针刺结合低频重复经颅磁刺激治疗脑卒中后上肢运动功能障碍的临床研究

Clinical Study on Acupuncture Combined with Low Frequency Repetitive Transcranial Magnetic Stimulation for Upper Extremity Motor Dysfunction after Stroke

目的系统评价针刺结合低频重复经颅磁刺激治疗脑卒中后上肢运动功能障碍的疗效。方法将患者60例,随机分为治疗组30例,对照组30例。治疗组为低频经颅磁+常规针刺组,对照组为常规针刺组的治疗方案。并于治疗前和治疗后4周对2组进行Barthel指数、FMA值、WMFT值、第一骨间肌背侧肌电值、肱二头肌肌电值、拇短屈肌肌电值评定。结果治疗4周后,2组患者的Barthel指数、FMA值、WMFT值、第一骨间肌背侧肌电值、肱二头肌肌电值、拇短屈肌肌电值均有提高(P<0.01),且治疗组在WMFT值和拇短屈肌肌电值较对照组改善明显(P<0.05)。结论针刺结合低频重复经颅磁刺激治疗脑卒中后上肢运动功能障碍疗效明显,值得临床推广。

Objective To systematic evaluate the therapeutic effect of acupuncture combined with low-frequency repetitive transcranial magnetic stimulation for the treatment of upper extremity motor dysfunction after stroke.Methods Sixty patients were randomly divided into the treatment group(n=30)and the control group(n=30).The treatment group was treated with low frequency repetitive transcranial magnetic stimulation combined with conventional acupuncture,and the control group was treated with conventional acupuncture.Barthel index,FMA value,WMFT value,dorsal myoelectric value of the first interosseous muscle,biceps muscle EMG,and flexor hallucis muscle value were evaluated before treatment and 4 weeks after treatment.Results After 4 weeks of treatment,the Barthel index,FMA value,WMFT value,dorsal myoelectric value of the first interosseous muscle,biceps muscle EMG,and flexor hallucis longus muscle power were increased in both groups(P<0.01),and the WMFT value and the flexor hallucis muscle value of the treatment group were significantly improved compared with the control group(P<0.05).Conclusion Acupuncture combined with low-frequency repetitive transcranial magnetic stimulation is effective in treating upper extremity motor function after stroke.It is worthy of clinical promotion.