电针对脑卒中后偏瘫患者手功能障碍的疗效-中国康复理论与实践.PDFVIP

中国康复理论与实践2017年1月第23卷第1期 ChinJRehabilTheoryPract,Jan., 2017,Vol.23,No.1 - 14 - DOI: 10.3969/j.issn. 1006-9771.2017.01.004 ·专题 · 电针对脑卒中后偏瘫患者手功能障碍的疗效① 1,2 2,3 张听雨 ，贾杰 [摘要] 目的 探讨电针对脑卒中后偏瘫患者手功能障碍的疗效。方法 从多中心、大样本的研究数据中抽取40 例患者，基 础康复组和电针组各20 例，分别行基础康复训练、电针+基础康复训练，共6 周。患者入组时，治疗开始后2 周、4 周、6 周，以及 治疗结束后12周采用Brunnstrom 分级、Fugl-Meyer 评定量表(FMA)上肢部分、Wolf 上肢运动功能评定(WMFT)、改良Barthel 指数 (MBI)进行评定。结果 治疗结束后12周，两组间FMA 评分、WMFT 评分和WMFT 测试时间有显著性差异(t 1.900, P0.05) ；两 组间MBI 、Brunnstrom 分级无显著性差异(t=0.532, Z 1.79, P0.05) ，但电针组较基础康复组有改善趋势。结论 电针有助于脑卒中 后软瘫期患者肌力改善，能促进脑卒中患者手功能改善。 [关键词] 脑卒中；电针；手功能；康复 Effect of Electroacupuncture on Hand Dysfunction after Stroke ZHANG Ting-yu1,2, JIA Jie2,3 1. The First Rehabilitation Hospital of Shanghai, Shanghai 200090, China; 2. Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China; 3. Jingan District Centre Hospital of Shanghai, Shanghai 200040, China Correspondence to JIA Jie. E-mail: shannonjj@ 126.com Abstract: Objective To observe the effect of electroacupuncture on hand dysfunction after stroke. Methods Forty hemiplegic patients after stroke were selected from a multi-center large-scale trail, belonged to rehabilitation group (n=20) and electroacupuncture group (n=20), who accepted routine rehabilitation and additional electroacupuncture, respectively, for six weeks. They were assessed with Brunnstrom Grade, Fugl-Meyer Assessment (FMA), Wolf Motor Function Test (WMFT) and modified Barthel index (MBI) before treatment, two, four and six weeks during treatment, and twelve weeks after treatment. Results There were differences between two groups in scores of FMA, WMFT and total tim