Shen Fang-Fjang, Wu Qiang, Lin Zhong-Rong, Lin Dong, Huang Dong-E, Liu Jian-Zhong, Chen Li-Dian, Zhang Xue-Jun
Department of Acupuncture and Massage, Fujian College of TCM, Fuzhou 350108, China.
Zhongguo Zhen Jiu. 2008 Oct;28(10):711-3.
To observe effects of different interference orders of electroacupuncture and exercise therapy on the therapeutic effect of hemiplegia after stroke.
The patients of hemiplegia due to stroke were randomly divided into a group A and a group B. The group A were treated by exercise therapy after electroacupuncture (EA) and the group B by EA after exercise therapy. Fugl-Meyer evaluation (FME), modified Barthel index (MBI) and amplitude of somatosensory evoked potential (SEP) on the affected side before treatment and after one therapeutic course (2 weeks) were recorded and compared in the two groups.
Before and after treatment, FME were 31.760 +/- 4.438 and 76.640 +/- 3.621, and MBI were 26.520 +/- 2.413 and 62.360 +/- 3.700 in the group A; and FME were 32.480 +/- 5.903 and 65.640 +/- 5.212, and the MBI were 28.000 +/- 3.383 and 54.480 +/- 5.205 in the group B, respectively, with very significant differences in FME and MBI in the two groups (all P < 0.01); and the different values before and after treatment in the two indexes in the group A were better than those in the group B (all P < 0.05). There was a very significant difference in the amplitude of SEP before and after treatment in the group A (P < 0.01) and no significant difference in the group B, and there was no significant difference between the two groups in the different value of the amplitude of SEP.
Combination of any orders of electroacupuncture and exercise therapy can improve limb function of the patient with hemiplegia after stroke, but the therapeutic effect of exercise therapy after EA is better.
观察电针与运动疗法不同干预顺序对脑卒中后偏瘫治疗效果的影响。
将脑卒中偏瘫患者随机分为A组和B组。A组采用电针后运动疗法治疗，B组采用运动疗法后电针治疗。记录并比较两组治疗前及1个疗程（2周）后患侧的Fugl-Meyer评估（FME）、改良Barthel指数（MBI）及体感诱发电位（SEP）波幅。
治疗前后，A组FME分别为31.760±4.438和76.640±3.621，MBI分别为26.520±2.413和62.360±3.700；B组FME分别为32.480±5.903和65.640±5.212，MBI分别为28.000±3.383和54.480±5.205，两组FME和MBI差异均有统计学意义（均P<0.01）；且A组两项指标治疗前后差值均优于B组（均P<0.05）。A组治疗前后SEP波幅差异有统计学意义（P<0.01），B组差异无统计学意义，两组SEP波幅差值比较差异无统计学意义。
电针与运动疗法无论何种顺序联合应用均可改善脑卒中后偏瘫患者肢体功能，但电针后运动疗法疗效更佳。
