广州医药 ›› 2015, Vol. 46 ›› Issue (2): 19-21.DOI: 10.3969/j.issn.1000-8535.2015.02.006

• 论著 • 上一篇    下一篇

经皮穴位电刺激治疗对脑卒中患者上肢运动功能的影响

彭源, 张瑾, 张顺喜, 温璐璐, 陈钰杰   

  1. 广州市第一人民医院康复科(广州 510180)
  • 收稿日期:2015-01-16 发布日期:2021-11-30
  • 通讯作者: 彭源,E-mail:y20015760242@163.com
  • 基金资助:
    广州市医药卫生科技一般引导项目(0021329A10503087)

Effect of transcutaneous accupoint electrical stimulation on upper iimb function in stroke patients

Peng Yuan, Zhang Jin, Zhang Shunxi, et al   

  1. Department of Rehabilitation Medicine, Guangzhou First People's Hospital, Guangzhou 510180, China
  • Received:2015-01-16 Published:2021-11-30

摘要: 目的 探讨经皮穴位电刺激对脑卒中偏瘫患者上肢运动功能的影响。方法 37例脑卒中患者随机分为TAES组(n=19)和安慰刺激组(n=18)。两组常规治疗相同。TAES组采用KD-2A型经皮神经电刺激治疗仪治疗,刺激部位选择患侧上肢的4个穴位(肩髃、曲池、外关、合谷),频率100 Hz,脉宽0.2 ms,强度以患者最大耐受强度为限;每天治疗1次,每次60 min,连续3周共15次;安慰刺激组接受治疗的部位、时间和疗程与TAES组相同,但每次治疗时没有电流输出。治疗前、治疗第2周、治疗第3周分别用上肢Fugl-Meyer评分和改良Barthel指数评分(MBI)评定上肢运动功能及日常生活活动能力。结果 治疗前,两组患者间的一般情况、FMA-UE 评分和MBI评分的比较差异无统计学意义(P>0.05)。经过治疗,两组患者的FMA-UE和MBI评分与治疗前比较均有改善(P<0.05);TAES组FMA-UE和MBI评分的改善较安慰刺激组明显(P<0.05)。结论 TAES治疗能够提高脑卒中患者上肢运动功能,提高生活自理能力。

关键词: 经皮穴位电刺激, 脑卒中, 上肢功能

Abstract: Objective To investigate the effect of transcutaneous accupoint electrical stimulation (TAES) in enhancing upper limb function in subjects with stroke. Methods 37 subjects with first stroke were randomly assigned into 2 groups:TAES group(n=19) and placebo stimulation group(n=18). All subjects received the same standard rehabilitation. In the TAES group, Model KD-2A stimulator was applied with 0.2 ms pulses, at 100 Hz within the subject's tolerance level on the 4 acupuncture points (LI15, L I11, LI4, and SJ5) in the affected upper limb for 60 min, 5 days a week for 3 weeks; The time and the course of treatment of the placebo stimulation group were as well as the TAES group's, but no current output for each treatment. All subjects in the 2 groups received standard rehabilitation program. Measurements including Fugl-Meyer motor assessment (FMA-UE) and modified Barthel index(MBI) on affected side were recorded before treatment after 2 and 3 weeks' treatments. Results After 3 weeks treatments,the function scores on affected side of the two groups were improved significantly(P<0.05). And function scores of the TAES group were significantly improved than those of the placebo group (P<0.05). Conclusion Transcutaneous accupoint electrical stimulation significantly may improve the recovery of upper limb function.

Key words: Transcutaneous accupoint electrical stimulation, Stroke, Upper limb function