CAJ | 학술논문

目的：确定针刺、推拿和超声波治疗脑梗死后上肢运动功能障碍的优选康复方案。方法应用3因素(A因素为针刺,B因素为推拿,C因素为超声波)2水平正交设计法,将80例脑梗死伴上肢运动功能障碍患者随机分为8组,每组10例,治疗4星期后观察各组神经功能缺损程度评分(NIHSS)及简化Fugl-Meyer上肢运动功能评分(FMA)的变化。结果治疗前各组NIHSS、上肢FMA评分比较,差异均无统计学意义(P＞0.05)。对NIHSS的改善方面,A、B2因素均为显著因素(均P＜0.05),C因素2水平比较差异无统计学意义(P＞0.05)；对上肢FMA评分的改善方面,A、B、C 3因素均为显著因素(P＜0.05,P＜0.01, P＜0.05)；A2B1C1为最佳方案。结论结合针刺、推拿和超声波是治疗脑梗死后上肢运动功能障碍的优选,能有效改善上肢运动功能障碍。
목적：학정침자、추나화초성파치료뇌경사후상지운동공능장애적우선강복방안。방법응용3인소(A인소위침자,B인소위추나,C인소위초성파)2수평정교설계법,장80례뇌경사반상지운동공능장애환자수궤분위8조,매조10례,치료4성기후관찰각조신경공능결손정도평분(NIHSS)급간화Fugl-Meyer상지운동공능평분(FMA)적변화。결과치료전각조NIHSS、상지FMA평분비교,차이균무통계학의의(P＞0.05)。대NIHSS적개선방면,A、B2인소균위현저인소(균P＜0.05),C인소2수평비교차이무통계학의의(P＞0.05)；대상지FMA평분적개선방면,A、B、C 3인소균위현저인소(P＜0.05,P＜0.01, P＜0.05)；A2B1C1위최가방안。결론결합침자、추나화초성파시치료뇌경사후상지운동공능장애적우선,능유효개선상지운동공능장애。
Objective To develop a optimized rehabilitation protocol for acupuncture, Tuina and ultrasonic treatments of upper limb motor dysfunction after cerebral infarction.Methods An orthogonal design with three factors (acupuncture as factor A, Tuina as factor B and ultrasound as factor C) and two levels was used. Eighty cerebral infarction patients with upper limb motor dysfunction were randomly allocated to eight groups, 10 cases each. The National Institute of Health Stroke Scale (NIHSS) score and the simplified Fugl-Meyer Assessment (FMA) score for upper limb motor function were recorded after four weeks of treatment. Results There were no statistically significant pre-treatment differences in the NIHSS score and the FMA score for the upper limb between the groups (P>0.05). For an improvement in NIHSS, factors A and B were both significant (bothP<0.05); there was no statistically significant difference in factor C between the two levels (P>0.05). Factors A, B and C were all significant for an improvement in the FMA score for the upper limb (P<0.05,P<0.01,P<0.05). A2B1C1 was the optimal protocol.Conclusions A combination of bilateral acupuncture, Tuina and ultrasound is an optimized protocol for treating upper limb motor dysfunction after cerebral infarction. It can effectively reduce upper limb motor dysfunction.