井穴掐法结合带针下运动想象对脑卒中患者手功能的影响

Effect of Pinching Jing- Well Acupoints Together with Motor Imagery and Needles on Hand Function of Cerebral Apoplexy Patients

目的:观察井穴掐法结合带针下运动想象对脑卒中患者手功能的影响。方法:117例脑卒中患者按照随机配对分为观察组59例和对照组58例,观察组采用井穴掐法结合带针下运动想象进行干预,对照组进行常规功能训练,一周治疗6次,连续治疗4周,治疗前后对患者的上肢和手功能进行Fugl-Meyer上肢综合功能和改良的Barthel指数评分,并根据日常生活活动能力疗效评定标准计算不同治疗方法的总有效率,进行疗效比较。结果:两组患者治疗前后在改良Barthel指数及简化Fugl-Meyer运动功能评分上,观察组优于对照组(P<0.05)。治疗后观察组的总有效率优于对照组(86.4%vs 74.1%,P<0.05)。结论:采用井穴掐法结合带针下运动想象能明显促进脑卒中患者手运动功能的恢复。

Objective ： To observe the effect of Jing - Well acupoint pinch method plus motor imagery with needles on hand function of cerebral apoplexy patients. Methods： 117 cases diagnosised cerebral apoplexy were randomized into observation group and control group,59 and 58 each. The observation group was intervened by Jing - Well acupoint pinch method plus motor imagery with needles, while the control group was by regular exercises of six times a week for continuous 4 weeks. All patients were assessed with the the simple test for Fugl - Meyer Assessment（FMA） ,and Modified Barthel Index（MBI） before and after the treatment. Total effective rate of different treatment methods were calculated according the standard of activities of daily living. Results： After the treatment of for weeks,scores of the FMA and the MBA for the two groups had significant differense（P 〈0. 0 5）. the observation group total effective rate was 86.4% ,while the control group effective rate was 74. 1% and the observation group was superior to compare group （ P 〈0. 05 ） . Conclusion ： Jing - Well acupoint pinch method plus motor imagery with needles can improve hand movement function of cerebral apoplexy patients.