针刺与运动不同干预次序对帕金森UPDRS运动评分及屈肘同步收缩率的影响  

Effect of Different Intervention Sequence of Acupuncture and Exercise on Parkinson’s UPDRS Motor Score and Co-Contraction Ratio of Elbow Flexion

作　　者：陈可爱[1] 黄炼红[1] 徐维[1] 钟灼琴[1] 张春 CHEN Ke-ai;HUANG Lian-hong;XU Wei;ZHONG Zhuo-qin;ZHANG Chun(Fujian Provincial Hospital,Fuzhou,Fujian 350001)

机构地区：[1]福建省立医院

出　　处：《按摩与康复医学》2019年第14期4-6,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：福建省科技厅科技平台建设项目,编号:2015Y2001,依托“福建省康复技术重点实验室”实验平台

摘　　要：目的:比较头电针与强制运动不同干预次序组合对帕金森病(PD)患者运动功能的影响。方法:将40例PD患者随机分为先针后动组(A组)、先动后针组(B组)各20例,评估两组治疗前后UPDRS运动评分、屈肘等长收缩时同步收缩率(CCR值)。结果:A、B组治疗后UPDRS运动评分、CCR值均显著低于治疗前(P<0.05);A组治疗后UPDRS运动评分、CCR值均低于B组,但差异无统计学意义(P>0.05)。结论:两者组合疗法均可显著改善PD患者运动功能,其中先针后动组效果略优。Objective:To compare the effects of different electroacupuncture and forced exercise intervention sequences on motor function in patients with Parkinson's disease(PD).Methods:40 cases of PD patients were randomly divided into the first needle and posterior motion group(group A)and the first motion and posterior needle group(group B),with 20 patients in each group.The UPDRS motor score and the Co-contraction ratio(CCR value)of the elbow flexion before and after treatment were evaluated.Results:After treatment,the UPDRS motor scores and CCR value in group A and group B were significantly lower than those before treatment(P<0.05).The UPDRS motor score and CCR value were lower than group B.After treatment,there was no significant difference(P>0.05).Conclusion:Both combined therapy can significantly improve the motor function of PD patients,and the effect of the first needle and posterior motion group is slightly better.

关 键 词：帕金森病 头电针 强制运动训练 干预次序 UPDRS运动评分 同步收缩率 

分 类 号：R246[医药卫生—针灸推拿学] R742.5[医药卫生—中医临床基础]