《中国康复理论与实践》

《中国康复理论与实践》

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点穴对脑卒中后偏侧感觉功能障碍的效果①

毛显禹，黄建平，朱文宗，宋丰军，叶必宏   

  1. 浙江中医药大学附属温州中医院康复中心，浙江温州市325000。
  • 出版日期:2016-10-25 发布日期:2016-12-05

Effect of Digital Acupoint Pressure on Hemianesthesia in Patients after Stroke

MAO Xian-yu, HUANG Jian-ping, ZHU Wen-zong, SONG Feng-jun, YE Bi-hong   

  1. Department of Rehabilitation Centre, Wenzhou Hospital of Traditional Chinese Medicine, Wenzhou, Zhejiang 325000, China
  • Published:2016-10-25 Online:2016-12-05

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摘要： 目的观察点穴对脑卒中后偏侧感觉功能障碍的临床疗效。方法2015 年3~12 月，脑卒中后偏侧感觉功能障碍患者60 例，随机分为对照组和观察组各30 例。对照组采用常规运动疗法，观察组在此基础上加用传统点穴治疗。治疗前和治疗8 周后，分别采用Fugl-Meyer 感觉评定量表(FMA-S)、Fugl-Meyer 运动功能量表(FMA-M)和改良Barthel 指数(MBI)分别评定偏侧感觉障碍、运动功能和日常生活活动能力。结果治疗后，两组FMA-S、FMA-M评分和MBI均明显高于治疗前(t>6.430, P<0.01)，观察组评分高于对照组(t>2.100, P<0.05)。结论在常规运动疗法的基础上辅以点穴治疗能进一步改善脑卒中后偏侧感觉障碍，提高肢体运动功能及日常生活活动能力。

关键词: 脑卒中, 偏瘫, 偏侧感觉障碍, 点穴, 运动疗法, 感觉障碍

Abstract: Objective To observe the clinical effect of digital acupoint pressure on sensory dysfunction in hemiplegic patients after stroke. Methods From March to December, 2015, 60 hemiplegic patients with sensory dysfunction after stroke were randomly divided into control group and observation group with 30 cases in each group. The control group received routine rehabilitation exercise, while the observation group received digital acupoint pressure in addition. Fugl-Meyer Assessment for Sense (FMA-S), Fugl-Meyer Assessment for Motor (FMA-M) and modified Barthel index (MBI) were used to evaluate the sensory dysfunction, motor function and activities of daily living before and eight weeks after treatment. Results After treatment, the scores of FMA-S, FMA-M and MBI increased in both groups (t>6.430, P< 0.01), and the scores were higher in the observation group than in the control group (t>2.100, P<0.05). Conclusion Digital acupoint pressure can facilitate the recovery of sensory dysfunction, improve the motor function and the activties of daily living in hemiplegic patients after stroke.

Key words: stroke, hemiplegia, hemianesthesia, digital acupoint pressure, exercise therapy, sensory dysfunction