CAJ | 학술논문

目的：观察靳三针疗法结合作业治疗对脑卒中后上肢功能障碍患者的影响。方法90例脑卒中患者随机分为对照组(n=30)、观察组(n=30)和试验组(n=30)。对照组接受常规康复，观察组在常规康复基础上给予个体化作业治疗，试验组在常规康复的同时予靳三针结合作业治疗，疗程4周。治疗前后采用上肢简化Fugl-Meyer评定(FMA)和Barthel指数(BI)进行评定。结果各组治疗后FMA、BI评分均较治疗前显著改善(P<0.001)，FMA、BI评分差值试验组显著高于观察组和对照组，观察组显著高于对照组(P<0.001)。结论在常规康复治疗基础上采用靳三针治疗和个体化作业治疗能明显改善脑卒中偏瘫患者的上肢功能，改善日常生活能力。
목적：관찰근삼침요법결합작업치료대뇌졸중후상지공능장애환자적영향。방법90례뇌졸중환자수궤분위대조조(n=30)、관찰조(n=30)화시험조(n=30)。대조조접수상규강복，관찰조재상규강복기출상급여개체화작업치료，시험조재상규강복적동시여근삼침결합작업치료，료정4주。치료전후채용상지간화Fugl-Meyer평정(FMA)화Barthel지수(BI)진행평정。결과각조치료후FMA、BI평분균교치료전현저개선(P<0.001)，FMA、BI평분차치시험조현저고우관찰조화대조조，관찰조현저고우대조조(P<0.001)。결론재상규강복치료기출상채용근삼침치료화개체화작업치료능명현개선뇌졸중편탄환자적상지공능，개선일상생활능력。
Objective To explore the effects of Jin's Three-needle Acupuncture combined with occupational therapy on function of up-per limbs for stroke patients with hemiplegia. Methods 90 patients with stroke were randomly divided into control group (n=30), observa-tion group (n=30) and experiment group (n=30). The control group received routine rehabilitation, the observation group received occupa-tional therapy in addition, and the experiment group received Jin's Three-needle Acupuncture and occupational therapy in addition. They were assessed with Fugl-Meyer Assessment (FMA) of upper limbs and Barthel index (BI) before and 4 weeks after treatment. Results The scores of FMA and BI improved in all the groups after treatment (P<0.001). The difference of scores of FMA and BI before and after treat-ment were more in the experiment group than in the observation group (P<0.001), observation group than the control group (P<0.001). Con-clusion Jin's Three-needle Acupuncture combined with occupational therapy can further improve the motor function of upper limbs and ac-tivities of daily living for stroke patients with hemiplegia.