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1、·1008·ShanghaiJAcu.mox,Dec20l3。V0132.No12文章編號:1005-0957(2013)12—1008-02·臨床研究·針刺手厥陰經(jīng)穴對腦卒中手軟癱期手功能恢復(fù)的影響張穎穎(南京醫(yī)科大學(xué)第二附屬醫(yī)院,南京210011)【摘要】目的觀察針刺手厥陰經(jīng)穴對腦卒中手軟癱期手功能恢復(fù)的影響。方法將6O例腦卒中手功能軟癱期患者(Brunnstrom分級I級)隨機(jī)分為觀察組30例和對照組3O例,所有患者均在常規(guī)治療的基礎(chǔ)上,觀察組予針刺手厥陰經(jīng)穴,當(dāng)患肢手渡過軟癱期,功能恢復(fù)達(dá)
2、fOBrunnstrom分級II級以上(包括II級)時,改取上肢陽經(jīng)穴針刺:對照組予針刺手陽明經(jīng)穴,療程20d,治療前后分別予患手Brunnstrom運(yùn)動功能評定。結(jié)果兩組治療后患手Brunnstrom運(yùn)動功能評分較治療前均有明顯提高(P<0.01),觀察組手功能評分及療效明顯優(yōu)于對照組(P<0.05)。結(jié)論腦卒中患者于手功能障礙軟癱期針刺手厥陰經(jīng)穴能改善手運(yùn)動功能且療效優(yōu)于針刺手陽明經(jīng)穴?!娟P(guān)鍵詞】針刺:穴位,心包經(jīng):手功能:偏癱:中風(fēng):電針【中圖分類號】R246.6【文獻(xiàn)標(biāo)志碼】ADOI:10
3、.3969/j.issn.1005—0957.2013.12.1008EfectofAcupunctureatPericardiumMeridianontheHandFunctionatFlaccidStageAfterStrokeZHANGHng-ying.SecondAfiliatedHospitalofNa~ingMedicalUniversity,Nan]ing21O011,ChinaIAbstract1ObjeetiveToobservetheeffectofacupunctureatt
4、hePericardiumMeridianontherecoveryofhandfunctionatflaccidparalysisstageaftercerebralstroke.MethodSixtypost—strokepatientsatflaccidparalysisstage(BrunnstromdegreeII)wererandomizedintoanobservationgroupof30casesandacontrolgroupof30cases.Inadditiontotheb
5、asic廿eatment.theobservationgroupalsoreceivedacupuncmreatpointsfromthePericardiumMeridian.Thepointswouldbereplacedbythosefromtheyangmeridiansofupperlimbswhenthepatients’handfunctionreachedBmnnstromdegreeIIorabove.Thecontrolgroupreceivedacupunctureatthe
6、LargeIntestineMeridianinadditiontothebasictreatment.20一daytreatmentwastakenasacourse.a(chǎn)ndtheaffectedhandswereevaluatedbyusingBmnnstromApproachbeforeandaftertreatment.ResultTheBrunns~omscoresincreasedsignificantlyinbothgroupsaftertreatmentf尸<0.011.a(chǎn)ndth
7、ehandfunctionscoreandtherapeuticeficacyintheobservationgroupweremarkedlybeRerthanthoseinthecontrolgroup<0.o5).ConclusionForpatientswithpost.s~okehanddysfunctionatflacciditystage,acupunctureatthePericardiumMeridiancanproducebeRertherapeuticeficacythana
8、cupunctureattheLargeIntestineMeridianinimprovinghandfunction.【Keywords1Acupuncture;Points,PericardiumMeridian;Handfunction;Hemiplegia;Stroke;Electroacupuncture手功能障礙為腦卒中后主要運(yùn)動功能障礙之一,例:左側(cè)偏癱l8例,右側(cè)偏癱12例。兩組患者性別、嚴(yán)重影響了患者日常生活自理能力。統(tǒng)計表明,96.4%年齡、疾病種類比較差異無