互动式头针结合镜像疗法对脑卒中 软瘫期上肢功能障碍的康复疗效

The Curative Effect of Interactive Head Needle Combined with Mirror Therapy on Upper Limb Dysfunction in Stroke

摘要:

〔摘 要〕 目的：探索脑卒中患者促进上肢运动功能恢复中头针与镜像疗法联合应用的临床价值。 方法：选取株洲 市中心医院 2021 年 8 月至 2022 年 11 月期间收治的 60 例脑卒中后上肢功能障碍患者，以随机分组的方式分为两组， 每组 30 例。其中常规康复训练联合镜像治疗纳入对照组，在对照组基础上增加头针治疗纳入观察组。在治疗 4 周后， 比较两组患者临床治疗有效性、Fugl–meyer 运动功能评定量表（FMA）上肢部分评分以及 Brunnstrom 分期。 结果：两组患者治疗后FMA评分均高于治疗前，且观察组患者治疗后FMA评分高于对照组，差异具有统计学意义（P＜0.05）。 观察组患者治疗后上肢 Brunnstrom 运动功能分期结果优于对照组，差异具有统计学意义（Z = –2.101，P ＜ 0.05）。 观察组患者治疗后手 Brunnstrom 运动功能分期结果优于对照组，差异具有统计学意义（Z = –2.152，P ＜ 0.05）。 结论：在恢复早期，头针、镜像疗法与常规康复训练有效结合，对脑卒中患者软瘫期上肢运动功能恢复具有积极作用。

Abstract:

〔Abstract〕 Objective To explore the clinical value of the combination of needle and mirror therapy in promoting the recovery of upper limb motor function. Methods Sixty patients with upper limb dysfunction after stroke admitted to Zhuzhou Central Hospital from August 2021 to November 2022 were selected and divided into two groups with 30 patients in each group. Among them, conventional rehabilitation training combined with mirror treatment was included in the control group, and head needle treatment was added to the control group for the observation group. After 4 weeks of treatment, the clinical effectiveness, the Fugl Meyer assessment scale(FMA), and the Brunnstrom stage were compared between the two groups. Results After treatment, the FMA scores in the two groups were higher than those the before treatment and the FMA score in the observation group was higher than that of the control group, with statistically significant (P < 0.05). Patients in the observation group had better upper limb Brunnstrom motor function stage results than those of the control group, with a statistically significant difference (Z = 2.101, P < 0.05). In the observation group, the results of the hand Brunnstrom were better than those of the control group with statistically significant differences (Z = 2.152, P < 0.05). Conclusion In the early stage of recovery, head acupuncture and mirror therapy are effectively combined with general rehabilitation training, which has a positive effect on the recovery of upper limb motor function in stroke patients.