电针结合经颅直流电刺激治疗脑卒中后复杂性区域疼痛综合征(Ⅰ期)疗效观察

目的观察电针结合经颅直流电刺激(tDCS)对脑卒中后复杂性区域疼痛综合症(CRPS)Ⅰ期的临床疗效。方法将60例卒中后CRPSⅠ期患者,随机分为观察组和对照组,每组各30例。对照组采用常规药物结合电针治疗,观察组在此基础上加以tDCS治疗。比较两组治疗前后UEFM、NRS及临床疗效。结果治疗后,两组患者UEFM评分均提高,NRS评分较前降低(P<0.05),且观察组优于对照组,差异有统计学意义(P<0.05)。结论电针结合tDCS对脑卒中后CRPSⅠ期较西医常规治疗结合电针可明显提高疗效、缩短病程。

Objective To observe the clinical efficacy of electroacupuncture combined with transcranial direct current stimulation(tDCS)on stage I complex regional pain syndrome(CRPS)after stroke.Methods Sixty patients with post-stroke CRPS stage I were randomly divided into the observation group and the control group,with 30 patients in each group.The control group received conventional drugs combined with electroacupuncture treatment,while the observation group received tDCS treatment on this basis.Comparison of Fugl-Meyer upper extremity score(UEFM),numerical rating scale(NRS),and clinical efficacy between two groups before and after treatment.Results After treatment,the UEFM of the two groups of patients increased,and the NRS scores were lower than before(P<0.05),and the observation group was better than the control group,the difference was statistically significant(P<0.05).Conclusion Electroacupuncture combined with tDCS can significantly improve clinical efficacy and shorten the course of stroke complicated CRPS stage I compared to conventional western medicine treatment combined with electroacupuncture.