经皮穴位电刺激联合镜像疗法在脑卒中后上肢痉挛病人康复护理中的应用  

Application of transcutaneous electrical acupoint stimulation combined with mirror therapy in rehabilitation nursing of patients with upper limb spasticity after stroke

作　　者：冯勤 徐红燕[1] 周逸波 金金[1] 张洁[1] 黄嫦玉 FENG Qin;XU Hongyan;ZHOU Yibo;JIN Jin;ZHANG Jie;HUANG Changyu(Tongde Hospital of Zhejiang Province,Zhejiang 310012 China)

机构地区：[1]浙江省立同德医院,浙江310012

出　　处：《护理研究》2021年第16期2879-2883,共5页Chinese Nursing Research

基　　金：浙江省中医药科技计划项目,编号:20172A021

摘　　要：目的:探讨经皮穴位电刺激联合镜像疗法对脑卒中后上肢痉挛的影响。方法:选取2019年9月—2020年9月收治的脑卒中上肢痉挛病人77例为研究对象,采用随机数字表法分为两组。对照组39例,实施常规康复训练;观察组38例,在对照组基础上实施经皮穴位电刺激及镜像疗法,干预时间6周。干预前后采用改良Ashworth分级、Fugl⁃Meyer上肢功能评定法和改良Barthel指数(MBI)测评。结果:干预后,观察组改良Ashworth分级得分[(1.11±0.83)分]低于对照组[(2.18±1.02)分],Fugl⁃Meyer上肢功能得分[(22.74±3.49)分]高于对照组[(16.03±2.80)分],MBI得分[(71.08±8.61)分]高于对照组(64.95±10.52)分,两组比较差异均有统计学意义(P<0.01)。结论:经皮穴位电刺激联合镜像疗法有助于减轻脑卒中后病人上肢痉挛程度、改善肢体运动功能、提高病人日常生活能力。Objective:To explore the effect of transcutaneous electrical acupoint stimulation(TEAS)combined with mirror therapy(MT)on upper limb spasticity after stroke.Methods:A total of 77 admitted stroke patients with upper limb spasticity from September 2019 to September 2020 were selected as the research objects.They were divided into two groups using a random number table method.The control group(39 cases)received conventional rehabilitation training,and the observation group(38 cases)received TEAS combined with MT based on the control group.The intervention time was 6 weeks.The modified Ashworth Scale(MAS),Fugl⁃Meyer Assessment Scale(FMAS),and Modified Barthel Index(MBI)were used before and after the intervention.Results:After the intervention,the MAS score of the observation group(1.11±0.83)was lower than that of the control group(2.18±1.02);the FMAS score of the observation group(22.74±3.49)was higher than the control group(16.03±2.80);the MBI score of the observation group(71.08±8.61)was higher than the control group(64.95±10.52),the difference between the two groups were all statistically significant(P<0.01).Conclusions:TEAS combined with MT was helpful to reduce the degree of upper limb spasm,improve limb motor function,and improve the patient's ability to daily living after stroke.

关 键 词：脑卒中 上肢痉挛 经皮穴位电刺激 镜像疗法 康复护理 

分 类 号：R473.74[医药卫生—护理学]