基于治痿独取阳明理论探讨穴位电刺激对脑卒中后足下垂患者下肢运动功能的影响

Effect of acupoint electrical stimulation on lower limb motor function of patients with poststroke foot prolapse Based on the theory of governing the paralysis take Yang Ming

目的基于治痿独取阳明理论探讨穴位电刺激对脑卒中后足下垂患者下肢运动功能及日常生活自理能力的影响。方法将2018年9月至2019年11月在贵州中医药大学第二附属医院神经内科康复室进行康复治疗的脑卒中后足下垂70例患者采用SPSS22.0统计软件分为对照组和干预组,每组35例。2组患者均进行内科常规治疗及护理。对照组给予运动疗法为主的常规康复训练,干预组在给予运动疗法为主的常规康复训练基础上给予穴位电刺激治疗,比较2组患者干预前、干预4周后踝关节主动背屈活动度(AROM)、Fugl-Meyer下肢运动功能评定量表(FMA-LE)及Barthel指数(BI)评分等。结果2组患者干预前AROM、FMA-LE及BI评分比较,差异均无统计学意义(P>0.05);2组患者干预4周后AROM、FMA-LE及BI评分均较干预前明显提高,且干预组患者干预4周后AROM、FMA-LE及BI评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论基于治痿独取阳明理论的穴位电刺激可有效增加脑卒中后足下垂患者AROM,改善下肢运动功能,提高日常生活自理能力。

Objective To explore the influence of acupoint electric stimulation on the lower limb motor function and daily life self-care ability of patients with poststroke foot prolapse Based on the theory of governing the paralysis take Yang Ming.Methods In the study,70 patients with poststroke foot prolapse who had undergone rehabilitation treatment in the rehabilitation room of the neurology department of The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from September 2018 to November 2019 and were randomly divided into control group and intervention group using SPSS22.0 statistical software,with 35 patients in each group.Both groups of patients were given routine treatment and nursing care in the department of neurology.The control group was received routine rehabilitation training based on exercise therapy,and the intervention group was received acupoint electrical stimulation on the basis of the control group.The ankle active dorsiflexion range of motion(AROM),FuGL-Meyer Lower Limb Motor Function Rating Scale(FMA-LE)and Barthel index(BI)scores of 2 groups were compared before and 4 weeks after intervention.Results Before intervention,there was no significant difference in AROM,FMA-LE and BI between the two groups of patients(P>0.05);After 4 weeks of intervention,the scores of AROM,FMA-LE and BI in 2 groups were significantly higher than those before intervention,and the scores of AROM,FMA-LE and BI in the intervention group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Acupoint electrical stimulation based on the theory of governing the paralysis take Yang Ming can effectively increase the AROM of patients with foot prolapse after stroke,improve the motor function of the lower limbs,and improve the ability of daily living.