眼针结合作业疗法对缺血性中风患者日常生活能力和上肢运动的影响

发布时间：2018-05-14 14:11

本文选题：眼针 + 作业疗法　；参考：《辽宁中医药大学》2014年硕士论文

【摘要】：目的：探讨眼针结合作业疗法对缺血性中风患者日常生活能力和上肢运动功能的影响。方法：选取2013年1月至2014年1月符合纳入标准的辽宁中医药大学附属医院脑病康复科的60例缺血性中风患者，随机分为治疗组和对照组，每组30例。治疗组予眼针结合作业疗法治疗，对照组予单纯作业疗法。治疗组眼针取穴：双侧上焦区、下焦区、肾区和肝区；每位患者每日行针一次，每日留针30分钟。在治疗前和疗程结束后，对两组患者采用Fugl-Meyer上肢运动功能评分量表（Fugl-Meyer assessment scale，FMA）和改良Barthel指数（the modified baethel index，MBI）进行统计学分析，评定临床疗效。结果： 1.改良Barthel指数评定量表评分上，两组治疗前无明显差异（P＞0.05），具有可比性；眼针结合作业疗法组和单纯作业疗法组治疗前与治疗后比较有显著性差异（P＜0.01），眼针结合作业疗法组和单纯作业疗法治疗后日常生活活动能力评分有显著性差异（P＜0.01）。 2.在Fugl-Meyer上肢运动功能评分上，两组治疗前、治疗后比较有显著性差异（P＜0.01），眼针结合作业疗法组和单纯作业疗法组治疗后Fugl-Meyer上肢运动功能评分有显著性差异（P＜0.01）。结论： 1.眼针结合作业治疗在改善肢体运动功能上优于单纯作业疗法组，能够促进患侧肢体运动功能的恢复，，特别是在提高上肢运动功能方面有着明显优势。 2.眼针结合作业治疗组和单纯作业治疗组都能够有效地提高患者的日常生活能力，但是眼针结合作业治疗对于日常生活活动能。
[Abstract]:Objective: to investigate the effects of eye acupuncture combined with occupational therapy on the activities of daily life and upper limb motor function in patients with ischemic stroke. Methods: from January 2013 to January 2014, 60 patients with ischemic stroke in the Department of Encephalopathy Rehabilitation, affiliated Hospital of Liaoning University of traditional Chinese Medicine, were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with eye acupuncture combined with occupational therapy, while the control group was treated with simple occupational therapy. In the treatment group, acupuncture points were obtained: bilateral superior focal area, lower focal area, renal area and liver area, and each patient received acupuncture once a day for 30 minutes. Before and after treatment, the patients in the two groups were statistically analyzed with Fugl-Meyer assessment scale (FMA) and modified Barthel index (modified baethel index) to evaluate the clinical efficacy. Results: 1. There was no significant difference before treatment between the two groups on the score of modified Barthel index rating scale (P > 0.05), which was comparable. There was significant difference between the two groups before and after treatment (P < 0.01), and there was significant difference in the scores of ADL between the two groups (P < 0.01). 2. In Fugl-Meyer upper limb motor function score, there was significant difference between the two groups before and after treatment (P < 0.01), and there was significant difference in Fugl-Meyer upper limb motor function score between the eye acupuncture combined with occupational therapy group and the simple occupational therapy group (P < 0.01). Conclusion: 1. Eye acupuncture combined with occupational therapy is superior to the simple occupational therapy group in improving limb motor function, and can promote the recovery of limb motor function, especially in improving the upper limb motor function. 2. Eye acupuncture combined with occupational therapy group and simple occupational therapy group can effectively improve the daily life ability of patients, but eye acupuncture combined with occupational therapy can improve daily life activities.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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