局部透刺疗法对缺血性脑卒中恢复期腕手功能障碍临床研究

Clinical Observation of Local Penetration Needing for Wrist Hand Dysfunction in Ischemic Stroke Rescovery

目的:观察局部透刺疗法治疗缺血性脑卒中恢复期腕手功能障碍的临床疗效。方法:将85例患者随机分为治疗组和对照组,其中治疗组42例,对照组43例,两组患者均给予缺血性脑卒中基础治疗。在此基础上治疗组予以患侧腕手关节局部透穴治疗,对照组予以患侧腕手关节普通针刺,两组共治疗4周后,评定两组患者治疗前后腕手关节运动功能、手神经功能缺损指数、腕手活动平衡能力。结果:治疗结束时两组患者腕手关节运动功能、手神经功能缺损指数、腕手活动平衡能力均较治疗前有显著改善,差异具有统计学意义(P<0.05)。治疗组在腕手关节运动功能、手神经功能缺损指数、腕手活动平衡能力改善方面优于对照组,差异具有统计学意义(P<0.05)。结论:腕手关节处局部穴位透刺相比普通针刺能够明显改善缺血性脑卒中后腕手功能,使腕手功能达到协调平衡,对于提高患者日常生活能力和防止废用性萎缩具有重要意义。

Objective：To investigate the effect of local penetration needing for wrist hand dysfunction in ischemic stroke rescovery. Method：Using the randomized controlled method,eighty-five ischemic stroke rescovery patient divided into a treatment groups（42 cases）and control groups（43 cases）. Two groups of patients were given based treatment of ischemic cerebral apoplexy. On this basis,the treatment group give to local penetration needing,in the control group,ordinary acupuncture of affected side hand wrist joints.A total of 4 weeks after treatment in both groups,the wrist joint movement function,hand index of nerve function defect,wrist hand balance were assessed in the two groups before and after treatment,and the efficacy was compared between the weo groups. Results：Wrist joint movement function,hand index of nerve function defect,wrist hand balance were all improved after treatment in-either the treatment and control group,indicating the significant difference（P〈0.05）.The wrist joint movement function,hand index of nerve function defect,wrist hand balance og the treatment group is better than the control group,and the difference was statistically significant（P〈0.05）.Conclusion：The local penetration needing for wrist hand dysfunction is better than ordinary acupuncture to substantial improvement the wrist hand dysfunction in ischemic stroke rescovery,and make hand wrist function to achieve coordination and balance,to improve the patients life quality and prevent disuse atrophy is of great significance.