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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
