头针联合助行功能性电刺激时序治疗对脑卒中偏瘫患者行走功能的影响
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R255.2

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国家自然科学基金项目(81772447)


Effects of Sequential Timing of Scalp Acupuncture Combined with Walking-Assisted Functional Electrical Stimulation on Walking Function in Post-Stroke Hemiplegia Patients
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    摘要:

    目的:观察不同时序组合的头针联合助行功能性电刺激(FES) 对脑卒中后行走功能的影响。方法:观察病例为2023年8月—2024年4月在湖北文理学院附属襄阳市中心医院住院,符合纳入条件且自愿参加本研究的脑卒中患者,共102例。随机分为3组,最终完成研究95例。头针先行组31例,先给予30 min的头针治疗,结束后再给予30 min 的助行FES 治疗;同步治疗组32 例,同时接受头针及助行FES 治疗,每次30 min;头针后行组32 例,先给予30 min 的助行FES 治疗,结束后再给予30 min 的头针治疗。每天治疗1 次,每周6 次,持续2 周。分别在治疗前、治疗2 周(12 次) 后进行Brunnstrom 分期、10 m 步行计时测试(10MWT)、Walkerview 重心活动范围评定。结果:治疗2 周后,①Brunnstrom 分期评定结果显示:3 组Brunnstrom 分期均较治疗前提升(P<0.05),且头针先行组、头针后行组Brunnstrom 分期均高于同步治疗组(P<0.05)。②10MWT结果显示:3组治疗后平均速度均较治疗前提高(P<0.05),且头针先行组高于同步治疗组(P<0.05)。③Walkerview重心活动范围检测显示:3组Walkerview重心活动范围均较治疗前降低(P<0.05),且头针先行组低于同步治疗组(P<0.05)。结论:脑卒中住院患者接受2周头针联合助行FES的时序治疗,患者的步行功能都得到明显改善,其中,头针优先与头针延后的序贯方案效果更明显。

    Abstract:

    Abstract: Objective: To observe the effects of different sequential timing of scalp acupuncture combined with walking-assisted functional electrical stimulation (FES) on walking function in patients with post-stroke hemiplegia. Methods:A total of 102 stroke patients were enrolled. They were hospitalized at Xiangyang Central Hospital Affiliated to Hubei University of Arts and Science, from August 2023 to April 2024, met the inclusion criteria and voluntarily participated in this study. They were randomly divided into three groups, with 95 patients ultimately completing the study. In the scalp acupuncture-priority group (31 cases),patients received 30 minutes of scalp acupuncture followed by 30 minutes of walking-assisted FES. In the synchronous treatment group (32 cases), patients received scalp acupuncture and walking-assisted FES concurrently for 30 minutes per session. In the scalp acupuncture-delayed group (32 cases),patients received 30 minutes of walking-assisted FES followed by 30 minutes of scalp acupuncture. All treatments were administered once daily, six times per week, for two weeks. Brunnstrom staging, the 10-meter walk test (10MWT), and Walkerview center-of-gravity range of motion assessment were evaluated before treatment and after two weeks of treatment (12 sessions). Results:After two weeks of treatment:①Brunnstrom staging results showed that the Brunnstrom stages in all three groups were significantly improved compared to before treatment (P< 0.05), and the Brunnstrom stages in the scalp acupuncture-priority group and the scalp acupuncture-delayed group were both significantly higher than that in the synchronous treatment group (P<0.05). ② The 10MWT results showed that the average walking speed in all three groups was significantly increased compared to before treatment (P<0.05), and the speed in the scalp acupuncture-priority group was significantly higher than that in the synchronous treatment group (P<0.05). ③ The Walkerview center-of-gravity range of motion results showed that the range of motion in all three groups was significantly reduced compared to before treatment (P<0.05),and the range of motion in the scalp acupuncture-priority group was significantly lower than that in the synchronous treatment group (P<0.05). Conclusion: Stroke inpatients receiving two weeks of sequential timing treatment with scalp acupuncture combined with walking-assisted FES showed significant improvement in walking function. Notably, the sequential protocols of both the scalp acupuncture-priority group and the scalp acupuncture-delayed group yielded more significant effects compared to other regimens.

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田腾飞,郭伟,孙倩倩,刘鑫,赵双艳,邹豪,李秀毅,白成建,燕铁斌.头针联合助行功能性电刺激时序治疗对脑卒中偏瘫患者行走功能的影响[J].新中医,2026,58(20):67-73

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  • 在线发布日期: 2026-10-21
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