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超声引导电针治疗脑卒中患者上肢功能障碍的临床研究

Clinical Study on the Treatment of Upper Limb Dysfunction in Stroke Patients Using Ultrasound-Guided Electroacupuncture.

作者信息

Wu Pinxia, Wang Yu, He Dayan, Liu Yu

机构信息

Department of Vasculocardiology, Chuzhou First People's Hospital, Chuzhou, Anhui Province, China.

Department of Ultrasonic Diagnosis, Chuzhou First People's Hospital, Chuzhou, Anhui Province, China.

出版信息

J Mot Behav. 2025;57(2):165-170. doi: 10.1080/00222895.2024.2439505. Epub 2024 Dec 17.

Abstract

This study aimed to compare the effects of electroacupuncture on traditional acupoints and muscle belly of different target muscles against upper limb dysfunction in stroke patients with hemiplegia. A total of thirty-nine stroke patients with subacute hemiplegia were randomly divided into the control group ( = 19) and observation group ( = 20). The control group was treated with physical therapy and normal electroacupuncture, while the observation group was treated with physical therapy and ultrasound-guided electroacupuncture on the muscle belly. After three weeks' intervention, the scores of Barthel Index, Fugl-Meyer assessment and Action Research Arm Test were compared between the two groups. Before the intervention, there were no significant differences in the scores of Barthel Index, Fugl-Meyer assessment and Action Research Arm Test between these two groups. After three weeks' intervention, there was significant increase in the scores of Barthel Index, Fugl-Meyer assessment, and Action Research Arm Test between the observation and control groups. Electroacupuncture on muscle belly under ultrasound guidance could significantly improve the performance of activities of daily living, motor function and the upper limb function in patients with subacute hemiplegia after stroke, and its effect was superior to electroacupuncture on the acupoints.

摘要

本研究旨在比较电针对中风偏瘫患者上肢功能障碍的传统穴位与不同目标肌肉肌腹的影响。共39例亚急性偏瘫中风患者被随机分为对照组(n = 19)和观察组(n = 20)。对照组采用物理治疗和常规电针治疗,而观察组采用物理治疗和超声引导下肌腹电针治疗。经过三周干预后,比较两组的Barthel指数、Fugl-Meyer评估和动作研究上肢测试评分。干预前,两组的Barthel指数、Fugl-Meyer评估和动作研究上肢测试评分无显著差异。经过三周干预后,观察组与对照组之间的Barthel指数、Fugl-Meyer评估和动作研究上肢测试评分均显著提高。超声引导下肌腹电针可显著改善中风后亚急性偏瘫患者的日常生活活动能力、运动功能和上肢功能,其效果优于穴位电针。

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