摘 要：
目的：探讨电针刺激指伸肌在治疗脑卒中后上肢及手功能障碍的临床效果。方法：纳入2018年12月至2021年12月于本院康复科收治的脑卒中患者。随机分为电针组（n＝30）和经皮组（n＝30）,所有患者均接受基础康复治疗。电针组接受在指伸肌处手三里、外关穴的电针刺激,而经皮组接受手三里、外关穴位的经皮治疗。结果：治疗后,两组患者的上肢运动功能Fugl-Meyer Assessment（FMA）量表评分和Barthel指数评分均有显著提升（P＜0.05）。电针组在上肢运动功能FMA量表评分和Barthel指数评分方面的改善,明显优于对照组(P＜0.01)。结论：电针刺激指伸肌在治疗脑卒中后手功能障碍方面显示出显著的临床效果，尤其是改善上肢运动功能和日常生活能力方面具有更明显的优势。
关键词：脑卒中；电针；指伸肌；手功能障碍
Abstract:
Objective: To explore the clinical effect of electroacupuncture stimulation of the extensor digitorum in the treatment of upper limb and hand dysfunction after stroke. Methods: Stroke patients admitted to the Rehabilitation Department of our hospital from December 2018 to December 2021 were included. Randomly divided into an electroacupuncture group (n=30) and a percutaneous group (n=30), all patients received basic rehabilitation treatment. The electroacupuncture group received electroacupuncture stimulation at the third and outer acupoints of the finger extensor muscle, while the percutaneous group received percutaneous treatment at the third and outer acupoints of the hand. Results: After treatment, the Fugl Meyer Assessment (FMA) and Barthel Index scores of upper limb motor function in both groups of patients were significantly improved (P<0.05). The improvement in FMA score and Barthel index score of upper limb motor function in the electroacupuncture group was significantly better than that in the control group (P<0.01). Conclusion: Electroacupuncture stimulation of the extensor digitorum has shown significant clinical effects in treating hand dysfunction after stroke, especially in improving upper limb motor function and daily living ability.
Keywords: Stroke; Electroacupuncture; Finger extensor muscle; Hand dysfunction
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