摘要
Objective： To observe the effect of needling different points on functional reconstruction of wrist following cerebral apoplexy. Methods： Forty apoplexy cases were randomly allocated into four groups, 10 in each. Cases in group A were treated by needling the extensor muscle motor points. Cases in group B were treated by needling alternating extensor-flexor muscle motor points. Cases in group C were treated by needling Jianyu （LI 15）, Binao （LI 14）, Shousanli （LI 10） and Waiguan （TE 5）. Cases in group D were treated by needling Jianyu （LI 15）, Binao （LI 14）, Shousanli （LI 10）, Waiguan （TE 5）, Chize （LU 5） and Neiguan （PC 6）. The motor functions of affected upper limbs were evaluated on the surface electromyography （SEMG）, Fugl-Meyer function scale and Barthel ADL （Activities of Daily Living） indexes. Results： Needling alternating extensor-flexor muscle motor points can significantly increase the peak value （MAX） of the upper limb SEMQ integrated electromyogram （IEMG）, Fugl-Meyer motor function value and Barthel ADL indexes. Conclusion： Needling different points may produce different effects on wrist function following cerebral apoplexy. Needling alternating extensor-flexor muscle motor points can obtain an exact treatment effect.
目的：观察不同针刺法对脑卒中患者腕手功能重建的影响。方法：选择符合纳入标准的脑卒中患者40例，随机分为4组，每组10例。A组给予伸肌运动点针刺，B组给予仲-屈肌交替运动点针刺，C组针刺肩髑、臂膈、手三里、外关，D组针刺肩髑、臂膈、手三里、外关、尺泽、内关。以上肢表面肌电信号（Surface Electromyography，SEMG）特征值、Fugl—Meyer功能评定表及Barthel日常生活活动能力（Activities of Daily Living，ADL）指数评价各组治疗前后的患侧上肢运动功能。结果：伸-屈肌交替运动点针刺可以使上肢SEMG的峰值（MAX）、积分肌电值（Integrated Electromyogram，IEMG）、Fugl—Meyer运动功能分值、BarthelADL指数明显提高。结论：不同针刺部位治疗脑卒中后腕手运动功能疗效的影响不同。仲．屈肌交替运动点针刺在临床治疗中疗效确切。
