首页|扶正补土针灸法联合任务导向性镜像疗法对老年卒中后偏瘫患者上肢功能的影响

扶正补土针灸法联合任务导向性镜像疗法对老年卒中后偏瘫患者上肢功能的影响

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目的 观察扶正补土针灸法联合任务导向性镜像疗法对老年卒中后偏瘫患者上肢功能的恢复作用.方法 将72 例老年卒中后偏瘫患者按照随机数字表法分为2 组,对照组 36 例予任务导向性镜像疗法,治疗组 36 例在对照组治疗基础上联合扶正补土针灸法,2 组均连续干预 12 周.比较 2 组治疗前后Fugl-Meyer运动功能评分量表上肢部分(FMA-UE)评分、日常生活能力及肌张力变化;比较2 组满意度及依从性.结果 2 组治疗后FMA-UE评分均较本组治疗前升高(P<0.05),且治疗组升高更明显(P<0.05).2 组治疗后日常生活能力及肌张力均较本组治疗前改善(P<0.05),且治疗组改善更明显(P<0.05).治疗组满意度及依从性均高于对照组(P<0.05).结论 扶正补土针灸法联合任务导向性镜像疗法对老年卒中后偏瘫患者上肢功能恢复具有积极作用.
FuzhengButu acupuncture therapy combined with task-oriented mirror therapy on upper limb function restoration of elderly post-stroke hemiplegia patients
Objective To observe the effect of FuzhengButu acupuncture therapy combined with task-oriented mirror therapy on upper limb function recovery in elderly post-stroke hemiplegia patients.Method A total of 72 elderly post-stroke hemiplegia patients were randomly divided into The control group(n =36)and the observation group(n =36).All patients re-ceived task-oriented mirror therapy,and the patients in the observation group additionally received FuzhengButu acupuncture therapy.After 12 weeks of rehabilitation,the aiming was to compare Fugl-Meyer assessment for the upper extremity(FMA-UE)score,balance function,activities of daily living(ADL)and muscle tension,satisfaction and compliance between groups before and after treatment.Results After treatment,the patients in both groups presented significantly higher FMA-UE scores(P<0.05),and activities of daily living and muscle tension(P<0.05),significantly increased satisfaction and compliance(P<0.05)than those before treatment,and the improvement of the treatment group was more obvious compared with the control group(all P<0.05).Conclusion FuzhengButu acupuncture therapy combined with task-oriented mirror therapy have positive effects on upper limb function recovery of elderly post-stroke hemiplegia patients.

StrokeHemiplegiaAcupuncture therapyTask-oriented mirror therapy

温瑞丽、陈启波、李强、陈丽、古丽红、梁万仟

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广西壮族自治区荣誉军人康复医院康复医学科,广西 柳州 545000

广西壮族自治区人民医院康复科,广西 南宁 530016

卒中 偏瘫 针灸疗法 镜像疗法

广西卫生健康委自筹经费科研课题

Z-B20221630

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
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