针灸推拿医学（英文版）2026，Vol.24Issue(1)：39-47,9.DOI:10.1007/s11726-025-1532-y
针灸联合康复训练对脑卒中后偏瘫患者肢体功能及表面肌电的影响
Effects of acupuncture-moxibustion combined with rehabilitation training on limb function and surface electromyography in patients with hemiplegia after stroke
摘要
Abstract
Objective:To observe the effects of acupuncture-moxibustion combined with rehabilitation training on limb function and surface electromyography(sEMG)in patients with hemiplegia after stroke(HAS). Methods:Eighty-four HAS patients were divided into a control group and a combined group using the random number table method,with 42 cases in each group.The control group received dynamic-static balance rehabilitation training,and the combined group additionally received Fu Zheng Bu Tu(strengthening the healthy Qi and invigorating the spleen)acupuncture-moxibustion therapy.After 4 weeks of treatment,their clinical efficacy was compared,and they were also observed for changes in limb motor function,muscle spasticity level,balance ability,sEMG indices,and hemorheological parameters,as well as adverse reactions. Results:After treatment,the combined group had a higher total effective rate than the control group(P<0.05).After the intervention,both groups presented significant increases in the upper-and lower-limb Fugl-Meyer assessment(FMA)score,Berg balance scale(BBS)score,maximum voluntary contraction(MVC),root mean square(RMS),and integrated electromyography(iEMG);the combined group had superior improvements compared to the control group(P<0.05).After treatment,the modified Ashworth scale(MAS)scores of the elbow,wrist,knee,and ankle joints,and the levels of plasma viscosity(PV),whole blood viscosity(WBV),and hematocrit(HCT)dropped in both groups and were lower in the combined group than in the control group(P<0.05).Neither group showed significant adverse reactions during the treatment period. Conclusion:Fu Zheng Bu Tu acupuncture-moxibustion plus dynamic-static balance rehabilitation training can effectively alleviate muscle spasticity,improve balance ability,enhance sEMG signal levels,modulate hemodynamics,and promote the recovery of limb motor function in HAS patients.关键词
针灸疗法/雷火灸/康复训练/中风后遗症/偏瘫/血液动力学/表面肌电/随机对照试验Key words
Acupuncture-moxibustion Therapy/Thunder-fire Moxibustion/Rehabilitation Training/Poststroke Syndrome/Hemiplegia/Hemodynamics/Surface Electromyography/Randomized Controlled Trial分类
医药卫生引用本文复制引用
邢英茹,郑玉,商妙维,洪珏..针灸联合康复训练对脑卒中后偏瘫患者肢体功能及表面肌电的影响[J].针灸推拿医学（英文版）,2026,24(1):39-47,9.基金项目
This study was supported by the Health and Medical Science Research Project of Shaanxi Province(陕西省卫生健康科研项目,No.2021H0217). （陕西省卫生健康科研项目,No.2021H0217）
