电针治疗中风后手指痉挛患者的疗效及对其手肌张力、手肌力及手运动功能的影响  

Efficacy of Electroacupuncture in Treating Post-Stroke Finger Spasm Patients and Its Effects on Hand Muscle Tension,Hand Muscle Strength,and Hand Movement Function

作　　者：郑玉冰 王继明 李侠 盛刚 ZHENG Yu-bing;WANG Ji-ming;LI Xia;SHENG Gang(Lu'an Hospital of Traditional Chinese Medicine of Anhui Province,Lu'an Anhui 237006;The Fourth Department of acupuncture and moxibustion,Shaanxi Provincial Hospital of Chinese Medicine,Xi'an Shaanxi 710003)

机构地区：[1]安徽省六安市中医院,安徽六安237006 [2]陕西省中医医院针灸四科,陕西西安710003

出　　处：《世界中西医结合杂志》2024年第8期1651-1656,共6页World Journal of Integrated Traditional and Western Medicine

基　　金：陕西省自然科学基础研究计划项目(2021JQ-342)。

摘　　要：目的探讨电针治疗中风后手指痉挛患者的疗效及对其手肌张力、手肌力及手运动功能的影响。方法选取2019年10月—2021年10月期间安徽省六安市中医院收治的中风后手指痉挛患者100例,按随机数字表法分为对照组和观察组,每组各50例。对照组患者采用常规脑卒中治疗+康复治疗方案干预,观察组在对照组治疗基础上联合电针治疗,连续治疗4周。观察比较两组患者临床疗效,治疗前后改良版Ashworth痉挛程度量表(Modified ashworth spasticity scale,MAS)评分、神经功能缺损程度评分(Neurological severity score,NDS)评分、Fugl-Meyer运动功能评定量表(Fugl-meyer assessment,FMA)评分、手运动协调能力、手感觉功能、改良Barthel指数(Modified barthel index,MBI)评分、表面肌电图的变化改善情况。结果治疗后两组患者MAS评分和NDS评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组MAS评分和NDS评分均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者FMA评分和MBI评分均较治疗前升高,差异有统计学意义(P<0.05);且观察组FMA评分和MBI评分均明显高于对照组,差异有统计学意义(P<0.05)。治疗后两组患者手运动协调能力评分、手感觉功能评分及总分均较治疗前升高,差异有统计学意义(P<0.05);且观察组手运动协调能力评分、手感觉功能评分及总分均明显高于对照组,差异有统计学意义(P<0.05)。治疗后两组患者放松测试和肩被动功能测试的腕掌屈肌、腕背伸肌RMS值均较治疗前降低,差异有统计学意义(P<0.05),且观察组表面肌电图指标均明显低于对照组,差异有统计学意义(P<0.05)。治疗后观察组临床总有效率94.00%(47/50)明显高于对照组80.00%(40/50),差异有统计学意义(P<0.05)。结论电针联合常规康复治疗能够提高中风后手指痉挛患者手肌张力、手肌力及手运动功能,改善手指痉挛程度,有助于促进患者日常生活Objective To investigate the efficacy of electroacupuncture in treating post-stroke finger spasms and its effects on hand muscle tension,hand muscle strength,and hand movement function.Methods A total of 100 patients with post-stroke finger spasms,admitted to the Lu'an Hospital of Traditional Chinese Medicine of Anhui Province between October 2019 and October 2021,were selected and randomly divided into a control group and an observation group using the random number table method,with 50 patients in each group.The control group received conventional stroke treatment combined with rehabilitation therapy,while the observation group received electroacupuncture in addition to the control group's therapy.Both groups were treated for four consecutive weeks.Clinical efficacy,along with changes in scores on the Modified Ashworth Spasticity Scale(MAS),Neurological Disability Scale(NDS),Fugl-Meyer Assessment(FMA),hand motor coordination,hand sensory function,Modified Barthel Index(MBI),and surface electromyography,were observed and compared before and after treatment.Results After treatment,both groups showed a significant decrease in MAS and NDS scores compared to before treatment,with statistically significant differences(P<0.05);the MAS and NDS scores in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).FMA and MBI scores significantly increased in both groups after treatment compared to before treatment,with statistically significant differences(P<0.05);the FMA and MBI scores in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Additionally,scores for hand movement coordination,hand sensory function,and total scores were significantly higher in both groups after treatment,with statistically significant differences(P<0.05);the observation group showed significantly higher scores in these areas than the control group,with statistically significant differences(P<0

关 键 词：中风 手指痉挛 电针 手肌张力 手肌力 手运动功能 表面肌电图 

分 类 号：R245.319[医药卫生—针灸推拿学] R255.2[医药卫生—中医临床基础] R743.3[医药卫生—中医学]