任务导向性训练+针灸疗法促进脑卒中早期手功能康复的价值探讨  

The Value of Task Oriented Training+Acupuncture and Moxibustion Therapy in Promoting Hand Function Rehabilitation in the Early Stage of Stroke

作　　者：孙霞霞 张应举 杨红艳 SUN Xiaxia;ZHANG Yingju;YANG Hongyan(Aksu Traditional Chinese Medicine Hospital,Aksu,Xinjiang 843000)

机构地区：[1]阿克苏地区中医医院,新疆阿克苏843000

出　　处：《智慧健康》2025年第3期112-115,共4页Smart Healthcare

摘　　要：目的探究任务导向性训练+针灸疗法促进脑卒中早期手功能康复的价值。方法研究抽检样本选自医院确诊为脑卒中的患者,确定研究时间为2024年3月—2024年9月,入试者80例,经随机数字表法被划分为对照组、观察组,每组各40例。其中,对照组采取任务导向性训练,观察组以任务导向性训练为基础采取针灸疗法,对比康复效果,评估指标包含上肢肌张力(MAS评分)及患侧握力、上肢运动功能评分(FMA-UE)及手功能评分(ARAT评分)、生活质量评分。结果治疗前,两组患者MAS评分、患侧握力对比,差异无统计学意义(P>0.05);治疗后,观察组MAS评分低于对照组,患侧握力较对照组偏高(P<0.05)。治疗前,两组患者FMA-UE评分、ARAT评分对比,差异无统计学意义(P>0.05);治疗后,两组患者FMA-UE评分、ARAT评分对比,均显示为观察组较高(P<0.05)。综合评价患者整体生活质量,各项评价项目测定数值相比,观察组较对照组偏高(P<0.05)。治疗后,两组患者ADL评分均高于治疗前,且观察组高于对照组(P<0.05)。结论脑卒中患者治疗期间联合应用任务导向性训练、针灸疗法对于改善患者肌力水平、运动功能效果理想,可提高患者生活质量,有利于促进患者康复,具有较高借鉴价值。Objective To explore the promotion value of combined application of acupuncture and moxibustion therapy and task oriented training on hand function rehabilitation with stroke patients as test samples.Methods The random sample of the study was selected from patients diagnosed as stroke in the hospital.The study time was determined to be from March 2024 to September 2024.Eighty subjects were divided into control group and observation group by random number table method,with 40 cases in each of two independent samples.The control group took task oriented training,and the observation group took acupuncture and moxibustion therapy based on task oriented training to compare the rehabilitation effect.The evaluation indicators included upper limb muscle tension(MAS score)and affected side grip strength,upper limb motor function score(FMA-UE),hand function score(ARAT score),and quality of life score.Results Before treatment,there was no significant difference in MAS score and affected side grip strength between the two groups of patients(P>0.05).After treatment,the MAS score of the observation group was lower than that of the control group,and the affected side grip strength was higher than that of the control group.The difference between the groups was(P<0.05).Before treatment,statistical analysis was conducted on FMA-UE score and ARAT score,and the evaluation result was(P>0.05);After treatment,the comparison of FMA-UE score and ARAT score between the two groups of patients showed that the observation group had higher scores,and the t-test results were both(P<0.05)compared with the control group.The overall quality of life of the patients was evaluated comprehensively,and the measured values of various evaluation items were higher in the observation group than in the control group(P<0.05).After treatment,the ADL scores of both groups of patients were higher than before treatment,and the observation group was higher than the control group(P<0.05).Conclusion The combined application of task oriented training and acupunctur

关 键 词：任务导向性训练 针灸疗法 脑卒中 手功能 康复价值 

分 类 号：R743.3[医药卫生—神经病学与精神病学]