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目的:观察针刺中渚、外关改善脑卒中后手功能障碍的临床疗效.方法:将60例脑卒中后手功能障碍患者随机分为观察组和对照组,每组30例.两组均给予常规药物治疗及物理治疗、作业治疗等康复训练,观察组加针刺患手中渚、外关.两组治疗前后分别进行神经功能缺损评分( NIHSS)、手功能、步行能力、日常生活活动能力(ADL)改良巴氏指数量表等评定.结果:两组患者治疗后,手功能、步行能力、ADL、NIHSS评分较治疗前均有明显改善(均P＜0.01).观察组手功能、步行能力、ADL改善较对照组更为明显(均P＜0.05).结论:脑卒中后手功能障碍患者常规药物治疗及康复训练配合针刺中渚、外关治疗,能明显改善脑卒中后手功能障碍,提高步行能力,提高日常生活活动能力,提高康复疗效.“,”Objective To observe the therapeutic effects of post-stroke hand motor impairment treated with acupuncture at Zhōngzhǔi (中渚 TE 3) and Wàiguān (外关 TE 5).Methods Sixty cases of post-stroke hand motor impairment were randomly divided into an observation group and a control group,30 cases in each one.The conventional medication,physical therapy,occupational therapy and other rehabilitation trainings were applied in both groups.In observation group,Zhōngzhǔ (中渚 TE 3) and Wàiguān (外关 TE 5) were punctured.The assessment was performed with neurologic deficit scoring of the National Institutes of Health Stroke Scale (NIHSS),hand motor function,walking ability and the modified Barthel index scale of the Activities of Daily Living (ADL) in both groups before and after treatment.Results After treatment,the scores of hand function,walking ability,ADL and NIHSS were improved in both groups as compared with those before treatment (all P＜0.01).The improvements of hand function,walking ability and ADL in observation group were superior to those in control group (all P＜0.05).Conclusion The conventional medication and rehabilitation trainings combined with acupuncture at Zhōngzhǔ (中渚 TE 3) and Wàiguān (外关 TE 5) can obviously improve hand motor function,walking ability,the activities of daily living and rehabilitation efficacy in the patients with post-stroke hand motor impairment.