经穴电体操疗法治疗中风偏瘫:多中心随机对照研究

Acupoint electrogymnastics therapy for treatment of apoplectic hemiplegia:a multicenter randomized control study

目的:观察经穴电体操疗法与电针疗法的效应差异,推广电体操疗法。方法:采用三中心、随机、多盲的试验方法,将153例合格受试者随机分成电体操组(77例)和电针组(76例),分别给予经穴电体操疗法和传统电针的治疗。2组均取上肢的手三里和外关、下肢的阳陵泉和足三里,经穴电体操疗法应用JD-2008型偏瘫治疗仪治疗。采用感觉、运动功能(Fugl-Meyer)评测方法,评测治疗前后的上下肢运动功能、四肢感觉功能、平衡功能及关节活动度。结果:在改善上下肢运动功能、四肢感觉功能、平衡功能、关节活动度等方面,2组治疗前后比较差异均具有统计学意义(均P<0.001);但2种治疗方法之间比较差异无统计学意义(P>0.05)。结论:经穴电体操疗法与传统电针治疗中风偏瘫患者具有相似的治疗效果,但经穴电体操疗法安全可靠、操作方便,适合患者长期康复治疗的需要及在基层医院推广使用。

Objective To observe the therapeutic effect of acupoint electrogymnastics therapy on apoplectic hemiplegia,so as to further popularize this therapy in treatment of apoplectic hemiplegia.Methods Using three-central,randomized,controlled,multi-blind methods,153 cases were divided into an electrogymnastics group（n=77） and an electroacupuncture group（n=76）.They were treated with acupoint electrogymnastics（AE） and traditional electroacupuncture（TEA）,respectively.Shousanli（LI 10） and Waiguan（TE 5） on upper limbs and Yanglingquan（GB 34） and Zusanli（ST 36） on the lower limbs were selected in the two groups.A JD-2008 hemiplegia treatment apparatus was used in the AE group.Fugl-Meyer method was used for assessment of motor function and sense function of the four limbs,balance function and joint activity,etc.before and after treatment.Results In the motor function and sense function of four limbs,balance function and joint activity in the two groups had significant improvement after treatment（both P〈0.001） with no significant difference between the two groups（P〉0.05）.Conclusion Both acupoint electrogymnastics（AE） and traditional electroacupuncture（TEA） have a similar therapeutic effect on apoplectic hemiplegia,but AE has the advantages of safety,reliability and convenience in operation,so it is suitable for long-term rehabilitation treatment of the patient and for popularization in hospital of basic level.