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针刺十宣穴结合康复训练对脑卒中后上肢痉挛状态及手功能的影响

陈丽萍 卞海萍 王瑾 曹德峰

上海针灸杂志2016,Vol.35Issue(10):1154-1157,4.
上海针灸杂志2016,Vol.35Issue(10):1154-1157,4.DOI:10.13460/j.issn.1005-0957.2016.10.1154

针刺十宣穴结合康复训练对脑卒中后上肢痉挛状态及手功能的影响

Effect of Acupuncture at Shixuan (EX-UE11) plus Rehabilitation on Upper-limb Spasticity After Cerebral Stroke

陈丽萍 1卞海萍 1王瑾 1曹德峰1

作者信息

  • 1. 江苏大学附属武进人民医院,常州 213000
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of acupuncture at Shixuan (EX-UE11) plus rehabilitation in improving the upper-limb spasticity and hand function after cerebral stroke. Method Sixty patients with upper-limb spasm due to cerebral stroke were randomized into two groups. The observation group was intervened by conventional acupuncture plus needling Shixuan and rehabilitation training, while the control group was by conventional acupuncture plus rehabilitation training. The Modified Ashworth Scale (MAS) and Modified Barthel Index (MBI) were evaluated before and after the intervention. The effects of the two methods in improving the upper-limb spastic intensity, hand function, and activities of daily living after cerebral stroke were evaluated based on the scores before and after the intervention. Result After treatment, the upper-limb spastic intensity and muscle tension decreased in both groups, and there was a significant difference in comparing the MAS score between the two groups (P<0.05); the improvement of MBI in the treatment group was more significant than that in the control group (P<0.05). Conclusion Acupuncture at Shixuan plus rehabilitation can produce a more significant efficacy in treating upper-limb spasm, improving hand function and activities of daily living after cerebral stroke, compared to the conventional acupuncture plus rehabilitation.

关键词

针刺/穴,十宣/康复训练/卒中/肌痉挛/手功能

Key words

Acupuncture/Point, Shixuan (EX-UE11)/Rehabilitation/Stroke/Spasm/Hand function

分类

医药卫生

引用本文复制引用

陈丽萍,卞海萍,王瑾,曹德峰..针刺十宣穴结合康复训练对脑卒中后上肢痉挛状态及手功能的影响[J].上海针灸杂志,2016,35(10):1154-1157,4.

基金项目

江苏常州武进区卫生局课题(2013-278) (2013-278)

上海针灸杂志

OACSTPCD

1005-0957

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