低频经皮穴位电刺激对脑卒中后遗症期手和上肢功能障碍的疗效

Effects of Low Frequency Transcutaneous Electric Acupoint Stimulation on Upper Limbs and Hands Function for Chronic Stroke Patients

目的研究低频经皮穴位电刺激对脑卒中后遗症期患者手和上肢功能的影响。方法 2016年3月至2018年5月,53例脑卒中后遗症期患者随机分为对照组(n=27)和治疗组(n=26)。两组均接受常规康复,治疗组在此基础上增加经皮穴位电刺激,共6周。治疗前、治疗6周和治疗后12周随访时,采用上肢徒手肌力测试(MMT)、改良Ashworth量表、Fugl-Meyer评定上肢部分(FMA-UE)、手运动功能状态评分、改良Barthel指数(MBI)进行评定。结果治疗6周时,两组各项评分无显著性差异(t <1.511, P> 0.05);治疗后12周随访时,治疗组腕背伸肌力、FMA-UE评分和MBI评分优于对照组(t> 2.312, P <0.05)。结论经皮穴位电刺激可进一步促进后遗症期脑卒中患者手和上肢功能恢复。

Objective To explore the effects of transcutaneous electrical acupoint stimulation(TEAS)on upper limbs function in chronic stroke patients.Methods From March,2016 to May,2018,53 patients were randomly divided into control group(n=27)and research group(n=26).All the patients received conventional rehabilitation,and the research group received additional intervention of TEAS,for six weeks.They were assessed with Manual Muscle Test(MMT)on upper limbs,modified Ashworth Scale(MAS),Fugl-Meyer Assessment-upper extremities(FMA-UE),Hand Motor Status Scale and modified Barthel Index(MBI)before,at the end of 6-week treatment and twelve weeks after treatment.Results There was no significant difference in all the scores between two groups at the end of 6-week treatment(t﹤1.511,P﹥0.05).The scores of MMT of wrist dorsal extension,FMA-UE and MBI were better in the research group than in the control group twelve weeks after end of treatment(t﹥2.312,P﹤0.05).Conclusion TEAS may promote the recovery of hands and upper limbs function in chronic stroke patients.