| 陈瑶,王鹤玮,项育枝,孙晓旖,董庆亮,王莹莹,王传凯,贾杰.低频经皮穴位电刺激在社区脑卒中上肢手功能康复中的近期疗效分析[J].中国康复,2019,34(12):669-672 |
| 低频经皮穴位电刺激在社区脑卒中上肢手功能康复中的近期疗效分析 |
| Short-term effectiveness of community-based low frequency transcutaneous electric acupoint stimulation on upper limb and hand function rehabilitation in stroke patients |
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| DOI： |
| 中文关键词: 社区康复 经皮穴位电刺激 脑卒中 手功能 适宜技术 |
| 英文关键词: community-based rehabilitation transcutaneous electric acupoint stimulation stroke hand dysfunction appropriate technique |
| 基金项目:上海市卫生和计划生育委员会科研课题面上项目（201540197） |
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| 中文摘要: |
| 目的：探究低频经皮穴位电刺激（TEAS）作为社区适宜技术在脑卒中患者上肢和手功能康复中的近期疗效。方法：将60例社区脑卒中患者随机分为观察组和对照组各30例，2组患者均接受社区常规康复训练，观察组在此基础上增加TEAS治疗。治疗前后分别采用腕关节徒手肌力测试（MMT）、腕肘部改良Ashworth肌张力评定量表(MAS)、Fugl-Meyer上肢评定（FMA-UE）、美国国立卫生研究院卒中量表（NIHSS）、改良 Barthel指数（MBI）对患者进行评定。结果：治疗6周后，2组掌屈、背伸肌力评分均较治疗前显著提高(均P＜0.05)；且观察组优于对照组(均P＜0.05)，观察组肘关节肌张力评分均较治疗前和对照组显著降低(均P＜0.05)，且观察组腕关节肌张力低于治疗前(P＜0.05)。治疗6周后，2组FMA-UE总分、FMA腕和手及MBI评分较治疗前均显著提高(均P＜0.05)，且观察组高于对照组(P＜0.05)；2组NIHSS评分均较治疗前显著降低(均P＜0.05)；2组间比较差异无统计学意义。结论：低频经皮穴位电刺激适宜技术可以有效改善社区脑卒中患者近期手和上肢功能。 |
| 英文摘要: |
| Objective: To explore the short-term effectiveness of transcutaneous electrical acupoint stimulation (TEAS) as an appropriate community-based technique on hand and upper limb function rehabilitation in stroke patients. Methods: Sixty stroke patients were randomly assigned to the treatment group (n=30) and the control group (n=30). All patients received routine community rehabilitation training, and the treatment group received additional treatment of TEAS. All patients were assessed with Manual Muscle Test (MMT) of wrist, Modified Ashworth scale (MAS) of wrist and elbow, Fugl-Meyer Assessment of upper extremities (FMA-UE), National Institute of Health stroke scale (NIHSS) and Modified Barthel Index (MBI) before and 6 weeks after treatment. Results: After 6 weeks of treatment, palmar flexion and dorsiflexor muscle strength scores in both groups were significantly higher than those before treatment (all P<0.05), and those in treatment group were significantly higher than in control group; the elbow muscle tone scores were significantly lower in treatment groups than before treatment and control group (all P<0.05), and the wrist muscle tone scores in treatment group were significantly lower than those before treatment (P<0.05). After 6 weeks of treatment, FMA-UE total scores, FMA scores of wrist and hand, and MBI scores in both groups were significantly higher than those before treatment (all P<0.05), and those in treatment group were higher than control group (P<0.05); NIHSS scores were significantly reduced in both groups as compared with those before treatment (P<0.05),and there was no siginificant difference between the two groups. Conclusion: TEAS is an effective and appropriate community-based technique in the treatment of paralytic hand and upper limbs in the short-term. |
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