摘要
目的观察重复外周磁刺激(rPMS)对脑卒中患者上肢痉挛和运动功能的即刻影响.方法选取本院2021年11月—2022年12月收治的30例脑卒中偏瘫上肢痉挛患者为研究对象,采用随机数字表法分为对照组及穴位组,每组15例.对照组采用假刺激治疗,穴位组采用rPMS刺激肩髃、曲池、合谷穴.比较两组患者的上肢痉挛情况及上肢运动功能.结果治疗后,两组的肩内收肌群、肘屈肌群、腕掌屈肌群改良Ashworth量表(Modified Ashworth Scale)评分比较,组间差异无统计学意义(P>0.05).治疗后,穴位组的肩外展R1、R2,肩前屈R1、R2,肘伸R1均大于治疗前,组间差异有统计学意义(P<0.05);穴位组的肘伸R1、R2均大于对照组,组间差异有统计学意义(P<0.05).治疗后,穴位组的Fugl-Meyer上肢运动功能评定量表、Wolf运动功能评价量表评分分别为(14.07±1.76)分、(17.87±2.02)分,均高于对照组的(9.60±2.10)分、(15.20±1.52)分,组间差异有统计学意义(P<0.05).结论采用rPMS刺激穴位可即刻改善卒中患者的肩、肘部痉挛,且对肘部痉挛的效果更明显,值得临床推广使用.
Objective To observe the immediate effects of repeated peripheral magnetic stimulation(rPMS)on upper limb spasm and motor function in stroke patients.Methods 30 patients with hemiplegia upper limb spasticity spasm in the hospital from November 2021 to December 2022 were selected as the research objects,and were divided into a control group and an acupoint group by random number table method,with 15 cases in each group.The control group was treated with false stimulation,and the acupoint group was treated with rPMS to stimulate Jianyu,Quchi and Hegu points.The spasticity and motor function of upper limbs were compared between the two groups.Results After treatment,there were no significant difference in modified Ashworth scale scores of shoulder adductor muscle group,elbow flexor muscle group and wrist flexor muscle group between the two groups(P>0.05).After treatment,the R1 and R2 of shoulder abduction,R1 and R2 of shoulder forward flexion,R1 of elbow extension in the acupoint group were higher than before treatment,and the differences were statistically significant(P<0.05);the R1 and R2 of elbow extension in the acupoint group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the scores of Fugl-Meyer assessment upper extremity scale and Wolf motor function test in the acupoint group were(14.07±1.76)points and(17.87±2.02)points,respectively,which were higher than(9.60±2.10)points and(15.20±1.52)points in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion rPMS can immediately improve shoulder and elbow spasm in stroke patients,and the effect on elbow spasm is more obvious,which is worthy of clinical promotion.
作者
王经纶
陈颖
WANG Jinglun;CHEN Ying(Department of Rehabilitation Medicine,The First Affiliated Hospital of Hainan Medical College,Haikou Hainan,570100,China)
出处
《反射疗法与康复医学》
2023年第8期40-44,共5页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
外周磁刺激
痉挛
穴位
上肢功能
Stroke
Peripheral magnetic stimulation
Spasm
Acupuncture points
Upper limb function
作者简介
王经纶(1996-),男,吉林吉林人,本科,住院医师,研究方向:神经康复;通信作者:陈颖(1965-),女,辽宁沈阳人,硕士研究生,主任医师,研究方向:神经康复,邮箱:chenying_ys@126.com。
