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目的:观察眼针结合作业疗法对偏瘫患者上肢运动功能及日常生活活动(ADL)改善能力的疗效。方法:将符合纳入标准的60例偏瘫患者随机分为治疗组(n=30)和对照组(n=30),均接受作业治疗,治疗组在作业治疗的基础上增加眼针治疗。治疗前后分别采用Fugl-Meyer运动量表评定患侧上肢运动功能,采用休斯顿大学康复医学部ADL评分法和Barthel指数(Barthel Index,BI)评定ADL能力。结果:治疗组与对照组的上肢运动功能和日常生活活动能力治疗前后差异显著(P<0.001),治疗后治疗组上肢运动功能和日常生活活动能力明显优于对照组(P<0.05)。结论:眼针结合作业疗法可有效提高偏瘫患者上肢运动功能和日常生活活动能力,其疗效优于单纯作业疗法。
Objective: To observe the efficacy of eye-acupuncture combined with home-based therapies for hemiplegia patients with upper extremity motor function and ability to improve daily living (ADL). Methods: Sixty patients with hemiplegia who met the inclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30). All patients received operation treatment. The treatment group received eye needle treatment based on the operation treatment. The Fugl-Meyer motor scale was used to evaluate the motor function of the affected side before and after treatment. The ADL ability was assessed by the ADL score of the University of Houston Department of Rehabilitation and Barthel Index (BI). Results: There was significant difference between the treatment group and control group before and after exercise (P <0.001). The upper limbs’ motor function and activities of daily living in the treatment group were significantly better than those in the control group (P <0.05). Conclusion: The combination of eye and eye operation therapy can effectively improve the upper limb motor function and activities of daily living in patients with hemiplegia, and its curative effect is superior to that of simple operation therapy.