揿针配合埋线治疗缺血性脑卒中后手功能障碍的效果.docVIP

揿针配合埋线治疗缺血性脑卒中后手功能障碍的效果 　　[摘要] 目的 观察揿针配合埋线治疗缺血性脑卒中后手功能障碍的效果。 方法 选取2015年1月～2016年12月在广州市第十二人民医院康复医学科和神经内科就诊的缺血性脑卒中后手功能障碍患者60例作为研究对象，按照随机数字表法分为治疗组和对照组，每组各30例。治疗组在常规治疗方案基础上，采用揿针配合埋线；对照组在常规治疗方案基础上，采用揿针配合功能针。均采用简式Fugl-Meyer运动功能评定量表（FMA）及Barthel指数评定量表（BI）进行治疗前后的效果评定并比较。 结果 治疗后，两组FMA评分和BI评分均优于治疗前（P 0.05），且治疗组优于对照组，差异有统计学意义（P 0.05）。 结论 在常规治疗方案基础上，揿针配合埋线比揿针配合功能针对缺血性脑卒中后手功能障碍的疗效更好。 　　[关键词] 缺血性脑卒中；手功能障碍；揿针；埋线 　　[中图分类号] R743.31 [文献标识码] A [文章编号] 1673-7210（2018）02（b）-0076-05 　　[Abstract] Objective To observe the clinical efficacy of press-needle combine thread embedding on treating patients with hand dysfunction after ischemic stroke. Methods From January 2015 to December 2016， 60 patients with hand dysfunction after ischemic stroke in Department of Rehabilitation Medicine and Neurology of Guangzhou Twelfth peoples Hospital were selected as research objects， and divided into treatment group and control group by random number table， with 30 cases in each group. The treatment group was treated by press-needle combined thread embedding on the basis of routine treatment， and the control group was treated by press-needle combined functional acupuncture on the basis of routine treatment. The curative effect was evaluated and compared before and after treatment by the Fugl-Meyer Assessment （FMA） and the Barthel Index （BI）. Results After treatment， the FMA score and BI score in both group were all higher than before treatment （P 0.05）， and the treatment group was better than control group， the difference was statistically significant （P 0.05）. Conclusion Based on routine treatment， the treatment of press-needle combined thread embedding is better than press-needle combined functional acupuncture on treating patients with hand dysfunction after ischemic stroke. 　　[Key words] Ischemic stroke； Hand dysfunction； Press-needle； Thread embedding 　　缺血性脑卒中是由于脑动脉狭窄或者闭塞引起脑部供血不足，从而导致脑组织坏死的疾病。是临床上的常见病和多发病，具有发病率高、致残率高、死亡率高、复发率高的特点。由于脑组织受损，累及中枢神经系统，引起肢体偏瘫，严重影响患者的生活质量，给社会和家庭造成沉重的负担。其中，手功能障碍最为常