摘要
目的:观察电针联合西药对急性脑梗死偏瘫患者下肢运动功能及血流变化的影响。方法:将符合纳入标准的100例急性缺血性中风合并下肢运动功能障碍的患者采用随机数字表法分为观察组和对照组,每组50例。对照组给予西药常规治疗,观察组在对照组药物治疗基础上加用电针治疗。治疗2周及4周后通过下肢Fugl-Meyer运动功能评估量表(FMA-LE)评分评估两组患者下肢运动功能恢复情况;采用多普勒评估患侧下肢胫后(PT)动脉和足背(DP)动脉峰值流速的变化。结果:研究过程中共3例患者脱落,最终观察组48例,对照组49例纳入数据统计。两组患者治疗2周及4周后FMA-LE评分、PT及DP动脉峰值流速均较治疗前提高(P<0.05)。治疗2周后,两组患者的FMA-LE评分、PT及DP动脉峰值流速比较无统计学差异(P>0.05)。治疗4周后,观察组FMA-LE评分明显高于对照组(P<0.05),患侧下肢PT、DP动脉峰值流速均高于对照组(P<0.05)。结论:电针联合西药治疗对急性脑梗死偏瘫患者的患侧下肢的运动功能和血流速度有明显改善作用。
Objective:To observe the effects of electroacupuncture(EA)combined with Western medication on lower-limb motor function and blood circulation in patients with cerebral infarction-induced hemiplegia in the acute stage.Methods:One hundred eligible patients with acute ischemic stroke accompanied by lower-limb motor dysfunction were allocated to an observation group and a control group using the random number table method,with 50 cases in each group.The control group received routine Western medications for treatment,and the observation group received additional EA intervention.After 2-week and 4-week treatments,the improvement of lower-limb motor function was assessed using the Fugl-Meyer assessment scale for lower extremity(FMA-LE),and changes in the peak blood flow velocities of the posterior tibial(PT)and dorsalis pedis(DP)arteries on the affected side were detected using Doppler.Results:Three cases dropped out during the study,so there were 48 cases in the observation group and 49 in the control group collected for statistical analysis.The FMA-LE score and the peak blood flow velocities of PT and DP arteries increased after 2-week and 4-week treatments in both groups compared with the pre-treatment baseline(P<0.05).After 2-week treatments,the FMA-LE score and the peak blood flow velocities of PT and DP arteries showed no significant differences between the two groups(P>0.05).After 4-week treatments,compared with the control group,the FMA-LE score was higher(P<0.05),and the peak blood flow velocities of PT and DP arteries on the affected side were larger in the observation group(P<0.05).Conclusion:EA combined with Western medication can significantly improve the motor function and blood flow velocity of the affected lower limb in patients with acute cerebral infarction accompanied by hemiplegia.
作者
杨雪融
乔琳
闫俊
张琳炘
高亚亚
郭华
洪珏(译)
YANG Xuerong;QIAO Lin;YAN Jun;ZHANG Linxin;GAO Yaya;GUO Hua;HONG Jue(Xi’an Fifth Hospital,Shaanxi Province,Xi’an 710082,China;不详)
基金
陕西省中医药管理局科研项目,No.SZY-KJCYC-2023-082,No.SZY-NLTL-2024-016
陕西省自然科学基础研究计划重点项目,No.2021JZ-58
西安市创新能力强基计划医学项目,No.21YXYJ0052
西安市第五医院院内基金,No.2023lc07.
关键词
针刺疗法
电针
缺血性中风
中风后遗症
偏瘫
中风康复
下肢
血流速度
Acupuncture Therapy
Electroacupuncture
Ischemic Stroke
Poststroke Syndrome
Hemiplegia
Stroke Rehabilitation
Lower Extremity
Blood Flow Velocity