川平法联合低频穴位电刺激治疗脑卒中后上肢运动功能障碍OACSTPCD
Interventional study of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation in patients with upper limb motor dysfunction after stroke
目的 探讨川平法联合低频穴位电刺激对脑卒中后上肢运动功能障碍的疗效.方法 将 62 例脑卒中后上肢运动功能障碍患者随机分为观察组和对照组各 31 例.对照组采用神经内科常规康复训练联合低频穴位电刺激治疗,观察组在对照组的基础上加用川平法治疗.2 组分别在治疗前、治疗 2 周后,采用Fugl-Meyer评定量表(FMA)、改良Ashworth 肌张力评定量表(MAS)、改良Barthel指数(MBI)进行疗效评定.结果 2 组治疗后的FMA评分均高于治疗前,且观察组FMA评分高于对照组,治疗前后评分差值亦大于对照组(P均<0.05).治疗后 2 组患者的MAS等级较治疗前下降,且观察组治疗后MAS等级较对照组低(P均<0.05).2 组治疗后的MBI评分均高于治疗前,且观察组MBI评分高于对照组,治疗前后评分差值亦大于对照组(P均<0.05).结论 川平法联合低频穴位电刺激对脑卒中后上肢运动功能的恢复、肌肉痉挛的改善、日常生活能力的提高均有较好疗效.
Objective To evaluate the efficacy of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy in the recovery of patients with upper limb motor dysfunction after stroke.Methods Sixty-two patients with upper limb motor dysfunction after stroke were divided into the observation group(n=31)and control group(n=31).Patients in the control group were treated with conventional rehabilitation training combined with low-frequency acupoint electrical stimulation in Department of Neurology,and those in the observation group were treated with repetitive facilitative exercise besides the interventions in the control group.The efficacy of the two groups was evaluated by Fugl-Meyer Motor Assessment(FMA)scale,Modified Ashworth scale(MAS)and Modified Barthel Index(MBI)scale before treatment and at 2 weeks after treatment,respectively.Results The FMA scores after treatment were significantly higher than pre-treatment scores in two groups,the FMA scores in the observation group were significantly higher than those in the control group,and the difference of the FMA scores between pre-and post-treatment in the observation group was significantly larger compared with that in the control group(all P<0.05).After treatment,the MAS grade was decreased compared with that before treatment in two groups,and the degree of grade decrease in the observation group was greater than that in the control group(all P<0.05).The MBI scores after treatment were higher than those before treatment in two groups,the MBI scores in the observation group were higher than those in the control group,and the difference of the MBI scores between pre-and post-treatment in the observation group was larger than that in the control group(all P<0.05).Conclusion Repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy yields high efficacy in the recovery of upper limb motor function,mitigation of muscular spasm and improvement of daily living capability after stroke.
张禹;邹家莉;李晓洁;王兵;李洁;石国凤;周谊霞
贵州中医药大学护理学院,贵州 贵阳 550025贵州中医药大学第二附属医院神经内科,贵州 贵阳 550003
脑卒中川平法低频穴位电刺激上肢运动功能障碍康复
StrokeRepetitive facilitative exerciseLow-frequency acupoint electrical stimulationUpper limb motor dysfunctionRehabilitation
《新医学》 2024 (008)
594-600 / 7
国家自然科学基金(82160099);贵州省科技计划项目(黔科合基础-ZK[2021]一般356,黔科合支撑[2022]一般263)
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