworth Scale（MAS） and Modified Barthel Index（MBI） were evaluated before and after the intervention.The effects of the two methods in improving the upper-limb spastic intensity,hand function,and activities of daily living after cerebral stroke were evaluated based on the scores before and after the intervention.Result After treatment,the upper-limb spastic intensity and muscle tension decreased in both groups,and there was a significant difference in comparing the MAS score between the two groups（P0.05）;the improvement of MBI in the treatment group was more significant than that in the control group（P〈0.05）.Conclusion Acupuncture at Shixuan plus rehabilitation can produce a more significant efficacy in treating upper-limb spasm,improving hand function and activities of daily living after cerebral stroke,compared to the conventional acupuncture plus rehabilitation.

关 键 词：针刺 穴 十宣 康复训练 卒中 肌痉挛 手功能 

分 类 号：R658.1[医药卫生—外科学]