穴位贴敷联合康复训练对脑卒中恢复期手功能障碍康复的疗效观察

目的研究穴位贴敷联合基础康复训练对脑卒中恢复期手功能障碍的临床疗效。方法将符合诊断标准及纳入标准的81例脑卒中患者，随机分为基础康复组（41例）和穴位贴敷疗法＋基础康复组（40例）。基础康复组采用常规康复治疗，穴位贴敷组采用基础康复训练加穴位贴敷疗法，每周治疗5d，共治疗6周。分别于治疗前，治疗结束后采用Fugl—Meyer评分（上肢部分）、运动功能状态评分（MSS）进行康复评定并记录评估数据，同时使用改良Ashworth评分评定痉挛。结果两组治疗后Fugl－Meyer评分（上肢部分）、MSS评分均明显高于治疗前，且差异有统计学意义（P〈0．05），且穴位贴敷组的效果优于基础组（P〈0．05）；穴位贴敷组与基础组比较，改良Ashworth分级评分差异有统计学意义（P〈0．05）。结论穴位贴敷组能明显改善脑卒中后手功能障碍，能明显缓解其肌张力。

Objective To study the efficacy of acupoint Acupoint Application combined with basic rehabilitation after stroke. Methods 81 cases of stroke patients that met the diagnostic criteria and inclusion criteria were randomly divided into basic rehabilitation group （ 41cases ） and Acupoint Application group （ 40 cases ） . The basic rehabilitation group used conventional rehabilitation on the basis of the basic rehabilitation group, another group were added Acupoint Application, 5 days a week for a total of 6 weeks of treatment. Two groups were assessed by Fugl-Meyer assessment （ upper part ） , Motor Status Scale （ MSS ） , modified Ashworth scale after 6 weeks of treat, and the assessment date were measured for analysis. Results Compared with before treatment, the Fugl-Meyer score （ upper part ） and MSS score and Modified were significantly improved in two groups after treatment, and had a statistically significant difference （ P〈0.05 ） .Compared with basic rehabilitation group, the group of Acupoint Application had a statistically significant difference in the modified Ashworth scale （ P〈0.05 ） .Conclusion Combined with the therapy of Acupoint Application and basic rehabilitation can significantly improve stroke hang dysfunction and relieve their muscle tone.