醒脑开窍针法结合作业疗法治疗脑卒中患者上肢功能障碍的疗效观察

  目的  观察醒脑开窍针法结合作业疗法在脑卒中上肢功能障碍康复中应用的疗效。  方法  选取2019年5月—2020年10月阜阳市第五人民医院康复医学科住院治疗的脑卒中患者60例，采用SPSS 21.0统计学软件制作随机表，按入院顺序随机分为治疗组和对照组，每组30例。对照组给予作业治疗，治疗组给予醒脑开窍针法结合作业治疗，均治疗1次/d，5次/周，共4周。比较2组治疗前后上肢Fugl-Meyer运动评分(U-FMA)、改良Barthel指数(MBI)的评分和临床疗效。  结果  治疗后治疗组和对照组U-FMA[(45.37±5.12)分、(38.80±4.35)分]均高于治疗前[(31.37±4.33)分、(32.57±4.19)分，t=16.025、14.297，均P < 0.05]，治疗后治疗组U-FMA高于对照组(t=5.352，P < 0.05)；治疗后治疗组和对照组MBI评分[(57.83±6.65)分、(47.33±5.68)分]均高于治疗前[(41.17±5.97)分、(40.17±7.01)分，t=25.673、15.577，均P < 0.05]，治疗后治疗组MBI评分高于对照组(t=6.572，P < 0.05)；治疗组总有效率高于对照组(96.67% vs. 73.33%，χ2=4.706，P < 0.05)。  结论  醒脑开窍针法结合作业疗法可对脑卒中伴有上肢运动障碍起到显著改善作用，能够提高患者日常生活活动能力。 

Therapeutic effect observation of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke

  Objective  To observe the effect of Xingnao Kaiqiao Acupuncture combined with occupational therapy on upper limb dysfunction after stroke.  Methods  Sixty patients with upper limb dysfunction after stroke were selected to be treated in the Fifth People's Hospital of Fuyang City from May 2019 to October 2020. SPSS 21.0 was used to make random tables. Then, the patients were randomly divided into the treatment group and control group, each with 30 cases. The control group was treated by occupational therapy, whilst the treatment group was treated with Xingnao Kaiqiao Acupuncture combined with occupational therapy. Both groups were treated once a day, five times a week for a total of 4 weeks. The upper-extremity Fugl-Meyer scale (U-FMA), modified Barthel index (MBI) and clinical efficacy of both groups were compared.  Results  After treatment, the U-FMA in both groups [(45.37±5.12) points, (38.80±4.35) points] was improved significantly than before treatment [(31.37±4.33) points, (32.57±4.19) points, t=16.025, 14.297, both P < 0.05], with the treatment group showing more significant improvement than the control group (t=5.352, P < 0.05). After treatment, the MBI in both groups (57.83±6.65, 47.33±5.68) improved significantly than before treatment (41.17±5.97, 40.17±7.01, t=25.673, 15.577, both P < 0.05), with the treatment group showing more significant improvement than the control group (t=6.572, P < 0.05). The total effective rate of the treatment group was significantly higher than that of the control group (96.67% vs. 73.33%, χ2=4.706, P < 0.05).  Conclusion  Xingnao Kaiqiao Acupuncture combined with occupational therapy can improve the upper limb motion function of stroke patients and the activity of daily life.