针灸临床杂志2026，Vol.42Issue(4)：6-10,5.DOI:10.19917/j.cnki.1005-0779.026062
手足十二针联合功能训练对脑卒中后偏瘫患者运动功能及表面肌电图的影响
Effects of Hand-Foot Twelve-Needle Combined with Functional Training on Motor Function and sEMG in Patient with Post-Stroke Hemiplegia
摘要
Abstract
Objective:To explore the effect of hand-foot twelve-needle combined with functional training on motor function and surface electromyography(sEMG)in patients with post-stroke hemiplegia.Methods:A total of 100 patients with post-stroke hemiplegia were randomly divided into the control group(n=50)and the study group(n=50).The control group was treated with functional training;on which basis,the study group was also treated with hand-foot twelve-needle.After eight treatment courses,therapeutic efficacy,TCM symptom scores,motor function,and sEMG parameters were compared between the two groups.Results:The total effective rate was 90%(45/50)in the study group,which was significantly higher than 72%(36/50)in the control group(P<0.05).The scores for primary symptoms,secondary symptoms,tongue and pulse signs,and total TCM symptoms were significantly reduced in both groups after the treatment compared with those before the treatment,with lower scores observed in the study group than in the control group(P<0.05).The scores of upper-limb Fugl-Meyer Assessment(FMA),lower-limb FMA,Functional Gait Assessment(FGA),and Berg Balance Scale(BBS)were significantly increased in both groups after the treatment compared with those before the treatment,and the increases were greater in the study group than in the control group(P<0.05).The integrated electromyography(iEMG)values of the quadriceps femoris,tibialis anterior,and gastrocnemius muscles were significantly increased in both groups after the treatment compared with those before the treatment,with higher values in the study group than in the control group(P<0.05).The root mean square(RMS)amplitudes were significantly decreased in both groups after the treatment compared with those before the treatment,and the values in the study group were lower than those in the control group(P<0.05).Conclusion:Hand-foot twelve-needle combined with functional training therapy shows significant therapeutic efficacy in patients with post-stroke hemiplegia.This combined approach effectively improves motor and balance functions and promotes the recovery of muscle strength.关键词
脑卒中/偏瘫/手足十二针/功能训练/运动功能/表面肌电图Key words
Stroke/Hemiplegia/Hand-foot twelve-needle/Functional training/Motor function/sEMG分类
医药卫生引用本文复制引用
蔺姗,王陶,高明兰,王圣岳..手足十二针联合功能训练对脑卒中后偏瘫患者运动功能及表面肌电图的影响[J].针灸临床杂志,2026,42(4):6-10,5.基金项目
江苏省卫生健康委医学科研拟立项项目,编号:0177. （）
