在偏瘫患者手功能康复训练中结合穴位电刺激的康复周期研究

Study of rehabilitation period of hand function rehabilitation training combined with point electrical stimulation in hemiplegic patients

关键词:  偏瘫  手功能  穴位  电刺激  康复周期

Key words:  hemiplegia  hand function  point  electrical stimulation  rehabilitation period

摘要:

[目的]观察在偏瘫患者手功能康复训练中结合穴位电刺激的疗效及康复周期。[方法]将30例偏瘫手功能障碍患者按随机数字表法随机分为治疗组和对照组(各15例),两组均给予肢体功能训练,治疗组在肢体功能训练同时配合穴位电刺激。采用偏瘫手功能分级、腕关节活动度、简化Fugl-Meyer上肢运动功能评分法进行疗效评价,比较两组在治疗1个月和2个月时的疗效,同时观察手功能改善所需的康复周期。[结果]在治疗1个月时,治疗组与对照组相比,腕关节背伸明显好转(P<0.01),腕关节桡偏好转(P<0.05),其他关节活动度未见明显差异。手功能分级情况及Fugl-Meyer上肢运动功能评分表无统计学意义。治疗2个月时,手功能分级和腕关节活动度(背伸、桡偏)方面,治疗组明显优于对照组(P<0.01)。两组Fugl-Meyer均较疗前有改善(P<0.05),但组间没有差异(P>0.05)。总之,腕关节活动度的好转出现在治疗1个月后,手功能的整体提高在治疗2个月时可以看到明显的疗效。[结论]在上肢功能训练中配合特定穴位电刺激治疗能够有效促进偏瘫患者手功能的恢复,康复周期需2个月以上。

Abstract:

[Objective] To observe clinical efficacy and rehabilitation period of hand function rehabilitation training combined with point electrical stimulation in hemiplegic patients.[Methods] The 30 hemiplegic patients with hand dysfunction were randomly divided into two groups (treatment group and control group,15 cases in each group),which were given rehabilitation training for hand function.The treatment group patients were given additional point electrical stimulation.Fugl-Meyer motor function score method,classification of hand function,range of motion score were applied to assess the two groups.To compare curative effect 1 month and 2 month of two groups,and observe rehabilitation period of hand function improvement.[Results] After treating 1 month,compared treatment group with control group,the wrist joint range of motion was improved.There was no obvious difference of other joint range of motion,the hand function and Fugl-Meyer motor function score table had no statistical difference.After treating 2 months,compared treatment group with control group,the hand function and the wrist joint range of motion were obvious improved (P<0.01).Fugl-Meyer motor function score table of two groups were improved (P<0.05),but had no difference of two groups (P>0.05).In brief,the appearance of improvement of the wrist joint range of motion was after treating 1 month,hand function whole improvement was after treating 2 months.[Conclusion] Rehabilitation training combined with point electrical stimulation can effectively improve hand function of the hemiplegic patients.The treatment period need at least 2 months.