《中国康复理论与实践》

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (1): 10-13.doi: 10.3969/j.issn.1006-9771.2017.01.003

• 专题手功能康复 • 上一篇    下一篇

经皮穴位电刺激对脑卒中后手功能的康复效果

丁丽君1, 荣积峰1, 王卫宁1, 熊莉1, 苏琳2, 贾杰3   

  1. 1.上海市第一康复医院康复治疗中心,上海市 200090;
    2. 蚌埠医学院,安徽蚌埠市 233030;
    3.复旦大学附属华山医院康复医学科,上海市 200040。
  • 收稿日期:2016-09-09 出版日期:2017-01-20 发布日期:2017-02-17
  • 作者简介:丁丽君(1963-),女,汉族,安徽濉溪县人,主管治疗师,主要研究方向：脑卒中后作业治疗。通讯作者：贾杰,女,主任医师,教授,博士生导师,主要研究方向：手功能康复。E-mail: shannonjj@126.com。
  • 基金资助:
    “十二五”国家科技支撑计划项目(No.2013BAI10B03)

Effects of Transcutaneous Electrical Acupoint Stimulation on Hand Dysfunction after Stroke

DING Li-jun1, RONG Ji-feng1, WANG Wei-ning1, XIONG Li1, SU Lin2, JIA Jie3   

  1. 1. Therapy Centre, the First Rehabilitation Hospital of Shanghai, Shanghai 200090, China;
    2. Bengbu Medical College, Bengbu, Anhui 233030, China;
    3. Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2016-09-09 Published:2017-01-20 Online:2017-02-17
  • Contact: JIA Jie. E-mail: shannonjj@126.com

PDF (PC)

摘要： 目的 评价经皮穴位电刺激对脑卒中后手功能障碍者的康复疗效。方法 2013年3月至2015年6月,56例脑卒中手功能障碍者分成A组(n=28)和B组(n=28),A组接受基础康复训练,B组接受经皮穴位电刺激和基础康复训练,共6周。治疗后采用Brunnstrom偏瘫手功能分级、徒手肌力检查(MMT)、Fugl-Meyer评定(FMA)手指运动功能部分、运动功能状态量表(MSS)、改良Ashworth量表(MAS)、美国国立卫生院脑卒中量表(NIHSS)、手运动功能状态评分和Barthel指数(BI)进行评定。结果 治疗后,B组FMA评分、Brunnstrom上肢和手分级、MMT腕关节掌屈肌力、MSS评分、MAS评分及BI评分均高于A组(t>2.2527, P<0.05),NIHSS评分显著低于A组(t=3.5559, P<0.001);手运动功能评分和MMT腕关节背屈肌力两组间无显著性差异(t<0.3095, P>0.05)。结论 经皮穴位电刺激能促进脑卒中后手功能恢复,提高脑卒中患者的日常生活活动能力。

关键词: 脑卒中, 手功能障碍, 经皮穴位电刺激, 运动功能, 肌力, 痉挛, 日常生活活动, 康复

Abstract: Objective To observe the effects of transcutaneous electrical acupoint stimulation (TEAS) on hand dysfunction after stroke. Methods From March, 2013 to June, 2015, 56 cases of stroke with hand dysfunction were divided into group A (n=28) and group B (n=28). Both groups received basic rehabilitation, while group B received TEAS in addition, for six weeks. They were evaluated with Brunnstrom Grades, Manunl Muscle Test (MMT), Fugl-Meyer Assessment (FMA) of fingers, Motor Status Scale (MSS), modified Ashworth Scale (MAS), National Institutes of Health Stroke Scale (NIHSS), Motor Hand Functional Status Score and Barthel Index (BI). Results The scores of FMA of fingers, MMT of wrist flexion, MSS, MAS and BI were more in group B than in group A (t>2.2527, P<0.05), and the score of NIHSS was less in group B (t=3.556, P<0.001). There was no significant difference between two groups in the score of Motor Hand Functional Status Score and MMT of wrist extension (t<0.310, P>0.05). Conclusion TEAS can promote the recovery of hand function and the activities of daily living in patients after stroke.

Key words: stroke, hand dysfunction, transcutaneous accupoint electrical stimulation, motor function, muscle strength, spasm, activities of daily living, rehabilitation

中图分类号: