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OACSTPCD

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.