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针刺联合镜像疗法治疗脑卒中患者上肢运动功能障碍临床疗效观察

张金静 肖洪波 杨骏 陈瑞全 朱宗俊 汪林英 乔晓迪

安徽中医药大学学报2024,Vol.43Issue(2):57-61,5.
安徽中医药大学学报2024,Vol.43Issue(2):57-61,5.DOI:10.3969/j.issn.2095-7246.2024.02.014

针刺联合镜像疗法治疗脑卒中患者上肢运动功能障碍临床疗效观察

Clinical Effect of Acupuncture Combined with Mirror Therapy in Treatment of Upper Limb Dys-kinesia in Patients with Stroke

张金静 1肖洪波 1杨骏 1陈瑞全 1朱宗俊 1汪林英 1乔晓迪1

作者信息

  • 1. 安徽中医药大学第一附属医院,安徽 合肥 230031
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect of acupuncture combined with mirror therapy in the treatment of upper limb dyskinesia in patients with stroke.Methods A total of 90 stroke patients with upper limb dyskinesia were divided into control group 1(treated with acupuncture),control group 2(treated with mirror therapy),and observation group(treated with acupuncture and mirror therapy)using a random number table,with 30 patient in each group,and the course of treatment was 2 weeks for all groups.The three groups were compared in terms of Fugl-Meyer Assessment-Upper Extremity(FMA-UE)score,Wolf Motor Function Test(WMFT)score,modified Barthel Index(MBI),International Classification of Functioning,Dis-ability and Health(ICF)score,active range of motion(AROM)for wrist extension,and clinical outcome based on FMA-UE score.Results The observation group had a significantly better clinical outcome than control groups 1 and 2(P<0.05).After treatment,all three groups had significant increases in FMA-UE score,WMFT score,and MBI(P<0.05)and a significant reduction in ICF score(P<0.05),and compared with control groups 1 and 2,the observation group had significantly greater increases in FMA-UE score,WMFT score,and MBI and a significantly greater reduction in ICF score(P<0.05).After treatment,the observation group had a sig-nificantly greater AROM for wrist extension compared with the control groups 1 and 2(P<0.05).Conclusion Acupuncture combined with mirror therapy can effectively improve the motor function of upper limbs in patients with stroke.

关键词

脑卒中/上肢运动功能/镜像疗法/针刺

Key words

Stroke/Motor function of the upper limbs/Mirror therapy/Acupuncture

分类

医药卫生

引用本文复制引用

张金静,肖洪波,杨骏,陈瑞全,朱宗俊,汪林英,乔晓迪..针刺联合镜像疗法治疗脑卒中患者上肢运动功能障碍临床疗效观察[J].安徽中医药大学学报,2024,43(2):57-61,5.

基金项目

安徽省临床医学研究转化专项(202304295107020102) (202304295107020102)

杨骏全国中医药名老中医传承工作室(国中医药人教发[2017]29号) (国中医药人教发[2017]29号)

安徽省2020中央财政中医药事业传承与发展专项资金项目(皖卫中医药发[2020]5号) (皖卫中医药发[2020]5号)

安徽中医药大学学报

OACSTPCD

2095-7246

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