电针结合电针单车疗法治疗脑卒中后偏瘫的疗效观察。
Effectiveness on post-stroke hemiplegia in patients: electroacupuncture plus cycling electroacupuncture alone.
机构信息
Senior Specialist Clinic, National Hospital of Acupuncture, Hanoi 1000, Vietnam.
Department of Senior Specialist National Hospital of Acupuncture, Hanoi 1000, Vietnam.
出版信息
J Tradit Chin Med. 2023 Apr;43(2):352-358. doi: 10.19852/j.cnki.jtcm.2023.02.006.
OBJECTIVE
To evaluate the effectiveness of cycling in combination with electroacupuncture in treatment of post-stroke hemiplegia patients at National Hospital of Acupuncture, Vietnam.
METHODS
The study was designed as a single-centre, outcome-assessor-blinded parallel randomised controlled trial with 120 post-stroke hemiplegia patients randomly assigned into two groups: electroacupuncture plus cycling (CT group) and electroacupuncture (AT group). Patients were assessed before and after the treatment (using muscle grading, modified Rankin, Barthel, Orgorozo scores and electromyography). Statistical Man-Whitney U test, and Fisher's exact tests were used to compare between CT and AT groups.
RESULTS
The results reported statistically significant improvement in motor function in patients suffering from hemiplegia following ischemic stroke in both CT and AT groups. Patients in CT group experienced a greater improvement compared to those in AT group including better muscle contraction (increased frequency and amplitude of electromyography and increased muscle grading scale); increased recovery (Orgogozo scale), increased independency (Barthel scale) and decreased disability (Modified Rankin scale) (< 0.01).
CONCLUSIONS
Combination with cycling training significantly improves the recovery of post-stroke patients treated with electroacupuncture.
目的
评估针刺结合骑单车运动疗法对越南国家针灸医院脑卒中偏瘫患者的疗效。
方法
本研究为单中心、结局评估者盲法、平行随机对照试验，共纳入 120 例脑卒中偏瘫患者，随机分为电针加骑单车运动组（CT 组）和电针组（AT 组）。治疗前后采用肌力度量、改良 Rankin 量表、巴氏指数、Orgorozo 评分和肌电图进行评估。采用统计曼-惠特尼 U 检验和 Fisher 确切概率检验比较 CT 组和 AT 组之间的差异。
结果
报告的结果显示，CT 组和 AT 组缺血性脑卒中偏瘫患者的运动功能均有显著改善。CT 组患者的肌肉收缩（肌电图频率和幅度增加，肌肉分级量表增加）、康复（Orgogozo 量表）、独立性（巴氏指数）和残疾程度（改良 Rankin 量表）的改善明显优于 AT 组（P<0.01）。
结论
骑单车运动疗法结合电针治疗可显著促进脑卒中患者的康复。
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