CAJ | 학술논문

目的：观察巨刺疗法联合运动想象对卒中患者肢体功能恢复的影响。方法将80例卒中后单侧肢体功能障碍患者随机分为2组。治疗组40例，予巨刺疗法联合运动想象治疗；对照组40例，单纯予巨刺疗法治疗。2组均以4周为1个疗程，连续治疗3个疗程后，采用 Fugl －Meyer 运动功能评分（FMA）评定患者运动功能，改良 Barthel 指数（MBI）评定患者日常生活活动能力，改良爱丁堡斯堪的那维亚评分（MESSS）进行神经功能缺损程度评定，并采用 MESSS 评分进行疗效比较。结果治疗组总有效率95．0％，对照组总有效率82．5％，2组总有效率比较差异有统计学意义（P ＜0．05）；2组治疗后 FMA、MBI 及 MESSS 评分与本组治疗前比较差异均有统计学意义（P ＜0．05），FMA、MBI 评分升高，MESSS 评分降低，且治疗组改善均优于对照组（P ＜0．05）。结论巨刺疗法联合运动想象可以明显促进卒中后肢体功能障碍患者肢体功能恢复，疗效确切，二者联合相辅相成具有协同作用。
목적：관찰거자요법연합운동상상대졸중환자지체공능회복적영향。방법장80례졸중후단측지체공능장애환자수궤분위2조。치료조40례，여거자요법연합운동상상치료；대조조40례，단순여거자요법치료。2조균이4주위1개료정，련속치료3개료정후，채용 Fugl －Meyer 운동공능평분（FMA）평정환자운동공능，개량 Barthel 지수（MBI）평정환자일상생활활동능력，개량애정보사감적나유아평분（MESSS）진행신경공능결손정도평정，병채용 MESSS 평분진행료효비교。결과치료조총유효솔95．0％，대조조총유효솔82．5％，2조총유효솔비교차이유통계학의의（P ＜0．05）；2조치료후 FMA、MBI 급 MESSS 평분여본조치료전비교차이균유통계학의의（P ＜0．05），FMA、MBI 평분승고，MESSS 평분강저，차치료조개선균우우대조조（P ＜0．05）。결론거자요법연합운동상상가이명현촉진졸중후지체공능장애환자지체공능회복，료효학절，이자연합상보상성구유협동작용。
Objective To observe the effects of opposing needling combined with motor imagery on extremity function rehabilitation in patients with stroke .Methods 80 patients with unilateral limb dysfunction after stroke were randomly divided into two groups.40 patients in treatment group were treated by combined therapy of opposing nee -dling and motor imagery.40 patients in control group were treated by simple opposing needling .The course was 4 weeks in two groups.After continual 3 treatment courses,the motor function was evaluated by Fugl -Meyer assessment scale (FMA),the activity of daily living (ADL) was evaluated by modified Barthel index (MBI),the degree of neu-rologic impairment was evaluated by modified Edinburgh Scandinavia stroke scale (MESSS) as well as the clinical ef-ficacy comparison.Results There was statistical significance on total effective rate between treatment group (95.0%) and control group (82.5%,P <0.05).There was statistical significance between before and after treat -ment on the score of FMA,MBI and MESSS in two groups (P <0.05),the sore of FMA and MBI were increased,the score of MESSS was decreased and the improvement in treatment was superior to that in control group (P <0.05). Conclusion Combined therapy of opposing needling and motor imagery can obviously promote extremity function re -habilitation in patients with unilateral limb dysfunction after stroke ,has an exact effect,both therapy supplement each other and create synergetic effect .