Effect Of Transcutaneous Electrical Acupoint Stimulation On Post-Stroke Fatigue

Objective:To investigate the effects of transcutaneous electrical stimulation on fatigue,quality of life and inflammatory factors in patients after a stroke,and to provide a more standardized intervention program for clinical care.Methods:On the basis of literature review,expert consultation,summarizing clinical experience and pre-experiment,this study aims to establish an intervention plan of transcutaneous electrical acupoint stimulation for post-stroke fatigue.According to the inclusion and exclusion criteria,80 cases of strokes were selected.The post-stroke fatigue patients were divided into an experimental group and a control group according to the random number table method.In the experimental group,the transcutaneous electrical acupoint stimulation therapy was given on the basis of routine treatment and treatment of a stroke.The control group received only routine treatment and nursing of a stroke.The intervention time of the experimental group was 15 days.That is,two courses of the treatment,each treatment lasting 7 days,with the interval of one day.The Fatigue Severity Scale(FSS)was used to evaluate the fatigue degree of each group before and after intervention for 7 days,15 days and 30 days after the intervention.The effects of post-stroke fatigue on the inflammation index were observed by the levels of serum CRP and IL-6,the two groups were measured by blood test.After the intervention and 30 days after the intervention,the Stroke-Specific Quality of Life(SS-QOL)was used to evaluate the quality of life after the stroke in both groups.We evaluated the effect of transcutaneous electrical stimulation on long-term quality of life in patients with post-stroke fatigue.Results:① Comparison of FSS scores:There was no significant difference between the two groups before and after intervention for 7 days(P>0.05).There was statistically significant difference between the two groups after intervention for 15 days(P<0.05).The score of the experimental group was lower than that of the control group at 30 days after the intervention and the difference was statistically significant(P<0.01).The experimental group was treated for 7 days(P<0.01),compared with the previous intervention,there was no significant difference between the two times(P>0.05).The difference was statistically significant(P<0.01)compared withthe two times after intervention for 7 days and 15 days.There was no significant difference betweenthe intervention for 15 days and 30 days after the intervention in the experimental group(P>0.05).The control group had no significant difference between each time(P>0.05).②The difference of levels of CRP was statistically significant difference between the two groups after intervention for 15 days(P<0.05).The serum levels of IL-6 in the two groups were significantly lower than those in the control group(P<0.05),but the difference was not significant(P>0.05).Compared betweeneach group,the levels of serum CRP and IL-6 in the experimental group and the control group were significantly lower than those in the control group(P<0.05),and the difference was statistically significant(P<0.05).③SS-QQL score comparison.30 days after the end of the intervention,the two groups of patients were analyzed in energy,family roles,activity,mood,limb function,work and labor dimensions and the difference was statistically significant(P<0.05).There was no significant difference in language,personality,self-care ability,social role,thinking and visual acuity(P>0.05),compared with 30 days after intervention,(P<0.01).In the dimension of language,personality,thinking and visual acuity,the difference was statistically significant(P<0.01).There was significant difference between the two groups(P<0.01).In terms of language,personality,(P<0.05),there was no significant difference between the two groups(P>0.05).Conclusion:①The transcutaneous electrical acupoint stimulation used in this study has feasibility for post-stroke fatigue intervention.② The transcutaneous electrical stimulation can effectively relieve fatigue after stroke symptoms,and improve patients quality of life.③ The transcutaneous electrical stimulation of patients with post-stroke fatigue in patients with serum pro inflammatory factors have a certain impact,but it has yet to be further verified.