“补阳通络”电针法结合手部康复机器人对缺血性脑卒中偏瘫患者影响观察  

Influence of“Supplementing Yang and Dredging Collateral”Electroacupuncture Combined with Hand Rehabilitation Robot on Patients with Hemiplegia after Ischemic Stroke

作　　者：沈军 傅建明 李岩 吴华 李辉 孙亚 SHEN Jun;FU Jianming;Li Yan;WU Hua;LI Hui;SUN Ya(Jiaxing Second Hospital Rehabilitation Medicine Center,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴市第二医院康复医学中心,浙江嘉兴314000

出　　处：《中华中医药学刊》2025年第3期239-242,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2020KY316);嘉兴市科技计划项目(2020AY30013)。

摘　　要：目的观察“补阳通络”电针法结合手部康复机器人对缺血性脑卒中偏瘫患者的影响。方法研究将60例缺血性脑卒中偏瘫患者(2020年1月—2022年12月收治)以随机数字表法分为两组,分别为对照组与治疗组,各组30例,给予对照组患者缺血性脑卒中偏瘫常规治疗及手部康复机器人康复干预,治疗组患者在对照组治疗基础上结合“补阳通络”电针法治疗,比较各组患者治疗的数据情况:疗效、治疗前后中医症状总积分与美国国立卫生研究院卒中(National institute of Health Stroke Scale,NIHSS)量表评分变化、Fugl-Meyer评测法(Fugl-Meyer assessment,FMA)与简易上肢功能检查(simple test for evaluating hand function,STEF)评分变化、最大屈曲角度、最大伸展角度及手指主动活动范围(active range of motion,AROM)等手部功能指标变化、Berg平衡量表(Berg balance scale,BBS)评分与Barthel指数(modified Barthel index,MBI)评分变化、大脑中动脉血流速度(Middle Cerebral Artery,MCA)、大脑后动脉血流速度(Pos teriorCerebral Artery,PCA)与大脑前动脉血流速度(Anterior Cerebral Artery,ACA)等脑部循环指标变化。结果治疗组患者疗效优于对照组患者,P<0.05;各组患者治疗前中医症状总积分、NIHSS评分、FMA评分与STEF评分、手部功能指标(最大屈曲角度、最大伸展角度、AROM)、BBS评分与MBI评分、脑部循环指标(MCA、PCA、ACA)等比较,P>0.05,治疗后各组患者中医症状总积分、NIHSS评分、FMA评分与STEF评分、手部功能指标(最大屈曲角度、最大伸展角度、AROM)、BBS评分与MBI评分、MCA、PCA、ACA等均改善,治疗组患者治疗后中医症状总积分、NIHSS评分、FMA评分与STEF评分、手部功能指标(最大屈曲角度、最大伸展角度、AROM)、BBS评分与MBI评分、MCA、PCA、ACA等均优于对照组,P<0.05。结论“补阳通络”电针法结合手部康复机器人可促进缺血性脑卒中偏瘫患者康复,患者治疗效果�Objective To observe the effect of“supplementing Yang and dredging collateral”electroacupuncture combined with hand rehabilitation robot on hemiplegia patients with ischemic stroke.Methods In this study,60 patients with ischemic stroke hemiplegia(admitted from January 2020 to December 2022)were divided into two groups by random number table method,name-ly control group and treatment group,with 30 cases in each group.The patients in the control group were given routine treatment of ischemic stroke hemiplegia and rehabilitation intervention by hand rehabilitation robot.Those in the treatment group were com-bined with“supplementing Yang and dredging collateral”electroacupuncture on the basis of the control group,and the treatment data of patients in each group was compared,including the efficacy,the changes of total TCM symptom scores before and after treatment,National Institute of Health Stroke Scale(NIHSS)score,Fugl-Meyer assessment(FMA)and simple test for evaluating hand function(STEF)score,the changes of hand function indicators such as maximum flexion angle,maximum extension angle and active range of digital active finger movement(AROM),the changes of Berg balance scale(BBS)scores and modified Barthel index(MBI),the flow velocity changes of middle cerebral artery(MCA),posterior cerebral artery(PCA)and anterior cerebral ar-tery(ACA)in brain circulation indicators.Results The curative effect of the treatment group was better than that of the control group(P<0.05).The total TCM symptom score,NIHSS score,FMA score and STEF score,hand function indexes(maximum flexion angle,maximum extension angle,AROM),BBS score and MBI score,brain circulation indexes(MCA,PCA,ACA)were not significant in both groups before treatment(P>0.05).After treatment,the total TCM symptom score,NIHSS score,FMA score and STEF score,hand function indexes(maximum flexion angle,maximum extension angle,AROM),BBS score and MBI score,brain circulation indexes(MCA,PCA,ACA)of all patients in each group were improved.After treatment,the total TC

关 键 词：缺血性脑卒中偏瘫 手部康复机器人 康复训练 “补阳通络”电针法 疗效 肢体功能 

分 类 号：R245.95[医药卫生—针灸推拿学] R247.9[医药卫生—中医临床基础]