文章摘要
段璨 ，李正良 ，夏文广, ，郑婵娟 ，张阳普 ，李思成.针刺结合镜像疗法对脑卒中后上肢运动功能的影响[J].神经损伤功能重建,2020,15(3):155-158
针刺结合镜像疗法对脑卒中后上肢运动功能的影响
Effect of Acupuncture Plus Mirror Therapy on Upper Limb Functional Recovery in Stroke Pa⁃tients
  
DOI：
中文关键词: 针刺  镜像疗法  脑卒中  运动功能  康复治疗
英文关键词: acupuncture  mirror therapy  stroke  motor function  rehabilitation therapy
基金项目:重大疑难疾病中西 医临床协作试点项 目（国中医药办医政 发<2018>3号-39）； 湖北省计生委中医 药中西医结合重点 科研项目（【2017】 20号-ZD13）
作者单位
段璨1 ，李正良1 ，夏文广1,2 ，郑婵娟2 ，张阳普2 ，李思成2 1. 湖北中医药大学 第一临床学院 2. 湖北中医药大学 附属新华医院康复 医学中心 
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中文摘要:
      目的：观察针刺结合镜像疗法对脑卒中后上肢功能恢复的影响。方法：脑卒中患者100例，随机分为 治疗组51例和对照组49例。2组在常规康复治疗基础上，治疗组予以针刺结合镜像疗法，对照组予以假针 刺结合镜像疗法。观察 2 组治疗前和治疗 4 周后 Fugl-Meyer 运动功能评定量表上肢部分（FMA-UE）、 Brotez 手功能测试、改良Ashworth量表（MAS）、改良Barthel指数（MBI）各项评分变化。结果：2组治疗后 FAM-UE评分、Brotez评分、MAS、MBI指数与同组治疗前比较改善，差异有统计学意义（P＜0.05）。治疗组 治疗4周后FAM-UE评分、Brotez评分、MBI指数评分较对照组明显提高，MAS评分较对照组明显降低，差 异有统计学意义（P＜0.05）。结论：针刺结合镜像疗法能改善脑卒中后上肢运动功能，缓解痉挛，提高日常 生活能力。
英文摘要:
      To determine the effect of acupuncture combined with mirror therapy on upper limb motor functional recovery after a stroke. Methods: One hundred patients who suffered a stroke were randomly assigned to the observation group (51cases) and control group (49 cases). Both groups received conventional rehabilitation training; additionally, the observation group was treated with acupuncture and mirror therapy while the control group was treated with sham acupuncture and mirror therapy. The Fugl-Meyer Assessment-Upper Extremities (FMA-UE) score, Brotez hand assessment (BzH), modified Ashworth Scale (MAS), and modified Barthel Index (MBI) score of both groups were collected before and four weeks after treatment. Results: There were statistically significant differences in the FMA-UE score, BzH score, MAS, and MBI score of the two groups after treatment compared to the same group before treatment (P＜0.05). After treatment, the observation group showed an increased FMA-UE score, BzH score, and MBI score and a decreased MAS score compared to the control group, and the differences were statistically significant (P＜0.05). Conclusion: Acupuncture combined with mirror therapy can markedly improve upper limb motor function, decrease spasticity, and improve the ability of daily life in stroke patients.
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