特选穴电刺激配合运动想象疗法治疗脑卒中手功能障碍20例临床观察

Clinical Observation on 20 cases Stroke Hand Dysfunction by Selected Acupoint Stimulation Combined with Motor Imagery Therapy

目的:探讨特选穴电刺激配合运动想象疗法治疗脑卒中后手功能障碍的疗效。方法:将42例脑卒中后手功能障碍患者随机分为A组20例、B组11例和C组11例。3组患者均进行偏瘫肢体康复训练,A组患者在康复训练基础上,加用特选穴电刺激及运动想象疗法,B组患者加用针灸治疗,C组只进行偏瘫肢体康复训练。3组均治疗两周为1个疗程,1个疗程后进行疗效评价。结果:治疗后3组患者肢体功能与手功能均有改善,但A组与其他两组上肢运动功能、手指运动功能比较,差异有统计学意义(P<0.05),优于B组C组。结论:特选穴电刺激、运动想象疗法与偏瘫肢体康复训练相结合治疗对脑卒中手功能障碍有较好的疗效。

Objective： To explore the effect of selected acupoint stimulation combined with motor imagery therapy on stroke hand dysfunction. Methods： The 40 patients with stroke hand dysfunction were randomly divided into group A with 20 cases, group B with 11 cases and group C with 11 cases. Patients were given hemiplegia rehabilitation training in 3 groups;besides hemiplegia rehabilitation training, patients were treated by selected acupoint stimulation combined with motor imagery therapy in group A and acupunture therapy in group B; patients were only given hemiplegia rehabilitation training in group C.Patients were treated for two weeks as 1 course in 3 groups, and the therapeutic effect was evaluated after 1 courses. Results：Limb function and hand function of patients were improved in 3 groups; The motor function of upper limb and finger motion function of group A were better than that of the group B and group C, with statistically significant difference（P〈0.05）. Conclusion： selected acupoint stimulation combined with motor imagery therapy and hemiplegia rehabilitation training can provide good efficacy on on stroke hand dysfunction.