摘要
目的:观察经颅直流电刺激(tDCS)结合针刺对脑卒中后上肢功能障碍的影响。方法:选取天津市人民医院康复科符合标准的脑卒中患者60例,按照随机数字表法将其分为tDCS组(21例)、针刺组(20例)和联合组(19例)。每组在常规康复的基础上,tDCS组进行tDCS治疗,针刺组进行针刺治疗,联合组进行tDCS结合针刺治疗。治疗前后分别用Fugl-Meyer运动功能上肢部分(FMA-UE)、Wolf上肢运动功能(WMFT)、改良日常生活能力(MBI)量表以及Brunnstrom分期进行疗效评估。结果:治疗后组间比较,联合组的FMA-UE、WMFT、MBI评分和Brunnstrom分期均明显优于tDCS组和针刺组(均P<0.05),但tDCS组和针刺组差异无统计学意义;组内比较,3组患者FMA-UE、WMFT、MBI评分和Brunnstrom分期均明显优于治疗前(均P<0.05)。结论:tDCS结合针刺治疗可显著提高脑卒中患者的上肢功能,联合治疗要比单独治疗效果更加明显。
Objective:To observe the effects of transcranial direct current stimulation(tDCS)combined with acupuncture for upper limb dysfunction after stroke.Methods:A total of 60 stroke patients who met the standard in the Rehabilitation Department of Tianjin People’s Hospital were selected and divided into tDCS group(21 cases),acupuncture group(20 cases)and combined treatment group(19 cases)according to the random number table method.On the basis of routine rehabilitation,tDCS group received tDCS treatment,acupuncture group received acupuncture treatment,and combined treatment group received tDCS combined with acupuncture treatment.Before and after treatment,Fugl-meyer motor function upper extremities(FMA-UE),Wolf motor function(WMFT),modified Barthel index(MBI)scale and Brunnstrom scale were used to evaluate the curative effectiveness.Results:After treatment,FMA-UE,WMFT,MBI and Brunnstrom scores in the combined treatment group were significantly higher than those in the tDCS group and the acupuncture group with the difference being statistically significant(all P<0.05),but there was no statistically significant difference between the tDCS group and the acupuncture group.After treatment,the scores of FMA-UE,WMFT,MBI and Brunnstrom in the three groups were significantly increased and the differences were statistically significant(all P<0.05).Conclusion:The tDCS combined with acupuncture can significantly improve the upper limb function of stroke patients,and the combined treatment is more effective than the single treatment.
作者
王岫
张颖
王春方
孙长城
马黎飞
薛霞
李宽
Wang Xiu;Zhang Ying;Wang Chunfang(Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)
出处
《中国康复》
2021年第3期131-134,共4页
Chinese Journal of Rehabilitation
基金
国家自然科学基金项目(81871469)
天津市中医药重点领域科研项目(2017009)。
关键词
脑卒中
经颅直流电刺激
针刺
上肢功能
stroke
transcranial direct current stimulation
acupuncture
upper limb function
