关于不同频率电针结合促通技术治疗脑卒中偏瘫临床评价.pdf

关于不同频率电针结合促通技术治疗脑卒中偏瘫临床评价 【Abstract】AIM: To discuss the using of two different frequency electroacupuncture with facilitation techniques to affect the motor function of hemiplegic patients after cerebral apoplexy. METHODS: Eighty seven cerebral apoplexy induced hemiplegic patients were randomly assigned into low frequency (3 Hz) group (n=45) and high frequency (12 Hz) group(n=42). They were treated with the two frequency electroacupuncture based on facilitation techniques. Their motor function was evaluated by Rivermead index and activities of daily living by Barthel index before and after treatment. RESULTS: Before treatment， Rivermead index and Barthel index didn t have obvious difference(P＞0.05) between the 2 groups， while they were extremely different(P＜0.01) after treatment. And throughout treatment， the Rivermead index and the Barthel index also had obvious difference(P＜0.01) in the same group. CONCLUSION: Both low and high frequency electroacupuncture with facilitation techniques can improve the motor function and activities of daily living of hemiplegic patients after cerebral apoplexy， especially the low frequency electroacupuncture has the better result. 【Keywords】 electroacupuncture; frequency; facilitation techniques; cerebral apoplexy 【摘要】目的：探讨两种不同频率电针结合促通技术对脑卒中偏瘫患者 运动功能的影响. 方法： 将87 例脑卒中偏瘫患者随机分成低频（3 Hz）电针 组45 例、高频（12 Hz）电针组42 例，两组患者在促通技术基础上采用两种不 同频率进行电针治疗，治疗前和治疗后采用 Rivermead 指数评定患者运动功能， Barthel 指数测定患者日常生活活动能力. 结果： 两组患者治疗前Rivermead 和Barthel 指数测评无统计学差异(P＞0.05)，治疗后Rivermead 和Barthel 指 数测评较治疗前有统计学差异(P＜0.01)，且治疗后两组间Rivermead 和 Barthel 指数测评有统计学差异(P＜0.01). 结论： 两种不同频率电针结合促 通技术对脑卒中偏瘫患者运动功能和日常生活活动能力均具有促进作用，且以 低频电针组疗效更为明显. 【关键词】电针；频率；促通技术；脑卒中 0 引言 电针疗法是脑卒中偏瘫患者康复治疗常用方法之一，因其具有操作简便、 节省人力、使用安全和提高针刺疗效等优点，在国内外日益广泛应用. 然而， 因电针不同刺激参数（频率、强度、波形等）的变化及选穴等因素可直接影响 其临床疗效，目前诸多报道尚无统一结论. 我们采用以电针为主，结合促通技 术治疗本病有独到之处，临床疗效较为明显，报道如下： 1 对象和方法 1.1 对象87 例均系2005 09/2006 10 我科住院患者，其诊断符合1995 年第四次脑血管疾病学术会议诊