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基于手功能成像仪针刺治疗脑卒中后手运动功能障碍的疗效评价

丁铃 叶红 史德林 唐超 贾杰

中国康复理论与实践2017,Vol.23Issue(5):587-590,4.
中国康复理论与实践2017,Vol.23Issue(5):587-590,4.DOI:10.3969/j.issn.1006-9771.2017.05.021

基于手功能成像仪针刺治疗脑卒中后手运动功能障碍的疗效评价

Effects of Acupuncture on Hand Dysfunction after Stroke:Evaluated with Hand Function Laserimager

丁铃 1叶红 1史德林 1唐超 1贾杰2

作者信息

  • 1. 复旦大学附属上海市浦东医院康复医学科,上海市201399
  • 2. 复旦大学附属华山医院康复医学科,上海市200040
  • 折叠

摘要

Abstract

Objective To apply a hand function laserimager to evaluate the effect of acupuncture on hand dysfunction after stroke. Meth-ods From January to June, 2016, 18 stroke patients with upper limb dysfunction were divided into control group (n=9) and acupuncture group (n=9). The control group received routine medication and rehabilitation, while the acupuncture group received acupuncture in addi-tion. They were assessed with modified Ashworth Scale (MAS), Fugl-Meyer Assessment (FMA) of upper limb motor function and modified Bathel Index (MBI) before and after three-week treatment, while the region of interest (ROI) of their hands was tested with the hand func-tion laserimager. Results The scores of MAS and FMA improved after treatment in both groups (t>4.44, P<0.01), and improved in the score of MBI in the acupuncture group (t=3.95, P<0.01). The scores of MAS, FMA, and MBI improved more in the acupuncture group than in the control group (t>3.17, P<0.01). Meanwhile, the scores of ROI decreased in the affected hands after treatment (t>7.78, P<0.001), and de-creased more in the acupuncture group than in the control group (t=-2.23, P<0.05). No significant difference was observed in the scores of ROI of the unaffected hands (t=-0.11, P>0.05) between groups. Conclusion The hand function laserimager, which responds to the blood perfusion of the hand, can be used as a tool to evaluate the hand function.

关键词

脑卒中/手功能障碍/针刺/手功能激光成像/评定

Key words

stroke/hand dysfunction/acupuncture/hand function laserimager/evaluation

分类

医药卫生

引用本文复制引用

丁铃,叶红,史德林,唐超,贾杰..基于手功能成像仪针刺治疗脑卒中后手运动功能障碍的疗效评价[J].中国康复理论与实践,2017,23(5):587-590,4.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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