经皮穴位电刺激治疗对脑卒中患者上肢运动功能的影响  

Effect of transcutaneous accupoint electrical stimulation on upper iimb function in stroke patients.

作　　者：彭源[1] 张瑾[1] 张顺喜[1] 温璐璐[1] 陈钰杰[1] 

机构地区：[1]广州市第一人民医院康复科,广州510180

出　　处：《广州医药》2015年第2期19-22,共4页Guangzhou Medical Journal

基　　金：广州市医药卫生科技一般引导项目(0021329A10503087)

摘　　要：目的探讨经皮穴位电刺激对脑卒中偏瘫患者上肢运动功能的影响。方法37例脑卒中患者随机分为TAES组(n=19)和安慰刺激组(n=18)。两组常规治疗相同。TAES组采用KD-2A型经皮神经电刺激治疗仪治疗,刺激部位选择患侧上肢的4个穴位(肩髃、曲池、外关、合谷),频率100Hz,脉宽0.2ms,强度以患者最大耐受强度为限;每天治疗1次,每次60min,连续3周共15次;安慰刺激组接受治疗的部位、时间和疗程与TAES组相同,但每次治疗时没有电流输出。治疗前、治疗第2周、治疗第3周分别用上肢Fugl-Meyer评分和改良Barthel指数评分(MBI)评定上肢运动功能及日常生活活动能力。结果治疗前,两组患者间的一般情况、FMA-UE评分和MBI评分的比较差异无统计学意义(P>0.05)。经过治疗,两组患者的FMA-UE和MBI评分与治疗前比较均有改善(P<0.05);TAES组FMA-UE和MBI评分的改善较安慰刺激组明显(P<0.05)。结论TAES治疗能够提高脑卒中患者上肢运动功能,提高生活自理能力。Objective To investigate the effect of transcutaneous accupoint electrical stimulation （TAES） in enhancing upper limb function in subjects with stroke. Methods 37 subjects with first stroke were randomly assigned into 2 groups： TAES group （n = 19 ） and placebo stimulation group （n = 18） , All subjects received the same standard rehabilitation. In the TAES group, Model KD-2A stimulator was applied with 0. 2 ins pulses, at 100 Hz within the subject＇s tolerance level on the 4 ac- upuncture points （LI15, LI11, LI4, and SJ5） in the affected upper limb for 60 min, 5 days a week for 3 weeks; The time and the course of treatment of the placebo stimulation group were as well as the TAES group＇s, but no current output for each treat- ment. All subjects in the 2 groups received standard rehabilitation program. Measurements including Fugl-Meyer motor assess- ment （FMA-UE） and modified Barthel index （MBI） on affected side were recorded before treatment after 2 and 3 weeks＇ treat- ments. Results After 3 weeks treatments, the function scores on affected side of the two groups were improved significantly （ P 〈 0. 05 ） . And function scores of the TAES group were significantly improved than those of the placebo group （ P 〈 0. 05 ）. Conclusion Transcutaneous accnpoint electrical stimulation significantly may improve the recovery of upper limb function.

关 键 词：经皮穴位电刺激 脑卒 中上肢功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]