镜像疗法结合针刺对早期偏瘫患者上肢功能的疗效研究  

Effect of mirror therapy combined with acupuncture in restoring the upper limbs of patients with early hemiplegia

作　　者：周航帆[1] 叶含笑[2] 

机构地区：[1]浙江省人民医院康复科,浙江杭州310014 [2]浙江中医药大学,浙江杭州310053

出　　处：《健康研究》2017年第4期427-429,共3页Health Research

摘　　要：目的探讨镜像疗法结合针刺对早期脑卒中患者上肢功能康复的效果。方法将60例脑卒中偏瘫患者随机分成A组(针灸组)、B组(镜像疗法组)、C组(镜像疗法结合针灸组)各20例,三组均给予常规的康复治疗,A组再加针灸治疗,B组加镜像疗法,C组加镜像疗法结合针灸治疗;治疗前和治疗12周后,采用Fugl-Meyer(FMA)量表评定患者上肢功能,采用barthel指数评定日常生活活动能力。结果治疗前,三组的各项评定指标均无明显的统计学差异(P>0.05);治疗12周后,三组各项指标较治疗前均有所改善,且C组明显优于其他两组(P<0.05)。结论镜像疗法结合针刺治疗在一定程度上能改善早期脑卒中偏瘫患者上肢的功能,对提高患者日常生活活动能力有一定的促进作用。Objective To determine the effect of mirror image therapy combined with acupuncture in restoring the function of upper limbs of patients with early hemiplegia. Method Sixty patients with early hemiplegia were randomly divided into three groups： group A （to be treated with acupuncture）, group B （to be treated with mirror therapy） and group C （to be treated with mirror therapy combined with acupuncture）. Firstly, the three groups were all subjected to conventional treatment for recovery. Next, Group A were treated with acupuncture. Group B were treated with mirror therapy. Group C were treated with mirror therapy combined with acupuncture. 12 weeks before treatment and 12 weeks after treatment, Fugl-Meyer （FMA） scale was used to assess the function of the upper limbs of the subjects and Barthel index was used to evaluate the subjects＇ ability to deal with daily living. Findings No statistical difference was found between the three groups before treatment （P〉 0.05）. 12 weeks after treatment, all the indexes of the three groups improved as compared with those before treatment where group C was better than the other two groups （P 〈0.05）. Conclusion Mirror therapy combined with acupuncture can improve the function of upper limbs of patients with early hemiplegia and their ability to deal with daily living.

关 键 词：镜像疗法 针灸疗法 卒中 上肢功能 

分 类 号：R493[医药卫生—康复医学]