针刺治疗脑卒中后手腕功能障碍的临床观察

Clinical Observation on Acupuncture in the Treatment of Wrist Dysfunction after Stroke

目的观察针刺治疗脑卒中后手腕功能障碍的临床疗效。方法收集本院收治的脑卒中后手腕功能障碍患者75例,收集时间是自2015年7月—2017年7月,分研究组(38例)和对照组(37例)。对照组采纳常规西医治疗,研究组以对照组为基础,采纳针刺联合治疗。比较手腕功能、不良反应。结果与对照组球形抓握、圆柱状抓握、对捏、侧捏、钩状抓握、集团伸展、集团屈曲评分比较,研究组较高,具统计学差异,P<0.05;与对照组不良反应发生率比较,研究组较低,具统计学差异,P<0.05。结论针刺疗法可有效改善脑卒中后手腕功能障碍患者的手腕功能,减少不良反应,安全可靠,值得借鉴。

Objective To observe the clinical effect of acupuncture in treating wrist dysfunction after stroke. Methods Seventy-five patients with post-stroke wrist dysfunction were collected from July 2015 to July 2017 in our hospital. They were divided into study group（n = 38）and control group（n = 37）. The control group adopted routine Western medical treatment,and the study group was acupuncture combination therapy based on the control group. Wrist function,adverse reactions was compared between the two groups. Results Comparing with the control group,spherical grasping,cylindrical grasping,pinching,side pinching,hook-like grasping,group extension and group flexion score of the study group was higher,and the difference was statistically significant（P 〈 0. 05）. The incidence of adverse reactions of the study group was lower,and there had statistical differences P 〈 0. 05. Conclusion Acupuncture can effectively improve the wrist function of patients with wrist dysfunction after stroke,reduce adverse reactions,is safe and reliable,and it is worth referring.