经颅直流电刺激联合分期针刺对脑卒中偏瘫患者上肢运动功能的影响

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Abstract Objective To investigate the effect of transcranial direct current stimulation combined with staging acupuncture on upper limb motor function in patients with stroke. Methods A total of 120 patients with hemiplegia caused by stroke in Department of Medical, Shiyan Taihe Hospital of Hubei Province from January 2016 to December 2018 were selected. They were divided into transcranial direct current stimulation group (tDCS), staging acupuncture group, combined group, with 40 patients in each group. tDCS group was treated with transcranial direct current stimulation. Staging acupuncture group was treated with staging acupuncture. Combined group was treated with transcranial direct current stimulation combined with staging acupuncture. After 6 courses of treatment, the clinical effect was evaluated. Fugl-meyer rating scale (FMA), modified Barthel index (MBI), and modified Ashworth scale (MAS) were used for evaluation. The distribution of clinical stages before and after treatment were observed and compared. Results The total effective rate of combined group was significantly higher than that of tDCS group and staging acupuncture group, and the difference was statistically significant (P < 0.05). There was no significant difference in FMA score, MBI and MAS score between three groups before treatment (all P > 0.05). After treatment, FMA score, MBI and MAS score of combined group were higher than those of staging acupuncture group and tDCS group, with statistically significant differences (all P < 0.05). Moreover, FMA score, MBI and MAS score of staging acupuncture group were higher than those of tDCS group, with statistically significant differences (all P < 0.05). The clinical staging of combined group was better than that of staging acupuncture group and tDCS group, and the difference was statistically significant (P < 0.05). Conclusion tDCS combined with staging acupuncture can improve FMA score, MBI and MAS scores of upper limb in hemiplegia after stroke, improve the recovery of upper limb motor function and muscle tension, improve patients′ ability to live and improve clinical efficacy.

Key words： Transcranial direct current stimulation Stage acupuncture Stroke Upper limb Motor function;

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	ZHENG Su1 PENG Li2 MU Jingping1

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ZHENG Su1 PENG Li2 MU Jingping1. Effect of transcranial direct current stimulation combined with staging acupuncture on upper limb motor function in stroke patients with hemiplegia[J]. 中国医药导报, 2020, 17(10): 86-89.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I10/86

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