《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (9): 867-869.

• 临床研究 • 上一篇    下一篇

针刺配合作业疗法治疗脑卒中后上肢功能障碍的效果

石素宁1，于洪宇1，丛壮1，孙翠翠2，迟欣欣2
   

  1. 1.辽宁医学院护理学院，辽宁锦州市121000；2.辽宁医学院第一附属医院康复科，辽宁锦州市121001
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-09-25 发布日期:2014-09-25

Effect of Jin's Three-needle Acupuncture Combined with Occupational Therapy on Function of Upper Limbs for Stroke Patients with Hemiplegia

SHI Su-ning, YU Hong-yu, CONG Zhuang, SUN Cui-cui, CHI Xin-xin.
  

  1. Liaoning Medical College, Jinzhou, Liaoning 121000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-09-25 Online:2014-09-25

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摘要： 目的观察靳三针疗法结合作业治疗对脑卒中后上肢功能障碍患者的影响。方法90 例脑卒中患者随机分为对照组(n=30)、观察组(n=30)和试验组(n=30)。对照组接受常规康复，观察组在常规康复基础上给予个体化作业治疗，试验组在常规康复的同时予靳三针结合作业治疗，疗程4 周。治疗前后采用上肢简化Fugl-Meyer评定(FMA)和Barthel 指数(BI)进行评定。结果各组治疗后FMA、BI 评分均较治疗前显著改善(P<0.001)，FMA、BI 评分差值试验组显著高于观察组和对照组，观察组显著高于对照组(P<0.001)。结论在常规康复治疗基础上采用靳三针治疗和个体化作业治疗能明显改善脑卒中偏瘫患者的上肢功能，改善日常
生活能力。

关键词: 脑卒中, 靳三针疗法, 作业治疗, 上肢, 运动功能, 日常生活活动能力

Abstract: Abstract: Objective To explore the effects of Jin's Three-needle Acupuncture combined with occupational therapy on function of upper limbs for stroke patients with hemiplegia. Methods 90 patients with stroke were randomly divided into control group (n=30), observation group (n=30) and experiment group (n=30). The control group received routine rehabilitation, the observation group received occupational therapy in addition, and the experiment group received Jin's Three-needle Acupuncture and occupational therapy in addition. They were assessed with Fugl-Meyer Assessment (FMA) of upper limbs and Barthel index (BI) before and 4 weeks after treatment. Results The scores of FMA and BI improved in all the groups after treatment (P<0.001). The difference of scores of FMA and BI before and after treatment were more in the experiment group than in the observation group (P<0.001), observation group than the control group (P<0.001). Conclusion Jin's Three-needle Acupuncture combined with occupational therapy can further improve the motor function of upper limbs and activities of daily living for stroke patients with hemiplegia.

Key words: stroke, Jin's Three-needle Acupuncture, occupational therapy, upper limbs, motor function, activities of daily living