【摘要】 目的 探讨川平法联合低频穴位电刺激对脑卒中后上肢运动功能障碍的疗效。方法 将62例脑卒中后上肢运动功能障碍患者随机分为观察组和对照组各31例。对照组采用神经内科常规康复训练联合低频穴位电刺激治疗，观察组在对照组的基础上加用川平法治疗。2组分别在治疗前、治疗2周后，采用Fugl-Meyer评定量表(FMA)、改良Ashworth 肌张力评定量表(MAS)、改良Barthel指数(MBI)进行疗效评定。结果 2组治疗后的FMA评分均高于治疗前，且观察组FMA评分高于对照组，治疗前后评分差值亦大于对照组(P均< 0.05)。治疗后2组患者的MAS等级较治疗前下降，且观察组治疗后MAS等级较对照组低(P均< 0.05)。2组治疗后的MBI评分均高于治疗前，且观察组MBI评分高于对照组，治疗前后评分差值亦大于对照组(P均< 0.05)。结论 川平法联合低频穴位电刺激对脑卒中后上肢运动功能的恢复、肌肉痉挛的改善、日常生活能力的提高均有较好疗效。

    【关键词】 脑卒中；川平法；低频穴位电刺激；上肢运动功能障碍；康复

    Interventional study of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation in patients with upper limb motor dysfunction after stroke

    ZHANG Yu1， ZOU Jiali2， LI Xiaojie1， WANG Bing2， LI Jie1， SHI Guofeng1， ZHOU Yixia1

    (1.School of Nursing， Guizhou University of Traditional Chinese Medicine， Guiyang 550025， China； 2.Department of Neurology， the Second Affiliated Hospital of Guizhou University of Chinese Medicine， Guiyang 550003， China)

    Corresponding author： ZHOU Yixia， E-mail： zhouyixia014@gzy.edu.cn

    【Abstract】 Objective To evaluate the efficacy of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy in the recovery of patients with upper limb motor dysfunction after stroke. Methods Sixty-two patients with upper limb motor dysfunction after stroke were divided into the observation group (n = 31) and control group (n = 31). Patients in the control group were treated with conventional rehabilitation training combined with low-frequency acupoint electrical stimulation in Department of Neurology ......