针刺与运动疗法不同干预次序组合对卒中偏瘫患者即时SEP波幅的影响

Effects of different interference orders of acupuncture and exercise therapy on the amplitude of so-matosensory evoked potential (SEP) in the patient of hemiplegia after stroke

目的:观察不同疗法间干预次序组合对疗效的影响。方法:将卒中偏瘫康复期患者分为先电针患侧曲池合谷、后Bobath握手上举运动组,先Bobath握手上举运动、后电针患侧曲池合谷组,记录并比较患侧半球体感诱发电位(SEP)的变化情况。结果:①单纯电针或运动都能提升患侧SEP波幅,与针刺或运动前比较差异有非常显著性意义(P<0·01),而且二者之间的升幅比较无明显差异(P>0·05);②先针刺后运动组或先运动后针刺组不仅与治疗前差异有非常显著性意义(P<0·01),且这两组间的波幅差值也有非常显著性意义(P<0·01)。结论:在脑卒中患者的恢复期,电针及运动疗法均可即刻改善患侧SEP,但电针及运动疗法二者不同干预次序的组合对患侧SEP的影响不同,以先针刺后运动组合对脑卒中患者脑功能改善更有利。

Objective To observe effects of different interference orders of acupuncture and exercise therapy on the therapeutic effect. Methods The patients of hemiplegia after stroke in the stage of recovery were randomly divided into two groups： raising handclasp of Bobath after eleetroaeupuneture at Quehi （LI 11） and Hegu （LI 4） on the affected side or eleetroaeupuneture at Quehi （LI 11） and Hegu （LI 4） on the affected side after raising handclasp of Bobath. The changes of SEP on the affected side were recorded and compared. Results SEP on the affected side significantly increased in the patients after treatment of simple eleetroaeupuneture or exercise therapy （P〈0.01）, with no significant difference between the two groups （P〉0. 05）. There was a very significant difference in SEP on the affected side between the group of exercise treatment after electroacupuncture and the group of electroacupuncture after exercise therapy （P〈0. 01）. Conclusion Both electroacupuncture and exercise therapy can immediately improve SEP of the patient in the recovery stage, and the groups of the different interference orders of electroacupuncture and exercise have different effects on SEP, and raising handclasp of Bobath after electroacupuncture is better for improvement in cerebral function of the patient.