《中国康复理论与实践》

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1371-1375.doi: 10.3969/j.issn.1006-9771.2018.12.002

• 专题 脑卒中后上肢和手功能康复 • 上一篇    下一篇

低频经皮穴位电刺激对脑卒中后遗症期手和上肢功能障碍的疗效

陈瑶1, 王鹤玮2, 项育枝1, 王晓文1, 赵坤1, 窦晓语1, 孙晓旖3, 吴梅芬4, 董庆亮5, 王莹莹6, 王传凯2, 贾杰2   

  1. 1.上海市第三康复医院康复医学科,上海市 200436;
    2.复旦大学附属华山医院康复医学科,上海市 200040;
    3.静安区宝山路街道社区卫生服务中心康复医学科,上海市 200071;
    4.静安区中医医院康复医学科,上海市 200072;
    5.静安区临汾路街道社区卫生服务中心康复医学科,上海市 200435;
    6.复旦大学公共卫生学院流行病学教研室,上海市 200032
  • 收稿日期:2018-09-26 修回日期:2018-11-13 出版日期:2018-12-25 发布日期:2019-01-04
  • 通讯作者: 贾杰(1966-),女,河南新乡市人,博士,博士后,教授,博士研究生导师。贾杰。E-mail: shannonjj@126.com
  • 作者简介:陈瑶(1967-),女,汉族,湖南湘乡市人,副主任医师,主要研究方向：神经康复。
  • 基金资助:
    上海市卫生和计划生育委员会科研课题面上项目(No. 201540197)

Effects of Low Frequency Transcutaneous Electric Acupoint Stimulation on Upper Limbs and Hands Function for Chronic Stroke Patients

CHEN Yao1, WANG He-wei2, XIANG Yu-zhi1, WANG Xiao-wen1, ZHAO Kun1, DOU Xiao-yu1, SUN Xiao-yi3, WU Mei-fen4, DONG Qing-liang5, WANG Ying-ying6, WANG Chuan-kai2, JIA Jie2   

  1. 1. Department of Rehabilitation Medicine, the Shanghai Third Rehabilitation Hospital, Shanghai 200436, China;
    2. Rehabilitation Department, Huashan Hospital, Fudan University, Shanghai 200040, China;
    3. Department of Rehabilitation Medicine, Healthy Centre of Baoshan, Jing'an, Shanghai 200071, China;
    4. Department of Rehabilitation Medicine, Jing'an Chinese Tranditional Medicine Hospital, Shanghai 200072, China;
    5. Department of Rehabilitation Medicine, Healthy Centre of Linfen, Jing'an, Shanghai 200435, China;
    6. Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
  • Received:2018-09-26 Revised:2018-11-13 Published:2018-12-25 Online:2019-01-04
  • Contact: JIA Jie. E-mail: shannonjj@126.com
  • Supported by:
    Shanghai Health and Family Planning Committee Research Project (General) (No. 201540197)

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摘要： 目的 研究低频经皮穴位电刺激对脑卒中后遗症期患者手和上肢功能的影响。方法 2016年3月至2018年5月,53例脑卒中后遗症期患者随机分为对照组(n = 27)和治疗组(n = 26)。两组均接受常规康复,治疗组在此基础上增加经皮穴位电刺激,共6周。治疗前、治疗6周和治疗后12周随访时,采用上肢徒手肌力测试(MMT)、改良Ashworth量表、Fugl-Meyer评定上肢部分(FMA-UE)、手运动功能状态评分、改良Barthel指数(MBI)进行评定。结果 治疗6周时,两组各项评分无显著性差异(t < 1.511, P > 0.05);治疗后12周随访时,治疗组腕背伸肌力、FMA-UE评分和MBI评分优于对照组(t > 2.312, P < 0.05)。结论 经皮穴位电刺激可进一步促进后遗症期脑卒中患者手和上肢功能恢复。

关键词: 脑卒中, 经皮穴位电刺激, 手功能障碍, 上肢, 后遗症期

Abstract: Objective To explore the effects of transcutaneous electrical acupoint stimulation (TEAS) on upper limbs function in chronic stroke patients. Methods From March, 2016 to May, 2018, 53 patients were randomly divided into control group (n = 27) and research group (n = 26). All the patients received conventional rehabilitation, and the research group received additional intervention of TEAS, for six weeks. They were assessed with Manual Muscle Test (MMT) on upper limbs, modified Ashworth Scale (MAS), Fugl-Meyer Assessment-upper extremities (FMA-UE), Hand Motor Status Scale and modified Barthel Index (MBI) before, at the end of 6-week treatment and twelve weeks after treatment. Results There was no significant difference in all the scores between two groups at the end of 6-week treatment (t < 1.511, P > 0.05). The scores of MMT of wrist dorsal extension, FMA-UE and MBI were better in the research group than in the control group twelve weeks after end of treatment (t > 2.312, P < 0.05). Conclusion TEAS may promote the recovery of hands and upper limbs function in chronic stroke patients.

Key words: stroke, transcutaneous electric acupoint stimulation, hand dysfunction, upper extremity, chronic stage

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