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[摘要]
目的:探讨电针结合穴位埋线在治疗早期脑卒中患者的下肢运动功能中的效果。 方法:选取于2020 年6 月至2021 年3 月,在我院因脑卒中入院进行康复治疗的患者。采用简单随机数字法,将患者按照入院顺序随机分为了观察组和对照组。观察组患者采用电针结合穴位埋线的治疗方法,对照组则采用单独电针的治疗方法。观察比较两组患者的下肢运动功能评分(Fugl-Meyer ,FMA),表面肌电图(RMS),Holden 步行分级情况。 结果:共65例患者纳入本研究。治疗前两组患者下肢功能各项指标比较差异均无显著性意义(P>0.05)。治疗后,相比较单独电针治疗,联合穴位埋线组患者FMA评分及RMS评分有明显改善,组间比较差异也有显著性意义(P=0.026,p=0.0012)。电针联合穴位埋线组患者下肢肌力及步行能力均有不同程度的提高(P=0.00)。 结论:电针联合穴位埋线相比单独电针疗法可以更有效改善脑卒中患者早期下肢运动功能的恢复,对脑卒中患者的康复治疗意义深远,值得临床进一步研究。
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[Abstract]
Objective: To explore the effect of electroacupuncture combined with acupoint embedding in the treatment of lower limb motor function in patients with early stroke. Method: Selected patients who were admitted to our hospital for stroke rehabilitation from June 2020 to March 2021. Using a simple random number method, the patients were randomly divided into observation group and control group according to the order of admission. Patients in the observation group were treated with electroacupuncture combined with acupoint embedding. The control group was treated with electroacupuncture alone. Results: A total of 65 patients were included in this study. Before treatment, there was no significant difference in the lower limb function indexes between the two groups of patients (P>0.05). After treatment, compared with electroacupuncture alone, the FMA score and RMS score of patients in the combined acupoint embedding group were significantly improved, and the difference between the groups was also significant (P=0.026, p=0.0012). The lower limb muscle strength and walking ability of the patients in the electroacupuncture combined with acupoint embedding group improved to varying degrees (P=0.00). Conclusion: Compared with electroacupuncture alone, electroacupuncture combined with acupoint embedding can more effectively improve the recovery of early lower limb motor function of stroke patients. It is of far-reaching significance to the rehabilitation of stroke patients and is worthy of further clinical research.
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