摘要
目的:观察浮针配合康复训练对中风患者手运动功能、痉挛和日常生活自理能力改善的影响。方法:将80例中风6个月以内的中风后手痉挛患者随机分为观察组和对照组,每组40例。两组患者均接受康复治疗,每天1次,每次40min,治疗8周。观察组在此基础上,根据肌筋膜触发点的位置,于患者前臂内、外侧选择二三个点行浮针疗法,同时配合患者主动或被动屈伸腕、指关节,直到手痉挛缓解。浮针治疗前3日每日1次,以后隔日1次,治疗8周。分别于治疗前、治疗7天、14天和8周后记录改良Ashworth量表(MAS)评分、日常生活活动能力(ADL,Barthel指数)评分、简易肢体功能(Fugl-Meyer,FMA)评分,对患者的手痉挛程度、日常生活活动能力以及手运动功能进行评定。结果:治疗7天、14天、8周后两组患者MAS评分均显著低于治疗前(均P<0.05),Barthel评分、FMA评分均显著高于治疗前(均P<0.05),且在治疗14天和8周后观察组FMA评分显著高于对照组(均P<0.05)。结论:浮针配合康复训练与单纯康复训练均可有效改善中风患者手痉挛程度、手功能与日常生活活动能力,但浮针配合康复训练对手功能的改善优于单纯康复训练者。
Objective To explore the improvement of hand motion function,spasm and self-care ability of daily life for stroke patients treated with floating-needle combined with rehabilitation training.Methods Eighty hand spasm patients of post-stroke within one year after stroke were randomly divided into an observation group and a control group,40 cases in each one.In the two groups,rehabilitation was adopted for eight weeks,once a day,40 min one time.In the observation group,based on the above treatment and according to muscle fascia trigger point,2～3points in both the internal and external sides of forearm were treated with floating-needle.The positive or passive flexion and extension of wrist and knuckle till the relief of spasm hand was combined.The floating-needle therapy was given for eight weeks,on the first three days once a day and later once every other day.Modified Ashworth Scale（MAS）,activity of daily life（ADL,Barthel index）scores and Fugl-Meyer（FMA）scores were used to assess the spasm hand degree,activity of daily life and hand motion function before and after 7-day,14-day and 8-week treatment.Results After 7-day,14-day and 8-week treatment,MAS scores were apparently lower than those before treatment in the two groups（all P〈0.05）,and Barthel scores and FMA scores were obviously higher than those before treatment（all P〈0.05）.After 14-day and 8-week treatment,FMA scores in the observation group were markedly higher than those in the control group（both P〈0.05）.Conclusion Floating-needle therapy combined with rehabilitation training and simple rehabilitation training could both improve hand spasm degree,hand function and activity of daily life of post-stroke patients,but floating-needle therapy combined with rehabilitation training is superior to simple rehabilitation training for the improvement of hand function.
出处
《中国针灸》
CAS
CSCD
北大核心
2015年第8期758-762,共5页
Chinese Acupuncture & Moxibustion
基金
甘肃省中医药科研项目:GZK-2014-58
关键词
中风
手痉挛
手功能
浮针疗法
康复
stroke
hand spasm
hand function
floating-needle therapy
rehabilitation
作者简介
杨江霞（1975-），女，主治医师。研究方向：内科常见病的中医和康复治疗。E—mail：yjx7525@sina．com
