Effect of percutaneous acupoint electrical stimulation combined with acupuncture assisted rehabilitation training for patients with hemiplegia after stroke
DANG Yulan1 YANG Jianfeng1 MENG Haichao2 GUO Yufen1
1.Department of Traditional Chinese Medicine Rehabilitation, the Fourth Hospital of Baotou, Inner Mongolia Autonomous Region, Baotou 014000, China; 2.Department of Rehabilitation Therapy, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China
Abstract：Objective To explore the effect of percutaneous acupoint electrical stimulation combined with acupuncture assisted rehabilitation training for patients with hemiplegia after stroke. Methods A total of 136 patients with hemiplegia after stroke admitted to the Fourth Hospital of Baotou, Inner Mongolia Autonomous Region from September 2020 to December 2022 were selected and they were divided into the experimental group and the traditional group according to random number table method, with 68 cases in each group. The traditional group was given routine rehabilitation training intervention measures, and the experimental group was given percutaneous acupoint electrical stimulation combined with acupuncture intervention on this basis. Both groups were treated for three months. National Institutes of health stroke scale (NIHSS) score, Basle index (BI) of daily living ability score, Fugl-Meyer assessment scale (FMA) score before and after intervention were compared between the two groups. The spatial parameters of walking in the two groups were observed before and after intervention, the changes of traditional Chinese medicine syndrome scores before and after intervention were compared between the two groups, and the quality of life scores of the two groups were compared after intervention, and the incidence of adverse reactions in the two groups were analyzed. Results After intervention, NIHSS scores of the two groups were lower than those before intervention, BI and FMA scores were higher than those before intervention; NIHSS scores of the experimental group were lower than those of the traditional group, BI and FMA scores were higher than those of the traditional group (P＜0.05). After intervention, the walking speed of the two groups was faster than that before intervention, the step frequency was higher than that before intervention, and the step length of the affected side was longer than that before intervention; and the walking speed of the experimental group was faster than that of the traditional group, the step frequency was higher than that of the traditional group, and the step length of the affected side was longer than that of the traditional group (P＜0.05). After intervention, the scores of hemiplegia, heminumbness, skew of tongue, and skew of speech in the two groups were lower than those before intervention; and the scores of hemiplegia, heminumbness, skew of tongue, and skew of speech in the experimental group were lower than those in the traditional group (P＜0.05). The scores of social function, material life, physical function, and psychological function in experimental group were higher than those in traditional group (P＜0.05). The incidence of pressure ulcer, pulmonary infection, urinary infection, muscle atrophy, movement abnormality, and shoulder and hand syndrome in experimental group were lower than those in traditional group (P＜0.05). Conclusion Percutaneous acupoint electrical stimulation combined with acupuncture can improve the nerve function and motor function of patients with hemiplegia after stroke, improve their walking status, increase their traditional Chinese medicine syndrome score, improve their quality of life, and reduce adverse reactions, which is worthy of further clinical application.
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