腕踝针联合电针对缺血性中风患者神经功能及肢体运动的影响

Effects of wrist-ankle acupuncture combined with electroacupuncture on neurological function and limb movement in patients with ischemic stroke

目的:观察腕踝针联合电针对缺血性中风患者神经功能及肢体运动功能的影响。方法:将106例合格受试者根据随机数字表法分为治疗组与对照组,每组53例。对照组患者采用常规康复治疗方案。治疗组在对照组的基础上加用腕踝针和电针治疗。比较两组患者的NIHSS评分、Fugl-Meyer评定量表评分、Berg平衡量表评分、下肢主要神经传导速度和总有效率。结果:治疗组的总有效率高于对照组(P<0.05)。治疗后两组患者的NIHSS评分、Fugl-Meyer评定量表评分和Berg平衡量表评分均较治疗前改善(P<0.05),且治疗组明显优于对照组(P<0.05)。治疗后,对照组仅股神经的传导速度优于治疗前(P<0.05),治疗组的股神经、胫神经、腓肠神经和腓总神经的传导速度优于治疗前(P<0.05),且优于对照组(P<0.05)。结论:常规康复治疗基础上加用腕踝针和电针治疗可以显著改善缺血性脑卒中患者神经、肌肉功能,提高患者的运动和生活能力,其疗效优于单独常规康复治疗。

Objective:To observe the effect of wrist-ankle acupuncture combined with electroacupuncture on neurological function and limb motor function in patients with ischemic stroke.Methods:A total of 106 eligible subjects were divided into a treatment group and a control group according to the random number table method,with 53 cases in each group.Patients in the control group were treated with conventional rehabilitation.The treatment group was treated with wrist-ankle acupuncture and electroacupuncture in addition to the treatment used in the control group.The National Institute of Heath stroke scale(NIHSS)score,Fugl-Meyer assessment scale score,Berg balance scale score,lower limb main nerve conduction velocity,and total response rate were compared between the two groups.Results:The total response rate of the treatment group was higher than that of the control group(P<0.05).After treatment,the NIHSS score,Fugl-Meyer assessment scale score,and Berg balance scale score of the two groups were improved compared with those before treatment(P<0.05),and the treatment group was significantly better than the control group(P<0.05).After treatment,only the conduction velocity of femoral nerve in the control group was better than that before treatment(P<0.05),and the conduction velocity of femoral nerve,tibial nerve,sural nerve,and common peroneal nerve in the treatment group was better than that before treatment(P<0.05),and was better than that in the control group(P<0.05).Conclusion:Wrist-ankle acupuncture and electroacupuncture combined with conventional rehabilitation therapy can significantly improve nerve and muscle function and the motor and living ability of patients with ischemic stroke,and its therapeutic effect is superior to that of conventional rehabilitation therapy alone.