《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (11): 1057-1058.

• 临床研究 • 上一篇    下一篇

电针足三里改善脑卒中偏瘫痉挛期患者下肢运动功能的临床研究

公维军1,2; 张通1,2; 崔利华1,2; 杨宇琦1,2; 孙新亭1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;2.中国康复研究中心北京博爱医院,北京市 100068
  • 收稿日期:2008-07-22 出版日期:2008-11-01 发布日期:2008-11-01

Effects of Electroacupuncture at Zusanli (ST36) on Lower Limbs Motor Function in Patients with Stroke during Spasm Period:A Clinical Research

GONG Wei-jun, ZHANG Tong, CUI Li-hua, et al.   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 00068, China
  • Received:2008-07-22 Published:2008-11-01 Online:2008-11-01

摘要: 目的观察电针足三里改善脑卒中患者下肢运动功能的疗效。方法63例患者随机分为电针组和对照组。两组均进行常规康复训练,电针组在康复训练的基础上电针足三里。比较治疗前后下肢及髋、膝、踝Fugl-Meyer评分、步态分析(左右步频、步速和跨步长的均值)、下肢肌张力综合痉挛量表评分(CSS)。结果两组在治疗前后下肢及膝、踝Fugl-Meyer评分、步态分析均有明显改善,且电针组与对照组相比改善更明显,CSSS评分下降。结论电针足三里能够明显改善脑卒中痉挛期下肢的运动功能,且不引起肌张力升高。

关键词: 脑卒中, 偏瘫, 痉挛期, 电针, 足三里, 运动功能

Abstract: Objective To observe the effects of electroacupuncture at Zusanli (ST36) on lower limbs motor function in patients with stroke. Methods 63 patients were evenly randomized into electroacupuncture group and control group. All the patients received routine rehabilitation training and at the same time,patients in electroacupuncture group, received electroacupuncture at zusanli (ST36). They were assessed with Fugl-Meyer Assessment (lower limb, hip, knee and ankle), gait analysis (gait frequency, gait speed and step length of both sides) and lower limb Composite Spasm Scale (CSS) before and after treatment. Results The scores of Fugl-Meyer Measure, gait analysis, and CSS improved in both groups, and more significantly in electroacupuncture group. Conclusion Electroacupuncture at zusanli (ST36) can significantly improved lower limb motor function without worsening the spasm.

Key words: stroke, hemiplegia, spasm, electroacupuncture, Zusanli (ST36), motor function