电针联合下肢机器人康复技术对脑卒中患者步行功能的影响①
王 猛 ② ,张志娟,汤雲婷
(河南大学第一附属医院康复医学科,河南 开封 475000)
摘要 目的:探究电针联合下肢机器人康复技术对脑卒中(CA)患者步行功能的影响。 方法:选取 120 例 CA 患者,按照随机数字表法分成 A 组和 B 组,每组各 60 例。 B 组接受下肢机器人康复技术治疗,A 组于 B 组基础上联合电针治疗。 对比两组治疗前后 Fugl-Meyer 运动功能测评量表(FMA)评分、Berg 平衡量表(BBS)评分、功能性步行分级(FAC)、神经递质指标水平、患肢皮肤交感神经反应(SSR)潜伏期、波幅。 结果:治疗后,A 组 FMA、BBS 评分以及血清神经递质指标水平高于 B 组(P<0.05);FAC 分级优于 B 组(P<0.05);SSR 潜伏期较 B 组长,SSR 波幅较 B 组低(P<0.05)。 结论:电针联合下肢机器人康复技术治疗 CA 患者,可有效调节神经递质,改善下肢运动功能。
关键词: 脑卒中;电针;下肢机器人康复技术;步行功能
中图分类号:R743 文献标志码:A 文章编号:1008-2409(2022)03-0040-05
Effects of electroacupuncture combined with lower limb robotic rehabilitation technology on walking function in cerebral apoplexy patients ①
WANG Meng ② , ZHANG Zhijuan, TANG Yunting. (Dept. of Rehabilitation Medicine, the 1 stAffiliated Hospital of Henan University, Kaifeng 475000, China)
Abstract Objective: To investigate the effect of electroacupuncture combined with lower limb robotic rehabilitation technology on the walking function of patients with cerebral apoplexy(CA). Methods: 120 CA patients were randomized two groups, each with 60 cases. Group B received lower limb robotic rehabilitation therapy, while Group A received electroacupuncture on the basis of Group B. The scores of Fugl-Meyer Motor Function Assessment ( FMA), Berg balance scale ( BBS), Functional ambulation category(FAC), levels of neurotransmitter indexes, and the sympathetic skin response(SSR)latency and amplitude of the affected limbs were compared between both groups. Results: After treatment, FMA and BBS scores and serum neurotransmitter index levels in Group A were higher than those in Group B(P<0.05); FAC classification was better than that in Group B(P<0.05); SSR latency was longer than that in Group B, and the SSR amplitude was lower than that in Group B(P<0.05). Conclusion: Electroacupuncture combined with lower extremity robotic rehabilitation therapy in the treatment of CA patients can effectively regulate neurotransmitters and improve lower extremity motor function.
Keywords: cerebral apoplexy(CA); electroacupuncture; lower limb robotic rehabilitation technology;walking function
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