Therapeutic effect on post-stroke spastic paralysis of upper extremity treated with combination of kinematic-acupuncture therapy and rehabilitation training

doi:10.13703/j.0255-2930.20190505-0006

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Therapeutic effect on post-stroke spastic paralysis of upper extremity treated with combination of kinematic-acupuncture therapy and rehabilitation training

更新时间：2023-05-10

- Therapeutic effect on post-stroke spastic paralysis of upper extremity treated with combination of kinematic-acupuncture therapy and rehabilitation training
- Chinese Acupuncture and Moxibustion Vol. 40, Issue 5, Pages: 473-478(2020)
- 作者机构：
  
  1. 上海中医药大学附属岳阳中西医结合医院针灸科
  2. 上海市第一康复医院中医康复科
  3. 上海中医药大学附属岳阳中西医结合医院推拿研究所
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20190505-0006
  CLC：
- Published：2020
- 稿件说明：
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Therapeutic effect on post-stroke spastic paralysis of upper extremity treated with combination of kinematic-acupuncture therapy and rehabilitation training[J]. Chinese Acupuncture and Moxibustion, 2020, 40(5): 473-478.
DOI：

Therapeutic effect on post-stroke spastic paralysis of upper extremity treated with combination of kinematic-acupuncture therapy and rehabilitation training[J]. Chinese Acupuncture and Moxibustion, 2020, 40(5): 473-478. DOI： 10.13703/j.0255-2930.20190505-0006.

摘要

目的:比较运动针法联合康复训练与常规针刺联合康复训练治疗脑卒中后上肢痉挛性瘫痪患者的临床疗效。方法:将60例非急性期脑卒中后上肢痉挛性瘫痪患者随机分为观察组(30例)和对照组(30例

脱落1例)。在常规西药及康复训练治疗的基础上

观察组行运动针法

对照组行常规针刺

两组均穴取百会、大椎

患侧T1

8夹脊穴、天宗、肩贞、肩髃、曲垣等

均每日治疗1次

14d为一疗程

共治疗1个疗程。于治疗前

治疗7、14 d后

比较两组上肢简化Fugl-Meyer(FMA-UE)评分、改良Ashworth量表(MAS)评级和改良Barthel指数评定量表(MBI)评分。结果:治疗7、14 d后

两组FMA-UE评分较治疗前明显升高(P

0.01)

且治疗14 d后观察组FMA-UE评分高于对照组(P

0.05)。治疗7、14 d后

两组肩关节、肘关节、腕关节及掌指关节处MAS评级均明显改善(P

0.05);与治疗7 d后比较

两组治疗14 d后肘关节、掌指关节MAS评级明显改善(P

0.05);与对照组比较

治疗14 d后观察组肘关节、掌指关节MAS评级改善更明显(P

0.05)。与治疗前比较

观察组治疗7、14 d后MBI评分升高(P

0.05

0.01)

对照组治疗14 d后MBI评分升高(P

0.01)。结论:对于非急性期脑卒中后上肢痉挛性瘫痪患者

运动针法联合康复训练能明显改善上肢运动功能、肘关节及掌指关节的肌张力

疗效优于常规针刺联合康复训练

且能提高日常活动能力。

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