针刺配合体感音乐对脑卒中后上肢痉挛运动功能恢复的影响  

Effect of acupuncture combined with somatosensory music on upper limb spastic motor function recovery after stroke

作　　者：何虹[1] 刘洁珍[1] 蔡敬宙[1] 徐霞[1] 江海玲[1] He Hong;Liu Jiezhen;Cai Jingzhou;Xu Xia;Jiang Hailing(Guangzhou First People's Hospital, Guangzhou 510180, China)

机构地区：[1]广州市第一人民医院,510180

出　　处：《国际医药卫生导报》2019年第7期1054-1057,共4页International Medicine and Health Guidance News

摘　　要：目的探讨针刺配合体感音乐对脑卒中后上肢痉挛运动功能恢复的效果.方法选取2017年1月至12月本院收治的52例脑卒中患者为对照组,2018年1月至10月的50例脑卒中患者为干预组;对照组给予针刺和康复训练,干预组给予针刺、康复训练和体感音乐治疗,1个月后采用Ashworth痉挛量表(Modified Ashworth Scale,MAS)和Fugl-Meyer上肢功能评分(Fugl-Meyer motor assessment,FMA)对患者上肢功能进行评定.结果治疗后干预组、对照组患肢肘关节MAS评分分别是(1.81±0.94)分、(2.77±0.81)分,明显低于治疗前的(3.01±1.03)分、(2.96±0.88)分,差异均有统计学意义(均P< 0.01);干预组肘关节MAS评分为(1.81±0.94)分,显著优于对照组的(2.77±0.81)分,差异有统计学意义(P<0.05).治疗后干预组、对照组患侧上肢FMA评分分别是(40.65±5.48)分、(26.53±5.61)分,均显著高于治疗前的(21.59±5.11)分、(22.40±5.28)分,差异均有统计学意义(均P<0.01);干预组患侧上肢FMA评分为(40.65±5.48)分,显著优于对照组的(26.53±5.61)分,差异有统计学意义(P<0.05).结论针刺配合体感音乐能降低脑卒中后上肢痉挛患者的肌张力和痉挛程度,达到改善上肢运动功能的目的.Objective To explore the effect of acupuncture combined with somatosensory music on the recovery of upper limb spastic motor function after stroke.Method 52 patients with stroke treated at our hospital from January to December,2017 were selected as a control group,and 50 from January to October,2018 an intervention group.The control group were treated with acupuncture and took rehabilitation training;in addition,the intervention group were treated with somatosensory music.One month later,the upper limb function of the patients was assessed with the Ashworth Spasm Scale (MAS) and Fugl-Meyer Upper Limb Function Assessment (FMA).Results The MAS scores before and after the treatment were (3.01±1.03) and (1.81±0.94) in the intervention group,and were (2.96±0.88) and (2.77±0.81) in the control group,with statistical difference between before and after the treatment in both groups as well as between the these two group after the treatment (all P < 0.05).The FMA scores of affected upper limbs before and after the treatment were (21.59±5.11) and (40.65±5.48) in intervention group,and were (22.40±5.28) and (26.53±5.61) in the control group,with statistical difference between before and after the treatment in both groups as well as between the these two group after the treatment (all P < 0.05).Conclusion Acupuncture combined with somatosensory music can reduce the degree of muscle tension and spasm in patients with upper limb spasm after stroke,so as to improve the motor function of upper limbs.

关 键 词：脑卒中后上肢痉挛 针刺疗法 体感音乐疗法 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]