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针刺联合镜像疗法对脑卒中后偏瘫患者上肢运动功能的疗效观察

杨柳 顾玉玲 高松年 刘巧云 石秀

中国康复2024,Vol.39Issue(8):451-455,5.
中国康复2024,Vol.39Issue(8):451-455,5.DOI:10.3870/zgkf.2024.08.001

针刺联合镜像疗法对脑卒中后偏瘫患者上肢运动功能的疗效观察

Effect of acupuncture combined with mirror therapy on upper limb motor function in patients with hemiplegia after stroke

杨柳 1顾玉玲 1高松年 1刘巧云 1石秀1

作者信息

  • 1. 南通大学附属南通第三医院/南通市第三人民医院康复科,江苏南通 226000
  • 折叠

摘要

Abstract

Objective:To observe the effect of acupuncture combined with mirror therapy(MT)on the function of upper limbs in patients with post-stroke hemiplegia.Methods:Totally,80 stroke inpatients in the Rehabilitation De-partment of Nantong Third People's Hospital were selected on January 1,2020.According to the random number table method,the patients were divided into 4 groups(20 cases in each group):control group A,acupuncture group B,MT group C,and joint group D.The four groups of patients all were given routine comprehensive rehabilitation training.Group A was simply given conventional comprehensive rehabilitation training.Patients in group B were given acupuncture treatment on the basis of group A,and those in group C were given MT on the basis of group A.Group D was given acupuncture treatment and posterior MT on the basis of group A.After 4 weeks,Fugl-Meyer assessment(FMA)upper limb and hand movement function(FMA-UE)score,modified Barthel index(MBI)score,and Wolf motor function test(WMFT)score were assessed in the four groups of patients.Results:After 4 weeks of treatment,the FMA-UE score,MBI score and WMFT score in the four groups of patients were signifi-cantly higher than those before treatment(P<0.05).The FMA-UE score,MBI score and WMFT score in group D were significantly higher than in the rest groups(P<0.05),those in the group B were higher than in the group A(P<0.05),those in the group C were higher than in the group A(P<0.05),and there was no statistically signifi-cant difference between groups B and C.Conclusion:Acupuncture combined with MT can effectively improve the motor function of the upper limbs of patients with stroke and hemiplegia.It is more conducive to the recovery of the motor function of the upper limbs of patients with hemiplegia than acupuncture or MT alone.

关键词

针刺/镜像疗法/脑卒中/运动功能

Key words

acupuncture/mirror therapy/stroke/motor function

分类

医药卫生

引用本文复制引用

杨柳,顾玉玲,高松年,刘巧云,石秀..针刺联合镜像疗法对脑卒中后偏瘫患者上肢运动功能的疗效观察[J].中国康复,2024,39(8):451-455,5.

基金项目

南通市科技计划项目(MSZ20098) (MSZ20098)

中国康复

OACSTPCD

1001-2001

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