电针联合康复机械手对卒中后偏瘫手功能的影响  

Effect of Electroacupuncture Combined with Rehabilitation Manipulator on Hand Function in Post-stroke Hemiplegia

作　　者：龙小娜[1] 孙培养[1] 王友刚[1] 朱玲玲[1] 储浩然[1] LONG Xiaona;SUN Peiyang;WANG Yougang;ZHU Lingling;CHU Haoran(Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,合肥230061

出　　处：《上海针灸杂志》2022年第4期330-334,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：安徽省教育厅科研项目(KJ2020A0404);全国中医临床特色技术传承骨干人才培训项目[国中医药人教函(2019)36号]。

摘　　要：目的观察电针联合康复机械手对卒中后偏瘫患者手功能的影响。方法将61例卒中后偏瘫手功能障碍患者分为观察组(30例)和对照组(31例)。对照组采用康复机械手治疗,观察组在对照组的基础上联合电针治疗。比较治疗前后两组患者Fugl-Meyer上肢运动功能评定量表(FMA-UE)评分、上田敏手功能评分、手指关节活动度、Brunnstrom运动功能评级的变化。结果治疗后,两组FMA-UE评分、上田敏手功能评分、手指关节活动度以及Brunnstrom运动功能评级均较治疗前明显改善(P<0.05)。观察组治疗后FMA-UE评分、上田敏手功能评分、手指关节活动度以及Brunnstrom运动功能评级改善程度均优于对照组(P<0.05)。结论电针联合康复机械手可显著改善卒中后偏瘫患者的手功能,疗效优于单纯康复机械手治疗。Objective To observe the effect of electroacupuncture plus rehabilitation manipulator on hand function in post-stroke hemiplegia.Method Sixty-one patients with post-stroke hand dysfunction were divided into an observation group(30 cases)and a control group(31 cases).The control group was treated with the rehabilitation manipulator,and the observation group was given additional electroacupuncture treatment.The Fugl-Meyer assessment for upper extremity(FMA-UE)score,Ueda Satoshi hand function score,digital joint range of motion(ROM),and Brunnstrom motor function staging were compared before and after treatment for the two groups.Result After the treatment,the FMA-UE score,Ueda Satoshi hand function score,digital joint ROM,and Brunnstrom motor function staging all showed significant improvements in both groups(P<0.05).The improvements in the FMA-UE score,Ueda Satoshi hand function score,digital joint ROM,and Brunnstrom motor function staging were more significant in the observation group than in the control group after the treatment(P<0.05).Conclusion Electroacupuncture plus rehabilitation manipulator can notably improve hand function in post-stroke hemiplegic patients and produce more significant efficacy than using the rehabilitation manipulator alone.

关 键 词：针刺疗法 电针 中风 偏瘫 中风后遗症 穴 合谷 手功能 康复机械手 

分 类 号：R246.6[医药卫生—针灸推拿学]