Objective:To observe the effect of different electro-acupuncture parameters based on median nerve theory on upper limb function of stroke patients with flaccid paralysis.Method:A total of 120 patients with upper limb motor dysfunction in flaccid paralysis of stroke were selected from Department of Neurology,Shangrao People's Hospital from July 2022 to October 2023 in this study.The patients were divided into basic treatment group(basic medical treatment+basic rehabilitation treatment+conventional acupuncture treatment),electro-acupuncture group 1(basic treatment+2 Hz continuous wave electro-acupuncture),electro-acupuncture group 2(basic treatment+2 Hz discontinuous wave electro-acupuncture),and electro-acupuncture group 3(basic treatment+2 Hz/10 Hz degree of closing electro-acupuncture)according to the random number table method,with 30 cases in each group.The upper limb motor function score in the Fugl-Meyer assessment(FMA),muscle strength(British medical research council muscle strength assessment standard),modified Barthel index(MBI)and electromyographic indexes[compound muscle action potential(CMAP)amplitude,distal motor latency(DML)and motor nerve conduction velocity(MCV)]were observed and recorded before and after treatment,and the efficacy of each group was compared.Result:Before treatment,there were no significant differences in FMA scores,muscle strength grades,MBI grades and electromyographic indexes among all groups(P>0.05).After treatment,FMA score,CMAP amplitude and MCV in electro-acupuncture group 3 were significantly better than those in basic treatment group,electro-acupuncture group 1 and electro-acupuncture group 2(P<0.05).After treatment,MBI in electro-acupuncture group 3 was better than that before treatment,and MBI in electro-acupuncture group 3 was better than that in basic treatment group and electro-acupuncture group 1(P<0.05).The total effective rate of all groups was compared,the difference was statistically significant(P<0.05).The total effective rate of electro-acupuncture group 3 was significantly higher than that of basic treatment group and electro-acupuncture group 2(P<0.05).Conclusion:Stimulating Jiquan point with different electro-acupuncture parameters is effective for patients with upper limb function of stroke with flaccid paralysis,but the basic treatment+2 Hz/10 Hz degree of closing electro-acupuncture scheme has more obvious advantages in improving the upper limb motor function and daily living activity ability,and the effect is better.
关键词
正中神经理论/电针/刺激参数/极泉穴/脑卒中/软瘫期/上肢功能
Key words
Median nerve theory/Electro-acupuncture/Stimulation parameters/Jiquan point/Stroke/Flaccid paralysis/Upper limb function
维普
万方数据