目的 研究手功能激光成像仪应用于针刺治疗脑卒中后手功能的评价。方法 2016年1月至6月,18例脑卒中后上肢功能障碍患者分为对照组(n=9)和治疗组(n=9),对照组接受常规药物治疗和康复训练,治疗组在此基础上接受针刺治疗。治疗前及治疗3周后,两组患者采用改良Ashworth量表(MAS)、Fugl-Meyer评定(FMA)上肢运动功能部分、改良Bathel指数(MBI)进行评价,采用手功能激光成像仪进行感兴趣区(ROI)测量。结果 治疗后,MAS、FMA评分明显改善(t>4.44, P<0.01),治疗组BI评分明显改善(t=3.95, P<0.01),治疗组MAS、FMA、BI评分均明显优于对照组(t>3.17, P<0.01)。两组治疗后,患手ROI评分均显著降低(t>7.78, P<0.001),治疗组低于对照组(t=-2.23, P<0.05);两组间健手ROI评分无显著性差异(t=-0.11, P>0.05)。结论 手功能激光成像可以提供手部血流灌注情况的信息,与手功能有一定关联。
Objective To apply a hand function laserimager to evaluate the effect of acupuncture on hand dysfunction after stroke. Methods From January to June, 2016, 18 stroke patients with upper limb dysfunction were divided into control group (n=9) and acupuncture group (n=9). The control group received routine medication and rehabilitation, while the acupuncture group received acupuncture in addition. They were assessed with modified Ashworth Scale (MAS), Fugl-Meyer Assessment (FMA) of upper limb motor function and modified Bathel Index (MBI) before and after three-week treatment, while the region of interest (ROI) of their hands was tested with the hand function laserimager. Results The scores of MAS and FMA improved after treatment in both groups (t>4.44, P<0.01), and improved in the score of MBI in the acupuncture group (t=3.95, P<0.01). The scores of MAS, FMA, and MBI improved more in the acupuncture group than in the control group (t>3.17, P<0.01). Meanwhile, the scores of ROI decreased in the affected hands after treatment (t>7.78, P<0.001), and decreased more in the acupuncture group than in the control group (t=-2.23, P<0.05). No significant difference was observed in the scores of ROI of the unaffected hands (t=-0.11, P>0.05) between groups. Conclusion The hand function laserimager, which responds to the blood perfusion of the hand, can be used as a tool to evaluate the hand function.
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