电针双侧肢体对脑梗死偏瘫患者的疗效分析

Effect of Electroacupuncture at Bilateral Limbs for Treatment of Hemiplegia Patients after Cerebral Infarction

目的观察电针双侧肢体与电针患侧肢体治疗脑梗死偏瘫临床效果是否存在差异,以指导临床康复。方法将60例脑梗死偏瘫患者随机分为两组。A组为电针患侧肢体组,B组为电针双侧肢体组。两组均给予脑梗死常规治疗及患侧肢体康复治疗,发病3d左右病情稳定不再进展后给予电针治疗。治疗前分别予以记录简式Fugl-Meyer评定值(FMA)、改良Barthel指数评定值(MBI)以及测定血清神经元特异性烯醇化酶(NSE)浓度值。电针一个疗程10d后再次记录上述指标的变化情况。结果 FMA,两组治疗前后比较有统计学意义(P<0.05)。FMA差值,两组疗效比较存在统计学意义(P<0.05)。MBI,两组治疗前后比较有统计学意义(P<0.05)。MBI差值、血清NSE浓度,两组治疗后比较存在统计学意义。结论电针双侧肢体组较电针患侧肢体组对患侧肢体功能和日常生活能力改善更明显。电针双侧肢体组较电针患侧肢体组治疗后血清NSE浓度低。脑梗死偏瘫在临床电针治疗中,对健侧肢体治疗很重要,电针双侧肢体较传统的电针患侧肢体疗效更好。

Objective To investigate the effect of electroacupuncture at bilateral limbs for treatment of hemiplegia patients after cerebral infarction.Methods Sixty patients with hemiplegia after cerebral infarction at the period of recovery were randomly divided into two groups：A group treated by electroacupuncture at paralyzed side limb and B group treated by electroacupuncture at bilateral limbs.Fugl-Meyer assessment（FMA）,modified Barthel index（MBI） were recorded,and the concentration of serum neuron-specific enolase（NSE） were tested before and after treatment of ten days.Results There was a significant difference in FMA before and after treatment in two groups（P0.01）.After treatment,the scores of FMA and MBI in B group were higher than that in A group（P0.05）.The concentration of serum NSE in B group were lower than that in A group（P0.05）.Conclusion Electroacupuncture at bilateral limbs could decrease serum NSE concentration,improve the motor function and activity of daily living in hemiplegia patients at the period of recovery after cerebral infarction,which was better than electroacupuncture at paralyzed side limb.