经皮穴位电刺激改善脑卒中后偏瘫患者踝背屈障碍的疗效观察  

Effect of Transcutaneous Electrical Acupoint Stimulation on Ankle Dorsiflexion Disorder in Patients with Hemiplegia after Stroke

作　　者：王东岩[1] 何雷 宋晶[2] 张蕊[2] 杨海永 WANG Dongyan;HE Lei;SONG Jing;ZHANG Rui;YANG Haiyong(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2018年第5期38-41,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金面上项目;编号:81473763;黑龙江省教育厅科学技术研究项目重点项目;编号:12531z 010

摘　　要：目的:分析两种经皮穴位电刺激方案对脑卒中后偏瘫患者踝背屈功能和步行能力的影响。方法:选取60例脑卒中后踝背屈障碍患者,按随机数字表法分为对照组(n=30)与治疗组(n=30)。两组患者均接受经皮穴位电刺激治疗。治疗组用屈伸肌交替刺激法,选择50 Hz的断续波电流,每日1次,每次20 min,共治疗4周;对照组用常规刺激方法,电刺激的仪器、参数以及疗程等与治疗组相同。利用步行时空参数、踝关节主动活动度和下肢Fulg-Meyer评分对疗效进行评价。结果:治疗4周后,两组患者步态分析各参数、踝关节主动活动度及Fulg-Meyer评分较疗前差异均显著(P<0.01),组间比较结果显示治疗组各项指标的改善明显优于对照组(P<0.01或P<0.05)。结论:经皮穴位电刺激有助于脑卒中后偏瘫患者踝背屈功能的改善,能够提升患者的步行能力,且屈伸肌交替刺激法优于常规刺激方法。Objective： To analyze the effect of different transcutaneous acupoint electrical stimulation on the walking ability of patients with ankle dorsiflexion disorder after stroke.Methods： 60 patients with apoplectic ankle dorsiflexion disorder were randomly divided into the control group（ n = 30） and the treatment group（ n =30）.Both groups were treated with transcutaneous electrical acupoint stimulation; in the treatment group,stimulation was applied to flexor and extensor muscle alternatively by using the intermittent wave current of 50 Hz,once per day,20min/time,4 weeks in total.The control group was treated with routine electrical stimulation,and the apparatus,parameters and course of treatment were the same as those in the treatment group.The therapeutic effects were evaluated by parameters of walking space-time,active ankle activity and Fulg-Meyer score of lower extremity.Results： After 4 weeks of treatment,the parameters of gait analysis,the maximum active dorsiflexion angle and Fulg-Meyer score of the lower limb were significantly improved in the two groups compared to those before the treatment（ P〈0.01）; the improvements in the treatment group were more significantly than those in the control group（ P 0.01,P 0.05）.Conclusion： Transcutaneous electrical acupoint stimulation can improve the ankle dorsiflexion in patients with hemiplegia after stroke,it can improve the walking ability,and the alternating stimulation of flexor and extensor muscles is superior to the conventional stimulation.

关 键 词：脑卒中 偏瘫 穴位电刺激 踝背屈 步态分析 

分 类 号：R246.6[医药卫生—针灸推拿学]