上海针灸杂志2018，Vol.37Issue(1)：11-15,5.DOI:10.13460/j.issn.1005-0957.2018.01.0011
针刺配合康复训练对脑卒中患者上肢功能恢复的影响
Effect of Acupuncture plus Rehabilitation Training on Upper Limb Functional Recovery in Stroke Patients
摘要
Abstract
Objective To investigate the effect of acupuncture plus rehabilitation training on upper limb functional recovery in convalescent stroke patients.Methods One hundred and three convalescent stroke patients with upper limb motor dysfunction were randomized to a treatment group (54 cases) and a control groups (49 cases). Both group received conventional rehabilitation training. In addition, the treatment group received along-meridian syndrome differentiation-based acupuncture and the control group, sham acupuncture. Upper limb Fugl-Meyer Assessment (U-FMA) score, the Wolf Motor Function Test (WMFT) score, the modified Barthel Index (MBI) score and the 36-Item Short Form Health Survey (SF-36) score were recorded in the two groups of patients before and at the end of treatment and at the 3-month follow-up.Results In the two groups there were statistically significant differences in the U-FMA score, the WMFT score and the MBI score at the end of treatment and the 3-month follow-up compared with before (P>0.05 orP<0.01). At the end of treatment and the 3-month follow-up there were statistically significant differences in the U-FMA score, the WMFT score and the MBI score between the treatment and control groups (P<0.05 orP<0.01). The scores of SF-36 items except social functioning and bodily pain had statistically significant differences within the two groups at the end of treatment and the 3-month follow-up compared with before and between the two groups at the end of treatment and the 3-month follow-up (P<0.01 orP<0.05).Conclusion Acupuncture plus rehabilitation training can markedly improve upper limb function in stroke patients.关键词
针刺疗法/脑卒中/上肢功能/康复训练/上肢Fugl-Meyer运动功能/Wolf运动功能测试量表/改良Barthel指数/健康调查简易量表Key words
Acupuncture therapy/Cerebral stroke/Upper limb function/Rehabilitation training/Upper limb Fugl-Meyer motor function/The Wolf Motor Function Test/The modified Barthel Index/The Short Form Health Survey分类
医药卫生引用本文复制引用
郑婵娟,夏文广,陈燕志,张璇,王娟,李思成..针刺配合康复训练对脑卒中患者上肢功能恢复的影响[J].上海针灸杂志,2018,37(1):11-15,5.基金项目
湖北省武汉中青年医学骨干人才基金项目(武卫计201363) （武卫计201363）
人力资源和社会保障部留学人员科技活动项目择优资助(2015192) （2015192）
