不同穴位电针对脑卒中后足下垂、足内翻的影响

Effects of electroacupuncture at different acupoints on foot drop and varus after stroke

目的:探讨软瘫期不同穴位电针对预防脑卒中后足下垂、足内翻的影响。方法:42例符合纳入标准的患者随机分为电针足三里-解溪组和电针阳陵泉-解溪组各21例,均治疗30天。观察胫前肌肌力、踝关节背屈活动度、足内翻角度的变化。结果:胫前肌肌力在两组内治疗前后差异均存在统计学意义(P<0.05),治疗后两组间差异无统计学意义(P>0.05)。踝关节背屈活动度在两组内治疗前后比较差异均存在统计学意义(P<0.05),治疗后两组间差异无统计学意义(P>0.05)。足内翻角度在两组内治疗前后差异均存在统计学意义(P<0.05),治疗后两组间差异存在统计学意义(P<0.05)。结论:软瘫期给予电针刺激足三里-解溪针组或阳陵泉-解溪针组配合现代康复疗法均可有效提高胫前肌肌力和踝关节背屈活动度,能有效防止足下垂,且软瘫期电针阳陵泉-解溪针组配合现代康复疗法更能有效防止足内翻的发生。

Objective: To investigate the effect of electroacupuncture at different acupoints on preventing foot drop and varus after stroke. Methods: 42 patients were randomly divided into the electroacupuncture at ST36-ST41 group and electroacupuncture at GB34- ST41 group, 21 cases in each for 30 days. Results: There were statistically significant differences in anterior tibial muscle strength and ankle dorsiflexion range of motion between before and after treatment in two groups (P<0.05);there was no significant difference between groups after treatment (P>0.05). There were statistically significant differences in the varus angle between before and after treatment in groups (P<0.05);and there was a statistical difference between groups after treatment (P<0.05). Conclusion: The electroacupuncture at ST36-ST41 or GB34-ST41 plus the modern rehabilitation therapy can effectively improve the muscle strength of the anterior tibial muscle and the ankle dorsiflexion range of motion in flaccid paralysis patient. Collectively, this therapeutic strategy can both prevent foot drop and varus effectively in flaccid paralysis patient.