摘要
目的探讨电针疗法对脑卒中偏瘫痉挛患者运动功能的影响。方法选取脑卒中后偏瘫痉挛患者80例,采用随机数字表法分为治疗组40例和对照组40例,2组患者均采用相同的康复训练,在此基础上治疗组采用偏瘫侧电针疗法,对照组则采用传统的针刺疗法。于治疗前、治疗8 w后采用改良Ashworth痉挛分级量表对治疗前后痉挛程度进行评价,简式Fugl-Meyer运动功能量表(FMA)和改良Barthel指数(MBI)分别对2组患者进行运动功能和日常生活活动能力评定。结果治疗前,两组患者各项指标组间比较,差异无统计学意义(P>0.05);治疗8 w后,两组患者的FMA评分、MBI评分、改良Ashworth分级组内前后比较,均有明显改善,分别为(P<0.01)、(P<0.05);组间比较治疗组患者的痉挛分级、FMA评分、MBI指数均优于对照组,差异均有统计学意义(P<0.05)。结论电针疗法结合康复训练有助于减轻痉挛症状,同时可显著改善患者肢体运动功能和日常生活能力,其疗效优于传统针刺治疗结合康复训练。
Objective To investigate the effect of electroacupuncture on motor function in hemiplegic patients with spasticity after stroke.Methods 80 patients with Hemiplegia spasticity after stroke were selected and randomly divided into treatment group(n=40)and control group(n=40).All the patients used the same rehabilitation training.The treatment group used Hemiplegia side electroacupuncture therapy.The control group used traditional acupuncture therapy.Before treatment and 8 weeks after treatment,the degree of spasticity was evaluated with the improved Ashworth scale,the simplified Fugl-Meyer motor function scale(FMA)and the modified Barthel index(MBI)were used to assess motor function and activities of daily living(ADL).Results Before treatment there were no significant difference between the two groups(P>0.05).After 8 weeks of treatment,the FMA,MBI and mproved Ashworth scale of patients in each group were significantly improved(P<0.01)and(P<0.05)respectively.The improved Ashworth scale,FMA and MBI in the treatment group were better than those in the Control Group(P<0.05).Conclusion Electroacupuncture therapy combined with rehabilitation training on Hemiplegic side is helpful to relieve spasticity and improve the motor function and daily living ability of the patients.The effect is better than traditional acupuncture treament bombined with rehabilitation training.
作者
吴运景
钱拉拉
厉优优
郑靖慷
WU Yunjing;QIAN Lala;LI Youyou(Department of Rehabilitation,The Central Hospital of Wenzhou City,Wenzhou 325000,China)
出处
《中风与神经疾病杂志》
CAS
2022年第3期260-262,共3页
Journal of Apoplexy and Nervous Diseases
关键词
电针疗法
脑卒中
偏瘫
运动功能
Electroacupuncture
Stroke
Hemiplegia
Motor function
