Motomed智能运动训练系统结合低频电针治疗脑卒中后痉挛性偏瘫临床研究  

Clinical Study on Motomed Intelligent Exercise Training System Combined with LowFrequency Electric Acupuncture for Post-Stroke Spastic Hemiplegia

作　　者：余向东 敖小凤 何观莲 梁修朗 YU Xiangdong;AO Xiaofeng;HE Guanlian;LIANG Xiulang

机构地区：[1]阳江市人民医院康复科,广东阳江529500

出　　处：《新中医》2020年第16期123-125,共3页New Chinese Medicine

基　　金：阳江市科技计划项目(阳科通[2019]50号-27)。

摘　　要：目的:观察Motomed智能运动训练联合低频电针治疗脑卒中后经痉挛性偏瘫的临床疗效。方法:将偏瘫痉挛期患者96例随机分为3组,Motomed组32例采用Motomed智能运动训练结合常规康复治疗,低频电针组32例采用低频电针结合常规康复治疗,综合治疗组采用Motomed智能运动训练结合低频电针、常规康复治疗,疗程均为4周。观察比较3组治疗前后Barthel改良指数、临床痉挛指数(CSI)变化,统计3组治疗后简化Fugl-Meyeri运动功能评分法(SFMA)评分、JAshworth量表肌张力评分法(MAS)评分以评定临床疗效。结果:治疗后,总有效率综合治疗组、Motomed组、低频电针组分别为90.63%、59.37%、62.50%;综合治疗组总有效率高于Motomed组、低频电针组,差异均有统计学意义(P<0.05);Motomed组与低频电针组比较,差异无统计学意义(P>0.05)。治疗后,3组改良Barthel指数评分较治疗前明显升高(P<0.05),CSI评分较治疗前明显降低(P<0.05);且综合治疗组Barthel指数、CSI评分改善较Motomed组、低频电针组更显著(P<0.05);Motomed组与低频电针组Barthel指数、CSI评分比较,差异无统计学意义(P>0.05)。结论:Motomed智能运动训统联合低频电针综合治疗脑卒中后痉挛性偏瘫,疗效优于单纯Motomed智能运动训练或单纯低频电针治疗。Objective:To observe the clinical effect of Motomed intelligent exercise training combined with lowfrequency electric acupuncture for post-stroke spastic hemiplegia.Methods:A total of 96 cases of patients in the stage of spastic hemiplegia were randomly divided into three groups,32 cases in each group.The three groups were given routine rehabilitation treatment;the Motomed group was additionally given Motomed intelligent exercise training;the lowfrequency electric acupuncture group was additionally given low-frequency electric acupuncture;the comprehensive treatment group was additionally given Motomed intelligent exercise training combined with low-frequency electric acupuncture.The three groups were treated for four weeks.The changes in the modified Barthel index and clinic spastcity index(CSI)before and after treatment were observed and compared between the three groups.In order to evaluate the clinical effect,the scores of Simplified Fugl-Meyer Assessment(SFMA)for evaluating motor function and Modified Ashworth Scale(MAS)for evaluating muscular tension after treatment in the three groups were counted.Results:After treatment,the total effective rate was 90.63%,59.37% and 62.50% in the comprehensive treatment group,the Motomed group,and the lowfrequency electric acupuncture group respectively;the total effective rate in the comprehensive treatment group was higher than those in Motomed group and the low-frequency electric acupuncture group,differences being significant(P<0.05);there was no significant difference being found in the comparison of the total effective rate between the Motomed group and the low-frequency electric acupuncture group(P>0.05).After treatment,when compared with those before treatment,the scores of modified Barthel index in the three groups were significantly increased(P<0.05),and the scores of CSI were significantly decreased(P<0.05).After treatment,the improvement of scores of Barthel index and CSI in the comprehensive treatment group was more significant than that in the Motomed group

关 键 词：脑卒中后痉挛性偏瘫 Motomed智能运动训练 低频电针 综合疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]