[Row acupuncture at the gaps between phalanges for dorsal stretch of fingers after cerebral infarction].
- 医学院－已发表论文 
目的：比较指骨间缝排刺疗法与理疗治疗脑梗死后手指背伸功能障碍的临床疗效差异。方法：将71例患者随机分成指骨间缝排刺组（A组,37例）、理疗组（B组,34例）。两组在体针的基础上,A组选择指骨间缝排刺疗法,对患侧手指第Ⅰ、第Ⅱ、第Ⅲ骨间缝进行排刺,并予连续波电刺激;B组使用神经损伤治疗仪,将两电极放于前臂指伸肌肌腹中央处进行理疗。两组均每次治疗30min,每日1次,10d为一疗程,疗程间休息3d,共治疗3个疗程。比较两组患者治疗前后的掌指关节背伸活动度及指总伸肌肌力。结果：与治疗前比较,两组治疗后各指掌指关节背伸活动度及指总伸肌肌力均提高（均P〈0.05）;在改善示、中、环指掌指关节背伸活动度及指总伸肌肌力方面,A组优于B组（均P〈0.05）,但对小指掌指关节背伸活动度及指总伸肌肌力的改善两组间差异无统计学意义（均P〉0.05）。结论：在体针治疗基础上,指骨间缝排刺疗法治疗脑梗死后偏瘫手指背伸功能障碍有较好疗效,优于理疗。OBJECTIVE: To compare the effect differences between row acupuncture at the gaps between phalanges and physical therapy for the dorsal stretch of fingers after cerebral infarction. METHODS: Seven-one cases were randomized into a row acupuncture at the gaps between phalanges group (group A, 37 cases) and a physical therapy group (group B, 34 cases). Body acupuncture was applied in the two groups. Row acupuncture at the 1st, 2nd, and 3rd gaps between phalanges was used in the group A, with continuous wave of electroacupuncture. The two electrodes of nerve injury therapeutic apparatus were put in the muscle belly center of extensor digitorum of forearm in the group B. All the treatments were given for 30 min in the two groups, once a day and 10 times as one course. Three courses were required with 3 d at the interval. The dorsal stretch of metacarpophalangeal joints and the muscle force of common extensor of fingers were compared between the two groups before and after treatment. RESULTS: Compared with those before treatment, the dorsal stretch of metacarpophalangeal joints and the muscle force of common extensor of fingers were improved after treatment in the two groups (all P<0.05). There existed better effects in the group A on the dorsal stretch of the forefinger, middle finger and ring finger of metacarpophalangeal joints, as well as the muscle force of common extensor of fingers (all P<0.05). CONCLUSIONS: Row acupuncture at the gaps between phalanges achieves better effect than physical therapy for the dorsal stretch of fingers after cerebral infarction, based on body acupuncture.