| 摘要: |
| 目的：探究针刺联合上肢康复机器人对脑卒中患者上肢功能障碍的疗效。方法：采用随机数字表法将60例脑卒中伴上肢运动功能障碍患者分为治疗组和对照组，每组各30例。对照组予针刺和常规康复训练治疗，治疗组在对照组的基础上增加上肢康复机器人训练，2组疗程均为2周。于治疗前后分别采用上肢Fugl-Meyer（FMA-UE）评分、改良 Barthel 指数（MBI）、Brunnstrom分期进行评估。结果：2组患者的FMA-UE评分和MBI均高于治疗前，且治疗组高于对照组，差异均有统计学意义(P＜0.01)；治疗后，2组上肢和手的Brunnstrom分期评定均优于治疗前(P＜0.01，P＜0.05)。结论：针刺联合上肢康复机器人能提高脑卒中患者上肢的运动功能以及日常生活活动能力，值得临床推广和进一步研究。 |
| 关键词: 脑卒中 上肢功能障碍 针刺 运动功能 康复机器人 生活活动能力 Brunnstrom分期 |
| DOI： |
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| Effect of acupuncture combined with an upper limb rehabilitation robot on upper limb dysfunction after stroke |
| LUO Xiaobin,CHEN Ailian,YIN Xi |
| (Xiangdong Hospital Affiliated to Hunan Normal University，Liling 412200，Hunan，China;Hunan Provincial People’s Hospital/The First Affiliated Hospital of Hunan Normal University，Changsha 410006，Hunan，China) |
| Abstract: |
| Objective：To investigate the clinical effect of acupuncture combined with an upper limb rehabilitation robot in the treatment of upper limb dysfunction after stroke.Methods：A total of 60 patients with stroke and upper limb dysfunction were divided into treatment group and control group using a random number table，with 30 patients in each group.The patients in the control group were given acupuncture and conventional rehabilitation training，and those in the treatment group were given training with the upper limb rehabilitation robot in addition to the treatment in the control group；the course of treatment was 2 weeks for both groups.Fugl-Meyer Assessment-Upper Extremity (FMA-UE) score，modified Barthel Index (MBI)，and Brunnstrom stage were used for assessment before and after treatment.Results：Both groups had significant increases in FMA-UE score and MBI after treatment，and the treatment group had significantly higher FMA-UE score and MBI than the control group (P＜0.01).After treatment，both groups had a significantly better Brunnstrom stage of the upper limb and the hand(P＜0.01，P＜0.05).Conclusion：Acupuncture combined with an upper limb rehabilitation robot can improve the motor function of upper limbs and the activities of daily living in patients with stroke and thus holds promise for clinical application and research. |
| Key words: stroke upper limb dysfunction acupuncture motor function rehabilitation robot activities of daily living Brunnstrom stage |
