针刀结合神经肌肉电刺激治疗脑卒中后足内翻的临床效果

Clinical effect of acupotomy combined with neuromuscular electrical stimulation in the treatment of foot varus after stroke

目的观察针刀结合神经肌肉电刺激治疗脑卒中后足内翻的临床效果。方法选择2018年6月—2019年12月收住于安徽中医药大学第三附属医院针灸康复一科病房的脑卒中足内翻患者60例,按照随机数字表法,将其分为治疗组和对照组,每组各30例。对照组给予神经肌肉电刺激治疗,治疗组在对照组基础上结合针刀治疗,两组均治疗1个疗程。采用简化Fugl-Meyer运动功能评定量表、足内翻的症状评分表及十米最大步行速度(10MWS)评定患者足内翻的改善情况。结果治疗前两组简化Fugl-Meyer运动功能评定量表评分、足内翻的症状评分、10MWS比较,差异均无统计学意义(均P>0.05),治疗后两组简化Fugl-Meyer运动功能评定量表评分、10MWS均较治疗前升高,且治疗组高于对照组,差异有统计学意义(P<0.05或P<0.01)。治疗后两组足内翻的症状评分均较治疗前降低,且治疗组低于对照组,差异有高度统计学意义(P<0.01)。结论针刀结合神经肌肉电刺激可有效改善脑卒中患者足内翻症状,加快患者康复进程。

Objective To observe the clinical effect of acupotomy combined with neuromuscular electrical stimulation in the treatment of foot varus after stroke.Methods From June 2018 to December 2019,60 stroke patients with foot varus who were admitted to the ward of Acupuncture Rehabilitation Section One,the Third Affiliated Hospital of Anhui University of Chinses Medicine were selected.According to the random number table method,they were divided into the treatment group and the control group,with 30 patients in each group.The control group was treated with neuromuscular electrical stimulation,while the treatment group was treated with acupotomy on the basis of the control group,Both groups received one course of treatment.The simplified Fugl-Meyer assessment scale for motor function,foot varus symptom score table and maximum walking speed of 10 meters(10MWS)were used to evaluate the improvement of foot varus.Results Before treatment,there were no statistically significant differences between the two groups in the scores of simplified Fugl-Meyer assessment scale for motor function,the score of foot varus symptom and 10MWS(all P>0.05).After treatment,the scores of simplified Fugl-Meyer assessment scale for motor function and 10MWS of the two groups were both increased compared with those before treatment,and the treatment group was higher than the control group,the differences were statistically significant(P<0.05 or P<0.01).After treatment,the score of foot varus symptom of two groups were both decreased compared with those before treatment,and the treatment group was lower than the control group,the differences were highly statistically significant(P<0.01).Conclusion Acupotomy combined with neuromuscular electrical stimulation can effectively improve the symptoms of foot varus in stroke patients and speed up the rehabilitation process of patients.