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郑州大学附属洛阳中心医院康复科
纸质出版日期:2018
移动端阅览
潘俊晓, 陈艳萍, 位娜娜. 平衡针结合运动再学习疗法对脑卒中患者上肢功能恢复的影响[J]. 针刺研究, 2018,43(2):123-126.
PAN Jun-xiao, CHEN Yan-ping, WEI Na-na. Improvement of Upper Limb and Hand Functions of Stroke Patients by Balancing Acupuncture Combined with Motor Relearning Training[J]. Acupuncture research, 2018, 43(2): 123-126.
潘俊晓, 陈艳萍, 位娜娜. 平衡针结合运动再学习疗法对脑卒中患者上肢功能恢复的影响[J]. 针刺研究, 2018,43(2):123-126. DOI: 10.13702/j.1000-0607.170484.
PAN Jun-xiao, CHEN Yan-ping, WEI Na-na. Improvement of Upper Limb and Hand Functions of Stroke Patients by Balancing Acupuncture Combined with Motor Relearning Training[J]. Acupuncture research, 2018, 43(2): 123-126. DOI: 10.13702/j.1000-0607.170484.
目的:观察平衡针结合运动再学习疗法对脑卒中患者上肢功能、日常生活自理能力的影响。方法:脑卒中患者随机分为平衡针组和常规针刺组各31例
平衡针组采用偏瘫穴、肩痛穴、腕痛穴
其中肩痛穴、腕痛穴取得针感后即可出针
偏瘫穴取得针感后不出针
开始留针的同时接受运动再学习疗法训练
训练结束后出针;常规针刺组常规针刺肩髃、肩前、肩贞、臂臑、曲池等穴
针刺得气后留针30min
取针后进行运动再学习疗法训练。两组均每日治疗1次
每周治疗6d
共治疗8周。治疗前后采用简式Fugl-Meyer运动功能评分法、运动功能评估量表(MAS)对患者上肢功能、日常生活自理能力进行评定。结果:两组治疗后上肢功能、日常生活自理能力较本组治疗前均明显改善(P<0.05)
平衡针组患者上肢功能、日常生活自理能力改善与常规针刺组相比更为明显(P<0.05)。结论:平衡针结合运动再学习疗法有利于提高脑卒中患者上肢的综合能力
疗效优于传统针刺法结合运动再学习疗法。
Objective To observe the therapeutic effect of balance acupuncture combined with motor relearning training for upper limb and hand functions of stroke patients.Methods Sixty-two stroke patients were randomly divided into balance acupuncture group(n=31)and routine acupuncture group(n=31).For patients of the balance acupuncture group
Piantan
Jiantong and Wantong points on the healthy side were used.When Jiantong point taken
the acupuncture needle was removed after the patient experienced an electric shock-like spreading needling sensation.When Wantong point employed
the needle was removed after the patient experienced a local
intensified or spreading needling sensation.When Piantan point used
the needle was retained after the patient experienced an electric shock-like needling sensation
then
the motor relearning training was conducted
and the needle was removed immediately after the training.For patients of the routine acupuncture group
Jianyu(LI 15)
Jianzhen(SI 9)
Quchi(LI 11)
etc.were needled with the needles retained for 30 min after getting needling sensations.The motor relearning training was also carried out after removal of the needle.The treatment in both groups was performed once daily
6 days a week
and lasted for 8 weeks.The Fugl-Meyer score and motor function scale(MAS)of the upper limb
and the fine performance score and motor function score of the hand were assessed before and after the treatment.Results Following treatment
the Fugl-Meyer score and MAS of the upper limbs
and the motor function score and fine performance score of the hand were significantly increased in both groups compared with pre-treatment in each group(P<0.05)
suggesting a functional improvement of both upper limb and hand.The therapeutic effect of the balance acupuncture was obviously superior to that of routine acupuncture in improving functions of both the upper limb and hand(P<0.05).Conclusion Balance acupuncture combined with motor relearning training is helpful to improve the comprehensive function of the upper limb and hand in stroke patients.
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