Wang Xiaohong, Zhang Qi, Cui Baojuan, Huang Laigang, Wang Daoqing, Ye Lan, Sun Junhua
Department of Geriatric Medicine, the Second Hospital of Shandong University, Jinan 250031, China.
Department of Rehabilitation Medicine, the Second Hospital of Shandong University, Jinan 250031, China.
J Tradit Chin Med. 2018 Jun;38(3):452-456.
To determine whether patients with post-stroke hemiplegia could benefit from long-term treatment with scalp cluster (SC) acupuncture combined with electrical stimulation (ES) and to evaluate the feasibility of this treatment to improve motor and living abilities.
Twenty patients were enrolled and divided into two groups: SC acupuncture and SC acupuncture with ES (SC and SC + ES, respectively). All participants also received rehabilitation training. All participants were blindly evaluated using the Fugl-Meyer assessment scale for motor ability, the modified Barthel Index for living ability, and a scale for the degree of neurological deficits. Outcome was assessed at three points before randomized grouping, at the beginning or treatment, and after 4 weeks of treatment.
Following 4 weeks treatment, all the patients exhibited significant improvements in aspects of motor ability, living ability, and the severity of neurological deficits. The experimental group (SC + ES) scored higher on the Fugl-Meyer assessment scale (68 ¡À 12) and the modified Barthel Index (49 ¡À 9) than the control (SC) group (50 ¡À 13, 36 ¡À 13, respectively).
When patients with post-stroke hemiplegia are treated using SC acupuncture with ES, motor and living ability can improve more than if they were treated with SC acupuncture alone.
确定中风后偏瘫患者长期接受头皮丛刺（SC）联合电刺激（ES）治疗是否有益，并评估该治疗方法改善运动和生活能力的可行性。
招募20名患者，分为两组：SC针刺组和SC针刺联合ES组（分别为SC组和SC + ES组）。所有参与者均接受康复训练。所有参与者均采用Fugl-Meyer运动能力评估量表、改良Barthel指数生活能力量表和神经功能缺损程度量表进行盲法评估。在随机分组前、治疗开始时和治疗4周后三个时间点进行结果评估。
治疗4周后，所有患者在运动能力、生活能力和神经功能缺损严重程度方面均有显著改善。实验组（SC + ES组）在Fugl-Meyer评估量表（68±12）和改良Barthel指数（49±9）上的得分高于对照组（SC组）（分别为50±13、36±13）。
中风后偏瘫患者采用SC针刺联合ES治疗时，其运动和生活能力的改善程度优于单纯采用SC针刺治疗。
