经颅重复针刺激疗法治疗脑卒中后上肢功能障碍  

Repetitive transcranial acupuncture stimulation therapy for the treatment of upper limb dysfunction after stroke

作　　者：王倩华 罗莹[2] 杨启光[2] WANG Qianhua;LUO Ying;YANG Qiguang(Changchun University of Chinese Medicine,Changchun 130117,China;Changchun Hospital of Traditional Chinese Medicine,Changchun 130052,China)

机构地区：[1]长春中医药大学,长春130117 [2]长春市中医院,长春130052

出　　处：《长春中医药大学学报》2025年第2期168-171,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省科技发展计划项目(20220203153SF)。

摘　　要：目的 探讨经颅重复针刺激(r TAS)治疗脑卒中后上肢功能障碍患者的临床疗效。方法 选择64例脑卒中后遗留不同程度上肢功能障碍患者,采用随机数表法分为对照组与观察组,各32例。对照组采用普通针刺治疗,观察组采用r TAS治疗,2组治疗频率相同,连续综合治疗3周。比较2组治疗前后Brunnstrom分期、上肢Fugl-Meyer运动功能量表(FMA)评分、美国国立卫生院卒中量表(NIHSS)评分变化情况,比较2组临床疗效结果总有效率。结果 治疗后,2组Brunnstrom分期评估、FMA评分均有所提升,且观察组评分明显高于对照组(P<0.05),2组NIHSS评分降低,观察组评分低于对照组(P<0.05)。观察组临床疗效结果总有效率(87.50%,28/32)高于对照组(81.25%,26/32)(P<0.05)。结论 r TAS能够显著加快脑卒中后上肢功能障碍患者上肢运动功能恢复进程,减轻神经损伤程度,提高整体治疗效果。Objective To explore the clinical efficacy of repetitive transcranial acupuncture stimulation(r TAS)for treating upper limb dysfunction in patients after stroke.Methods 64 patients were selected and randomly divided into the control group and the observation group according to random number table method,with 32 cases in each group.The control group was treated with ordinary acupuncture,and the observation group was treated with r TAS.Both groups received the same frequency of treatment and received continuous comprehensive treatment for 3 weeks.The changes of Brunnstrom stage,upper limb Fugl-Meyer assessment(FMA)and National Institutes of Health Stroke Scale(NIHSS)scores between two groups were compared before and after treatment,and the total effective rate between two groups was compared.Results After treatment,both groups showed an improvement in Brunnstrom staging assessment and FMA scores,and the observation group was significantly higher than the control group(P<0.05).Two groups showed a decrease in NIHSS scores,and the observation group was lower than the control group(P<0.05).The total effective rate of the observation group(87.50%,28/32)was higher than that of the control group(81.25%,26/32)(P<0.05).Conclusion rTAS can significantly accelerate the recovery process of upper limb motor function in patients with upper limb dysfunction after stroke,reduce the degree of nerve damage,and improve the overall treatment effect.

关 键 词：经颅重复针刺激 r TAS 针刺 脑卒中后上肢功能障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]