针灸同步运动想象在脑卒中偏瘫病人康复中的应用研究

Application of Acupuncture and Motor Imagery Therapy on Rehabilitation in Patients with Hemiplegia after Stroke

目的探讨在针灸的同时为病人行运动想象指导对脑卒中偏瘫病人运动功能、日常生活活动能力的影响。方法按随机数字表法将60例脑卒中偏瘫病人分为观察组和对照组,每组30例。两组采用常规的内科治疗、康复训练及针灸治疗,观察组在病人行针灸治疗的同时为病人加做运动想象指导。比较两组病人的运动功能、日常生活活动能力(Barthel指数)及康复锻炼依从性等方面的差异。结果干预4周、8周后两组病人Fugl-Meyer运动功能评分量表(FMA)评分及Barthel指数较干预前均有提高,差异有统计学意义(P<0.05);观察组病人的提高程度较对照组明显,差异有统计学意义(P<0.05)。结论在针灸治疗的同时为病人行运动想象指导能够提高病人康复锻炼的意愿及效果,提高运动功能,改善其日常生活自理能力。

Objocitivo To explore the rehabilitation effects of acupuncture and motor imagery therapy in patients with hemiplegia after stroke.Methods Sixty patients with hemiplegia after stroke were randomly divided into two groups：control group（ n = 30） treated with routine treatment,acupuncture,rehabilitation,and treatment group（n = 30） treated with routine treatment plus acupuncture mo-tor imagery therapy.The movement function,activities of daily living（ADL） and rehabilitation exercise compliance were observed.Re-sults After 4 weeks and 8 weeks of treatment,the scores of Fugl Meyer Motor Function Assessment （FMA） and the Barthel index of ADL were improved in two groups（ P 〈0.05）, which was higher in treatment group than that in control group（ P 〈0.05） .Conclu-sion Acupuncture and motor imagery therapy can improve the patients’ willing and effect of rehabilitation exercise, and activities of daily living capabilities in patients with hemiplegia after stroke.