| 彭 源,张 瑾,苏常春,张顺喜,温璐璐,陈钰杰.经皮穴位电刺激对脑卒中患者上肢功能及运动诱发电位的影响[J].中国康复医学杂志,2015,(6):547~550 |
| 经皮穴位电刺激对脑卒中患者上肢功能及运动诱发电位的影响 点此下载全文 |
| 彭 源 张 瑾 苏常春 张顺喜 温璐璐 陈钰杰 |
| 广州市第一人民医院，510180 |
| 基金项目：广州市医药卫生科技一般引导项目(0021329A10503087) |
| DOI： |
| 摘要点击次数: 1995 |
| 全文下载次数: 2954 |
| 摘要： |
| 摘要
目的：探讨经皮穴位电刺激（TAES）对脑卒中恢复期患者偏瘫上肢功能及运动诱发电位（MEP）的影响。
方法：41例脑卒中恢复期患者随机分为TAES组（n=21）和安慰刺激组（n=20）。TAES组采用TAES治疗仪治疗于患侧上肢的肩髃、曲池、外关和合谷4个穴位行频率100Hz、脉宽0.2ms和患者可耐受最大强度的电刺激治疗，1次/d，1h/次，5次/周，连续3周；安慰刺激组接受TAES安慰刺激（即仅连接TAES治疗仪，不开机）。治疗前、治疗第2周、治疗第3周时行患侧上肢Fugl-Meyer评分和改良Barthel指数评分（MBI）评定及患侧皮质MEP的检测。
结果：治疗前两组患者基线资料类似（P>0.05）。治疗第2周和第3周两组患者的FMA-UE、MBI评分及MEP与治疗前比较均改善（P<0.05）；TAES组FMA-UE、MBI评分及MEP的改善较安慰刺激组明显（P<0.01）。
结论：TAES治疗能改善脑卒中恢复期患者上肢功能，提高生活自理能力，推测其机制可能与增强脑卒中患者患侧大脑皮质兴奋性有关。 |
| 关键词：经皮穴位电刺激 脑卒中 上肢 运动诱发电位 |
| Effects of transcutaneous accupoint electrical stimulation on upper limb function and motor evoked potential in stroke patients Download Fulltext |
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| Department of Rehabilitation Medicine, Guangzhou First People's Hospital, Guangzhou, 510180 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To investigate the effects of transcutaneous acupoint electrical stimulation (TAES) in enhancing upper limb function and motor evoked potential (MEP) in subjects with stroke.
Method：Forty-one subjects with first stroke were randomly assigned into 2 groups：TAES group and placebo stimulation group. All subjects received the same standard rehabilitation. In TAES group, Model KD-2A stimulator was applied with 0.2ms pulses, at 100Hz within the subject's tolerance level on the 4 acupuncture points(LI15, LI11, SJ5 and LI4) in the affected upper limb for 60 min, 5 days a week for 3 weeks; The time and the course of treatment in placebo stimulation group was as well as the TAES group, but no current output for each treatment. All subjects in the 2 groups received standard rehabilitation program. Measurements including Fugl-Meyer motor assessment (FMA-UE), modified Barthel index(MBI),the latency, amplitude and central motor conduction time（CMCT） of motor evoked potential (MEP) on affected side were recorded before treatment, after 2 and 3 weeks' treatment.
Result：After 3 weeks treatment，the function scores and the latency, amplitude and CMCT of MEP on affected side of the two groups improved significantly(P<0.05). The function scores and the latency, amplitude and CMCT of MEP on affected side in TAES group improved significantly than those in placebo group (P<0.05).
Conclusion:Transcutaneous acupoint electrical stimulation could improve the excitability of motor cortex of affected brain area and promote the recovery of upper limb function significantly. |
| Keywords:transcutaneous acupoint electrical stimulation stroke upper limb motor evoked potential |
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