屈伸肌交替法低频穴位电刺激治疗脑卒中后手功能障碍临床研究

目的:采用低频穴位电刺激,以屈伸肌交替刺激的方法,作用于患侧手腕部穴位及肌肉,探究此法对脑卒中后手功能障碍手腕部活动的疗效。方法:选取脑卒中后手功能障碍患者60例,随机分为治疗组和对照组。治疗组进行低频穴位电刺激治疗,对照组进行电针治疗。两组治疗时间相同,每天1次,每周治疗6天,共治疗4周。选用Lindmark手腕部运动功能评分、改良Barthel指数上肢评分、中国临床神经功能缺损评分分别进行疗效评价。结果:两组患者疗后手抓握功能均有改善,但治疗组Lindmark评分、改良Barthel指数上肢评分、中国临床神经功能缺损评分改善较明显(P<0.05)。结论:采用屈伸肌交替法低频穴位电刺激对卒中患者手功能的重建具有一定的促进作用。

Clinical Effect of Low-Frequency Acupoint Electrical Stimulation and Alternative Stimulation to Flexors and Extensors on Post-Stroke Hand Dysfunction

Objective:Low-frequency electrical stimulation and alternative stimulation to flexors and extensor were applied to the acupoints and muscles of the affected hand and wrist,thus to explore the effect of this therapy on the acivities of hand and wrist after stroke.Methods:60 patients with hand dysfunction after stroke were randomly divided into the treatment group(low-frequency electro-acupuncture)and the control group(electro-acupuncture).The treatment was once a day,6 days per week for a total of 4 weeks.Lindmark wrist motor function score,modified Barthel index upper limb score and China Stroke Scale score were selected for clinical efficacy evaluation.Results:After the treatment,both groups were improved in terms of hand gripping function.The scores of Lindmark,modified Barthel index and China Stroke Scale were significantly improved in the treatment group(P<0.05).Conclusion:The application of low-frequency electrical stimulation and alternative stimulation to flexors and extensor can promote the reconstruction of hand function in stroke patients.