基于德尔菲法的针刺方案改善脑卒中上肢运动功能障碍临床研究  

Using a Delphi Consensus Process to Develop an Acupuncture Treatment Protocol for People with Post-stroke Upper Limb Motor Dysfunction:A Clinical Research

作　　者：林淑芳 徐颖[3] 叶晓倩[3] 杨珊莉 Lin Shufang;Xu Ying;Ye Xiaoqian;Yang Shanli(Rehabilitation Hospital affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Fujian Key Laboratory of Rehabilitation Technology,Fuzhou 350003,China;Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)

机构地区：[1]福建中医药大学附属康复医院,福建福州350003 [2]福建省康复技术重点实验室,福建福州350003 [3]福建中医药大学,福建福州350122

出　　处：《亚太传统医药》2020年第6期127-130,共4页Asia-Pacific Traditional Medicine

基　　金：中央引导地方科技发展专项(2018L3009);福建省康复技术重点实验室项目(2015Y2001-40);福建省科技厅对外合作项目(2016I0005)。

摘　　要：目的:观察基于德尔菲法的针刺方案对脑卒中上肢运动功能障碍的临床疗效。方法:招募264名合格的脑卒中上肢运动功能障碍患者,分为德尔菲取穴组、常规取穴组和空白组。德尔菲取穴组在基础治疗的基础上接受基于德尔菲法针刺方案治疗,常规取穴组在基础治疗的基础上接受常规辨证针刺方案治疗,空白组仅接受基础治疗。干预时间为每天1次,每次30min,每周6次,持续4周。治疗4周结束后进行上肢运动功能、手功能和日常生活活动能力的评定。结果:①治疗后,德尔菲取穴组及常规取穴组FMA-UE评分的改善程度明显优于空白组,差异有统计学意义(P<0.001);②治疗后,德尔菲取穴组及常规取穴组SHEF评分的改善程度明显优于空白组,差异有统计学意义(P<0.001);③治疗后,德尔菲取穴组及常规取穴组MBI评分的改善程度优于空白组(P<0.05),德尔菲取穴组及常规取穴组之间无统计学差异.结论:德尔菲针刺方案有利于改善脑卒中患者上肢运动功能。Objective:To observe an acupuncture treatment protocol’s effectiveness in upper limb motor function in patients after stroke.Methods:A total of 264 qualified stroke participants with hand dysfunction were divided into three groups:Delphi acupuncture group(Basic treatment plus acupuncture program developed based on a Delphi Consensus Process),conventional acupuncture group(basic treatment plus routine dialectical acupuncture program)and control group(only basic treatment which including conventional medical treatment,conventional rehabilitation and health education).All recruited patients received treatments for 30 minutes one day,6 days a week for 4 weeks.Outcome measures evaluated at baseline and end of 4-week intervention including hand function,upper limb motor function and activities of daily living.Results:①Delphi acupuncture group compared with control group and conventional acupuncture group compared with control group(P<0.001)had significant differences in FMA-UE;②Delphi acupuncture group compared with control group and conventional acupuncture group compared with control group(P<0.001)had significant differences in SHEF;③Delphi acupuncture group compared with control group and conventional acupuncture group compared with control group(P<0.05)had significant differences in MBI scores,but Delphi acupuncture group compared with conventional acupuncture group had no significant differences.Conclusion:Delphi acupuncture is beneficial for people with post-stroke upper limb motor dysfunction.

关 键 词：针刺 脑卒中 上肢运动功能 德尔菲法 

分 类 号：R246[医药卫生—针灸推拿学]