本文選題：腦卒中 + 手功能障礙�。� 參考：《中國康復理論與實踐》2017年05期

【摘要】：目的研究手功能激光成像儀應用于針刺治療腦卒中后手功能的評價。方法 2016年1月至6月,18例腦卒中后上肢功能障礙患者分為對照組(n=9)和治療組(n=9),對照組接受常規(guī)藥物治療和康復訓練,治療組在此基礎上接受針刺治療。治療前及治療3周后,兩組患者采用改良Ashworth量表(MAS)、Fugl-Meyer評定(FMA)上肢運動功能部分、改良Bathel指數(MBI)進行評價,采用手功能激光成像儀進行感興趣區(qū)(ROI)測量。結果治療后,MAS、FMA評分明顯改善(t4.44,P0.01),治療組BI評分明顯改善(t=3.95,P0.01),治療組MAS、FMA、BI評分均明顯優(yōu)于對照組(t3.17,P0.01)。兩組治療后,患手ROI評分均顯著降低(t7.78,P0.001),治療組低于對照組(t=-2.23,P0.05);兩組間健手ROI評分無顯著性差異(t=-0.11,P0.05)。結論手功能激光成像可以提供手部血流灌注情況的信息,與手功能有一定關聯。
[Abstract]:Objective to study the application of hand function laser imager in the evaluation of hand function after acupuncture treatment of stroke. Methods from January to June 2016, 18 patients with upper limb dysfunction after stroke were divided into two groups: control group (n = 9) and treatment group (n = 9). The control group received routine drug therapy and rehabilitation training, and the treatment group received acupuncture treatment on this basis. Before treatment and 3 weeks after treatment, the patients in both groups were evaluated with modified Ashworth scale (Mas) and modified Bathel Index (MBI), and the area of interest (ROI) was measured by hand function laser imager. Results after treatment, the FMA score of MASA was significantly improved (t 4.44 鹵P0.01), the BI score of the treatment group was improved significantly (t = 3.95, P 0.01), and that of the treatment group was significantly better than that of the control group (t 3.17, P 0.01). After treatment, the ROI scores of the affected hands decreased significantly (t7.78 鹵P0.001), which were lower in the treatment group than in the control group (t = 2.23 P 0.05), but there was no significant difference between the two groups in the ROI scores of the healthy hands (t = -0.11 P 0.05). Conclusion the laser imaging of hand function can provide the information of blood flow perfusion in hand, which is related to hand function.
【作者單位】： 復旦大學附屬上海市浦東醫(yī)院康復醫(yī)學科;復旦大學附屬華山醫(yī)院康復醫(yī)學科;
【分類號】：R246.6

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