靳三针疗法联合运动再学习技术对缺血性卒中患者上肢运动功能的影响

Clinical effect of “Jin’s three-needle” therapy and motor relearning regimen on the upper limb motor function in patients with ischemic stroke

目的:探讨靳三针疗法联合运动再学习技术对缺血性卒中患者上肢运动功能恢复的临床效果。方法:60例脑卒中患者按随机数字表法分为试验组30例和对照组30例。对照组采用常规康复方案及运动再学习疗法,试验组在对照组治疗方案基础上增加靳三针疗法,每次30 min,每日1次,每周6次。采用神经功能缺损程度评分评定患者神经功能,用简式Fugel-Meyer运动功能(FMA)评分法(上肢部分)、运动功能评估量表(MAS)评定患者上肢运动功能,用改良Barthel指数(MBI)评价患者日常生活能力。结果:两组患者治疗后神经功能缺损程度评分显著下降(P<0.05),FMA评分(上肢部分)、MAS总分、MAS手的运动评分、MAS手的精细动作评分和MBI评分明显升高(P<0.05)。试验组神经功能缺损评分下降幅度(差值)和FMA评分(上肢部分)、MAS总分、MAS手的运动评分、MAS手的精细动作评分和MBI评分上升幅度(差值)均显著高于对照组(P<0.05)。结论:靳三针疗法联合运动再学习技术,能有效改善缺血性脑卒中患者神经功能缺损程度,提高上肢运动功能,提升患者日常生活能力。

Objective To explore the clinical effect of "Jin’s three-needle" therapy and motor relearning regime for the recovery of upper limb motor function in the patients with ischemic stroke. Methods A total of 60 patients with ischemic stroke were randomly divided into an experiment group(30 cases) and a control group(30 cases). In the control group, the routine rehabilitation regimen was adopted. In the experimental group, on the base of the treatment regimen as the control group, the "Jin’s three-needle" therapy was supplemented. The neurological function deficit score was used to assess the neurological function. The modified Fugel-Meyer assessment for upper extremities(FMA) and motor assessment scale(MAS) were adopted to assess the upper limb motor function in patients. The modified Barthel Index(MBI) was used to evaluate the activity of daily living(ADL) in patients. Results After treatment, the neurological function deficit score, the upper limb motor function(FMA and MAS) and ADL(MBI) were all improved obviously as compared with those before treatment(P<0.05). In the experimental group, the reducing range of neurological function deficit score(difference value) was larger than that in the control group(P<0.05). The increases of FMA score(upper arm function), the total score of MAS, the score for hand movement in MAS and the score for advanced hand activities of MAS, as well as MBI score in the experimental group were significantly larger than those in the control group successively(P<0.05). Conclusion "Jin’s three-needle" therapy combined with exercise relearning regimen effectively reduces the degree of neurological deficit and improve the upper limb motor function and ADL in patients with ischemic stroke.