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于惠贤,杨纯生,贾 杰,何 蕾,武广艳,张 冉,胡志伟,陈亚平.激光穴位及脑手区照射对早期脑梗死患者上肢和手功能的影响[J].中国康复医学杂志,2018,(3):315~318
激光穴位及脑手区照射对早期脑梗死患者上肢和手功能的影响    点此下载全文
于惠贤  杨纯生  贾 杰  何 蕾  武广艳  张 冉  胡志伟  陈亚平
首都医科大学附属北京同仁医院康复医学科,北京,100730
基金项目:北京市医院管理局“青苗”计划专项经费资助(QML20150204)
DOI:
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摘要:
      摘要 目的:探讨激光穴位及手功能区照射对脑梗死后软瘫期患者上肢和手功能的影响。 方法:36例试验组脑梗死患者随机分为试验组(n=19)和对照组(n=17)。两组患者均接受常规康复,试验组在此基础上增加激光照射治疗,共8周。分别于治疗前及治疗4周和8周时采用Fug1-Meyer量表上肢部分(FMA-UE)、运动功能状态量表(MSS)和改良Barthel指数(MBI)对患者进行评定。 结果:治疗4周及8周后,治疗FMA-UE、MSS评分均较治疗前提高,且呈上升趋势(P<0.05);治疗4周后两组MBI无明显差异。治疗8周后试验组各指标均优于对照组(P<0.05)。 结论:激光穴位照射及手功能区照射可进一步促进软瘫期脑梗死患者手和上肢功能的恢复。
关键词:脑梗死  激光  手功能  上肢
Effects of laser radiation at acupoint and hand projection areas of brain on hand and upper extremity function of early stroke patients    Download Fulltext
Dept. of Rehabilitation Medicine,Beijing Tongren Hospital,Capital Medical University ,100730
Fund Project:
Abstract:
      Abstract Objective: To explore the Effect of laser radiation at acupoint and hand projection areas of brain on hand and upper extremity function of early stroke patient Method: Thirty-six stroke patients were randomly divided into the treatment group (n=19) and the control group (n=17). All the patients accepted routine rehabilitation, and the patients in the treatment group accepted laser radiation in addition for 6 weeks. They were assessed with Fug1-Meyer Assessment of upper extremities (FMA-UE), MSS motor function scale and Modified Barthel Index (MBI) before and 4, 8 weeks after treatment. Result: FMA-UE, MSS measures improved in both groups after 4 and 8 weeks treatment (P<0.05), while the scores of MBI improved not significantly in the treatment group 4 weeks after treatment (P<0.05). All the measures improved more in treatment group than in the control group 8 weeks after treatment (P<0.05). Conclusion: Laser radiation at acupoint and area of functions of hand projection areas of brain may promote the recovery of flaccid hand and upper extremity function post stroke.
Keywords:stroke  laser  hand function  upper extremity
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