中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
3期
120-122
,共3页
脑卒中%上肢功能障碍%针刺%强制性使用运动疗法%功能康复
腦卒中%上肢功能障礙%針刺%彊製性使用運動療法%功能康複
뇌졸중%상지공능장애%침자%강제성사용운동요법%공능강복
Cerebral stroke%Upper limb disorder%Acupuncture%Constraint-induced movement therapy%Function rehabilitation
目的：观察针刺联合强制性使用运动疗法对亚急性期脑卒中患者的上肢功能的康复情况。方法：将58例脑卒中亚急性期上肢功能障碍患者随机分为对照组（29例）和治疗组（29例），对照组以针刺联合常规康复训练治疗，治疗组以针刺联合强制性使用运动疗法治疗。治疗前、治疗后2周、治疗后4周分别对两组患者进行Wolf运动功能（WMFT）评定、上肢动作研究量表（ARAT）评定、Barthel指数（BI）评定。结果：治疗前，两组患者三项评分比较无差异。治疗后2周，治疗组三项评分均高于同组治疗前；对照组WMFT、ARAT评分均高于治疗前，BI评分较治疗前无差异；治疗组WMFT、ARAT评分与对照组治疗后2周比较无差异，但BI评分高于对照组治疗后2周评分。治疗后4周，对照组WMFT、ARAT评分较治疗后2周无差异，但BI评分高于治疗后2周；治疗组三项评分均高于治疗后2周，且高于对照组治疗后4周的三项评分。结论：针刺联合强制性使用运动疗法更能有效地提高亚急性期脑卒中偏瘫患者上肢运动功能的恢复。
目的：觀察針刺聯閤彊製性使用運動療法對亞急性期腦卒中患者的上肢功能的康複情況。方法：將58例腦卒中亞急性期上肢功能障礙患者隨機分為對照組（29例）和治療組（29例），對照組以針刺聯閤常規康複訓練治療，治療組以針刺聯閤彊製性使用運動療法治療。治療前、治療後2週、治療後4週分彆對兩組患者進行Wolf運動功能（WMFT）評定、上肢動作研究量錶（ARAT）評定、Barthel指數（BI）評定。結果：治療前，兩組患者三項評分比較無差異。治療後2週，治療組三項評分均高于同組治療前；對照組WMFT、ARAT評分均高于治療前，BI評分較治療前無差異；治療組WMFT、ARAT評分與對照組治療後2週比較無差異，但BI評分高于對照組治療後2週評分。治療後4週，對照組WMFT、ARAT評分較治療後2週無差異，但BI評分高于治療後2週；治療組三項評分均高于治療後2週，且高于對照組治療後4週的三項評分。結論：針刺聯閤彊製性使用運動療法更能有效地提高亞急性期腦卒中偏癱患者上肢運動功能的恢複。
목적：관찰침자연합강제성사용운동요법대아급성기뇌졸중환자적상지공능적강복정황。방법：장58례뇌졸중아급성기상지공능장애환자수궤분위대조조（29례）화치료조（29례），대조조이침자연합상규강복훈련치료，치료조이침자연합강제성사용운동요법치료。치료전、치료후2주、치료후4주분별대량조환자진행Wolf운동공능（WMFT）평정、상지동작연구량표（ARAT）평정、Barthel지수（BI）평정。결과：치료전，량조환자삼항평분비교무차이。치료후2주，치료조삼항평분균고우동조치료전；대조조WMFT、ARAT평분균고우치료전，BI평분교치료전무차이；치료조WMFT、ARAT평분여대조조치료후2주비교무차이，단BI평분고우대조조치료후2주평분。치료후4주，대조조WMFT、ARAT평분교치료후2주무차이，단BI평분고우치료후2주；치료조삼항평분균고우치료후2주，차고우대조조치료후4주적삼항평분。결론：침자연합강제성사용운동요법경능유효지제고아급성기뇌졸중편탄환자상지운동공능적회복。
Objective: To observe the upper limb function rehabilitation of patients with cerebral stroke in subacute stage treated by acupuncture combined with constraint-induced movement therapy. Methods:58 cases with cerebral stroke and upper limb disorder were randomly divided into a control group (29 cases) and a treatment group ( 29 cases). Patients in the control group were treated with acupuncture and conventional rehabilitation training, while patients in the treatment group were treated with acupuncture combined with constraint-induced movement therapy. The evaluation of WMFT, ARAT, BI was taken before treatment, after 2 weeks and 4 weeks of treatment. Results:Before treatment, three scores of two groups had no significant differences. After 2 weeks of treatment, three scores in the treatment group were higher than the condition before treatment;the scores of WMFT, ARAT in the control group were higher and the score of BI had no difference;compared the scores of WMFT, ARAT in the treatment group with the scores of the control group after 2 weeks of treatment, there were no differences, but the score of BI was higher;the three scores of the treatment group were higher than those after 2 weeks of treatment and the control group after 4 weeks of treatment. Conclusion: Acupuncture combined with constraint-induced movement therapy has more significant effect on upper limb function rehabilitation of patients with cerebral stroke in subacute stage.
