不同穴位与肌肉运动点针刺在脑卒中患者腕手功能重建中的对比研究

目的在客观准确评价脑卒中患者上肢运动功能的基础上，观察不同穴位与肌肉运动点针刺对脑卒中患者腕手功能重建的影响。方法选择符合纳入标准的脑卒中患者40例，随机分为四组，分别给予伸肌运动点针刺（运动点1组），伸-屈肌交替运动点针刺（运动点2组），针刺肩髑、臂膈、手三里、外关（穴位1组），针刺肩髑、臂牖、手三里、外关、尺泽、内关（穴位2组）。以上肢表面肌电信号（sEMG）特征值、Fugl—Meyer功能评定表及Barthel ADL指数评价表评价各组治疗前后的患侧上肢运动功能。结果采用伸-屈肌交替运动点针刺可以使上肢sEM6的峰值（MAX）、积分肌电值（IEMG）、Fugl-Meyer运动功能分值、Barthel ADL提高较明显。结论不同针刺部位治疗脑卒中后腕手运动功能疗效的影响不同。伸-屈肌交替运动点针刺在临床治疗中具有明确疗效。

Comparative Study of Wrist-hand Function Rebuilding Between Acupuncture at Different Acupoints and at Muscular Motor Points in Cerebral Stroke Patients

Objective To investigate the effects of acupuncture at different acupoints and at muscular motor points on wrist-hand function rebuilding on the basis of objective assessment of upper limb motor function in cerebral stroke patients. Methods Forty cerebral stroke patients meeting the inclusion criteria were enrolled and randomly allocated to four groups. They were given acupuncture at extensor motor points (motor point group 1), acupuncture at extensor-flexor alternate motor points (motor point group 2), acu...