低频经皮穴位电刺激对软瘫期脑卒中患者手和上肢功能的影响  

Effects of Low Frequency Transcutaneous Electric Acupoint Stimulation on Hand and Upper Extremity Dysfunction post Stroke

作　　者：唐朝正[1] 李春燕[2] 张晓莉[1] 王金宇[3] 刘智岚 何志杰[1] 吴毅[1,4] 贾杰[1] 

机构地区：[1]复旦大学附属华山医院康复科,上海市200040 [2]福建中医药大学,福建福州市350000 [3]广西柳州市中医院脑病科,广西柳州市545001 [4]复旦大学附属华山医院永和分院,上海市200070

出　　处：《中国康复理论与实践》2015年第3期252-255,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金："十二五"国家科技支撑项目(No.2013BAI10B03);国际合作青年基金项目(No.31450110072);国家自然科学青年基金项目(No.81401859);上海市科委生物医药重大项目(No.10DZ1950800)

摘　　要：目的探讨低频经皮穴位电刺激对脑卒中后软瘫期患者手和上肢功能的影响。方法 32例软瘫期脑卒中患者随机分为治疗组(n=16)和对照组(n=16)。两组患者均接受常规康复,治疗组在此基础上增加经皮穴位电刺激,共6周。分别于治疗前及治疗2周、4周和6周时采用Fug1-Meyer量表上肢部分(FMA-UE)、运动功能状态量表(MSS)和改良Barthel指数(MBI)对患者进行评定。结果治疗2周、4周及6周后,治疗组FMA-UE、MSS和MBI评分均较治疗前提高,且呈上升趋势(P<0.05);组间比较显示,治疗4周后治疗组MBI评分较对照组提高(P<0.05),治疗6周后治疗组各指标均优于对照组(P<0.05)。结论经皮穴位电刺激可进一步促进软瘫期脑卒中患者手和上肢功能的恢复。Objective To explore the effects of transcutaneous electrical acupoint stimulation（TEAS） on paralytic hand and upper limb of stroke patients. Methods 32 patients were randomly divided into the treatment group（n=16） and the control group（n=16）. All the patients accepted routine rehabilitation, and the patients in the treatment group accepted TEAS in addition for 6 weeks. They were assessed with Fug1-Meyer Assessment of upper extremities（FMA-UE）, motor status scale（MSS） and Modified Barthel Index（MBI） before and 2, 4,6 weeks after treatment. Results All the measures improved in both groups after 2, 4, and 6 weeks of treatment（P〈0.05）, while the scores of MBI improved more in the treatment group than in the control group 4 weeks after treatment（P〈0.05）, and all the measures improved more in treatment group than in the control group 6 weeks after treatment（P〈0.05）. Conclusion TEAS may promote the recovery of flaccid hand and upper extremity function post stroke.

关 键 词：脑卒中 经皮穴位电刺激 手功能 上肢 

分 类 号：R743.3[医药卫生—神经病学与精神病学]