《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (03): 252-255.

• 专题 • 上一篇    下一篇

低频经皮穴位电刺激对软瘫期脑卒中患者手和上肢功能的影响

唐朝正1，李春燕2，张晓莉1，王金宇4，刘智岚1，何志杰1，吴毅1,3，贾杰1   

  1. 1.复旦大学附属华山医院康复科，上海市200040；2.福建中医药大学，福建福州市350000；3.复旦大学附属华山医院永和分院，上海市200070；4.广西柳州市中医院脑病科，广西柳州市545001。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-25 发布日期:2015-03-25

Effects of Low Frequency Transcutaneous Electric Acupoint Stimulation on Hand and Upper Extremity Dysfunction post Stroke

TANG Chao-zheng, LI Chun-yan, ZHANG Xiao-li, WANG Jin-yu, LIU Zhi-lan, HE Zhi-jie, WU Yi, JIA jie   

  1. 1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China; 2. Fujian University of Traditional Chinese Medcine, Fuzhou, Fujian 350000, China; 3. Yonghe Hospital of Huashan Hospital, Fudan University, Shanghai 200070, China; 4. Department of Brain Disorder, Liuzhou Hospital of Traditional Chinese Medcine, Liuzhou, Guangxi 545001, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-25 Online:2015-03-25

PDF (PC)

被引次数

43

摘要： 目的探讨低频经皮穴位电刺激对脑卒中后软瘫期患者手和上肢功能的影响。方法32 例软瘫期脑卒中患者随机分为治疗组(n=16)和对照组(n=16)。两组患者均接受常规康复，治疗组在此基础上增加经皮穴位电刺激，共6 周。分别于治疗前及治疗2 周、4 周和6 周时采用Fug1-Meyer 量表上肢部分(FMA-UE)、运动功能状态量表(MSS)和改良Barthel 指数(MBI)对患者进行评定。结果治疗2 周、4 周及6 周后，治疗组FMA-UE、MSS和MBI 评分均较治疗前提高，且呈上升趋势(P<0.05)；组间比较显示，治疗4 周后治疗组MBI评分较对照组提高(P<0.05)，治疗6 周后治疗组各指标均优于对照组(P<0.05)。结论经皮穴位电刺激可进一步促进软瘫期脑卒中患者手和上肢功能的恢复。

关键词: 脑卒中, 经皮穴位电刺激, 手功能, 上肢

Abstract: Objective To explore the effects of transcutaneous electrical acupoint stimulation (TEAS) on paralytic hand and upper limb of stroke patients. Methods 32 patients were randomly divided into the treatment group (n=16) and the control group (n=16). All the patients accepted routine rehabilitation, and the patients in the treatment group accepted TEAS in addition for 6 weeks. They were assessed with Fug1-Meyer Assessment of upper extremities (FMA-UE), motor status scale (MSS) and Modified Barthel Index (MBI) before and 2, 4, 6 weeks after treatment. Results All the measures improved in both groups after 2, 4, and 6 weeks of treatment (P<0.05), while the scores of MBI improved more in the treatment group than in the control group 4 weeks after treatment (P<0.05), and all the measures improved more in treatment group than in the control group 6 weeks after treatment (P<0.05). Conclusion TEAS may promote the recovery of flaccid hand and upper extremity function post stroke.

Key words: stroke, transcutaneous electric acupoint stimulation, hand function, upper extremity