针刺手厥阴经穴对脑卒中手软瘫期手功能恢复的影响.pdf

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1、·1008·ShanghaiJAcu．mox，Dec20l3。V0132．No12文章编号：1005-0957(2013)12—1008-02·临床研究·针刺手厥阴经穴对脑卒中手软瘫期手功能恢复的影响张颖颖(南京医科大学第二附属医院，南京210011)【摘要】目的观察针刺手厥阴经穴对脑卒中手软瘫期手功能恢复的影响。方法将6O例脑卒中手功能软瘫期患者(Brunnstrom分级I级)随机分为观察组30例和对照组3O例，所有患者均在常规治疗的基础上，观察组予针刺手厥阴经穴，当患肢手渡过软瘫期，功能恢复达

2、fOBrunnstrom分级II级以上(包括II级)时，改取上肢阳经穴针刺：对照组予针刺手阳明经穴，疗程20d，治疗前后分别予患手Brunnstrom运动功能评定。结果两组治疗后患手Brunnstrom运动功能评分较治疗前均有明显提高(P<0．01)，观察组手功能评分及疗效明显优于对照组(P<0．05)。结论脑卒中患者于手功能障碍软瘫期针刺手厥阴经穴能改善手运动功能且疗效优于针刺手阳明经穴。【关键词】针刺：穴位，心包经：手功能：偏瘫：中风：电针【中图分类号】R246．6【文献标志码】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．andtheaffectedhandswereevaluatedbyusingBmnnstromApproachbeforeandaftertreatment．ResultTheBrunns~omscoresincreasedsignificantlyinbothgroupsaftertreatmentf尸<0．011．andth

7、ehandfunctionscoreandtherapeuticeficacyintheobservationgroupweremarkedlybeRerthanthoseinthecontrolgroup<0．o5)．ConclusionForpatientswithpost．s~okehanddysfunctionatflacciditystage，acupunctureatthePericardiumMeridiancanproducebeRertherapeuticeficacythana

8、cupunctureattheLargeIntestineMeridianinimprovinghandfunction．【Keywords1Acupuncture；Points，PericardiumMeridian；Handfunction；Hemiplegia；Stroke；Electroacupuncture手功能障碍为脑卒中后主要运动功能障碍之一，例：左侧偏瘫l8例，右侧偏瘫12例。两组患者性别、严重影响了患者日常生活自理能力。统计表明，96．4％年龄、疾病种类比较差异无