Analysis of the Impact of Electroacupuncture Combined with Low-Frequency Electrical Stimulation on Lower Limb Function and Related Factors of Reconstruction Effect in Stroke Hemiplegic Patients

Li Wenting; Wang Xiaoxiao; Ning Wenhua

doi:10.3969/j.issn.1006-7256.2024.13.008

Abstract：Objective:To explore the effect of electroacupuncture combined with low-frequency electrical stimulation on lower limb func-tion in stroke hemiplegic patients,analyze the influencing factors of lower limb function reconstruction effect,and study relevant nursing strategies.Methods:All 162 stroke hemiplegic patients admitted from January 1,2022 to January 31,2023 were selected as the study sub-jects,all of whom received electroacupuncture combined with low-frequency electrical stimulation intervention for 4 consecutive weeks.The Fugl-Meyer Motor Function Assessment(FMA)was used to evaluate the effectiveness of lower limb function reconstruction in patients,and clinical data was collected to compare the FMA scores of stroke hemiplegic patients with different clinical data.Relevant factors affecting lower limb function reconstruction in patients were analyzed,and nursing strategies were formulated.Results:After 4 weeks of intervention,the FMA scores of 162 patients were higher than before intervention(P<0.05).After 4 weeks of intervention,the FMA scores of stroke hemiplegia patients aged≥60 years,with NIHSS score≥21 at admission,with diabetes,and without regular exercise rehabilitation training were lower than those of patients aged<60 years,with NIHSS score<21 at admission,without diabetes,and with regular exercise rehabili-tation training(P<0.05).Multivariate linear regression analysis showed that age≥60 years,NIHSS score≥21 at admission,and diabetes were risk factors for lower limb function reconstruction in stroke patients with hemiplegia(P<0.05),and regular exercise rehabilitation training was protective factor(P<0.05).Conclusion:Electroacupuncture combined with low-frequency electrical stimulation has positive significance in improving lower limb function in stroke patients with hemiplegia,and the effect of lower limb function reconstruction may be related to the patient's age,NIHSS score at admission,diabetes complications,and whether regular exercise rehabilitation training is com-bined.