目的 探讨电针对脑卒中后偏瘫患者手功能障碍的疗效。方法 从多中心、大样本的研究数据中抽取40例患者,基础康复组和电针组各20例,分别行基础康复训练、电针+基础康复训练,共6周。患者入组时,治疗开始后2周、4周、6周,以及治疗结束后12周采用Brunnstrom分级、Fugl-Meyer评定量表(FMA)上肢部分、Wolf上肢运动功能评定(WMFT)、改良Barthel指数(MBI)进行评定。结果 治疗结束后12周,两组间FMA评分、WMFT评分和WMFT测试时间有显著性差异(t>1.900, P<0.05);两组间MBI、Brunnstrom分级无显著性差异(t=0.532, Z<1.79, P>0.05),但电针组较基础康复组有改善趋势。结论 电针有助于脑卒中后软瘫期患者肌力改善,能促进脑卒中患者手功能改善。
Objective To observe the effect of electroacupuncture on hand dysfunction after stroke. Methods Forty hemiplegic patients after stroke were selected from a multi-center large-scale trail, belonged to rehabilitation group (n=20) and electroacupuncture group (n=20), who accepted routine rehabilitation and additional electroacupuncture, respectively, for six weeks. They were assessed with Brunnstrom Grade, Fugl-Meyer Assessment (FMA), Wolf Motor Function Test (WMFT) and modified Barthel index (MBI) before treatment, two, four and six weeks during treatment, and twelve weeks after treatment. Results There were differences between two groups in scores of FMA, WMFT and total time to complete WMFT twelve weeks after treatment (t>1.900, P<0.05). There was no difference between two groups in scores of MBI and Brunnstrom Grade (t=0.532, Z<1.79, P>0.05), but electroacupuncture group seemed to improve more. Conclusion Electroacupuncture may improve the muscle strength for patients in flaccid paralysis, and promote the recovery of hand function for patients after stroke.
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